Deep Creek Health & Rehabilitation

Name: Deep Creek Health & Rehabilitation
Address: 1017 GEORGE WASHINGTON HIGHWAY NORTH, Chesapeake, VA, 23323, US
Telephone: 7574855500

1017 George Washington Highway North, Chesapeake, VA 23323 · Chesapeake City County · 120 certified beds · avg 104 residents/day · certified since Aug 1, 1998

Part of chain: ARK POST ACUTE NETWORK (4 facilities, chain avg rating 1.7★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.05

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (44)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Sep 19, 2025	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Sep 19, 2025	F · Potential for harm, facility-wide	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Sep 19, 2025	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Sep 19, 2025	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Sep 19, 2025	E · Potential for harm, repeated	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint
Sep 19, 2025	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint
Sep 19, 2025	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Sep 19, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 19, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Nov 16, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jul 22, 2021	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jul 22, 2021	E · Potential for harm, repeated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Jul 22, 2021	E · Potential for harm, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Jul 22, 2021	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jul 22, 2021	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jul 22, 2021	D · Potential for harm, one-off	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Jul 22, 2021	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jul 22, 2021	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Jul 22, 2021	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Jul 22, 2021	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Jul 22, 2021	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jul 22, 2021	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jul 22, 2021	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jul 22, 2021	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 22, 2021	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 22, 2021	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Jul 22, 2021	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Apr 16, 2019	E · Potential for harm, repeated	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Apr 16, 2019	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Apr 16, 2019	E · Potential for harm, repeated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Apr 16, 2019	E · Potential for harm, repeated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Apr 16, 2019	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Apr 16, 2019	E · Potential for harm, repeated	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Apr 16, 2019	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Apr 16, 2019	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 16, 2019	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 16, 2019	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 16, 2019	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 16, 2019	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Apr 16, 2019	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Apr 16, 2019	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 16, 2019	D · Potential for harm, one-off	The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals.
Apr 16, 2019	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 16, 2019	B · Minimal risk, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (17 → 6).

Year	Citations	Worst severity that year
2019	17	E
2021	17	E
2023	1	D
2025	9	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Virginia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.05	3.67	3.95	bottom 27% in Virginia; bottom 16% in the U.S.
Registered Nurse hours	0.46	0.66	0.69	bottom 39% in Virginia; bottom 32% in the U.S.
Weekend total nurse staffing	2.59	3.21	3.50	bottom 24% in Virginia; bottom 12% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.18	0.46	0.48	bottom 15% in Virginia; bottom 10% in the U.S.
Total nursing staff turnover (%)	65.9	48.1	45.8	bottom 11% in Virginia; bottom 9% in the U.S.
RN turnover (%)	63.6	48.2	42.9	bottom 23% in Virginia; bottom 17% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.05, RN 0.46, weekend 2.60. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
West Coast Commonwealth LLC	Organization	5% or Greater Direct Ownership Interest	96%	03/01/2020
Bridges, Roy	Individual	Corporate Officer	NOT APPLICABLE	04/01/2018
Bryant, Tameika	Individual	W-2 Managing Employee	NOT APPLICABLE	07/15/2015
Justiniano, Kimberly	Individual	Corporate Officer	NOT APPLICABLE	03/01/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How is pest control handled here, and when was the last treatment or inspection?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What were the findings behind this administration citation, and what has leadership changed since?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Portside Health & Rehab Center	2.1 mi	Portsmouth, VA	★★★☆☆	2/5
Autumn Care of Portsmouth	3.3 mi	Portsmouth, VA	★★★★☆	3/5
Portsmouth Health and Rehab	4.4 mi	Portsmouth, VA	★☆☆☆☆	1/5
Chesapeake Health and Rehabilitation Center	5.7 mi	Chesapeake, VA	★☆☆☆☆	1/5
Harbor's Edge	5.7 mi	Norfolk, VA	★★★★★	5/5
Oak Grove Health & Rehab Center, LLC	5.9 mi	Chesapeake, VA	★★★★★	4/5
Signature Healthcare of Norfolk	6.4 mi	Norfolk, VA	★★★☆☆	2/5
Norfolk Health Care Center	6.5 mi	Norfolk, VA	★☆☆☆☆	1/5
Maimonides Health Center of Virginia Beach	7.2 mi	Virginia Beach, VA	★★☆☆☆	2/5	abuse
Northern Cardinal Rehabilitation and Nursing	7.7 mi	Suffolk, VA	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Chesapeake →

Facility data as of CMS processing date 2026-08-01. CCN 495330.

The Care File

Visit checklist — Deep Creek Health & Rehabilitation

1017 George Washington Highway North, Chesapeake, VA 23323 · 7574855500

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What were the findings behind this administration citation, and what has leadership changed since?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 495330 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)