Kempsville Health & Rehab Center
5520 Indian River Road, Virginia Beach, VA 23464 · Virginia Beach City County · 90 certified beds · avg 93 residents/day · certified since Mar 1, 1991
Part of chain: SABER HEALTHCARE GROUP (126 facilities, chain avg rating 2.9★)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jan 18, 2022 · F-0686
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 17, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (34)
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 |
|---|---|---|
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 26, 2026 | 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. |
| Feb 26, 2026 | 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. |
| Jan 18, 2022 | ▲ G · Actual 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. |
| Jan 18, 2022 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Jan 18, 2022 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. |
| Jan 18, 2022 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Jan 18, 2022 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jan 18, 2022 | 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. |
| Jan 18, 2022 | 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. |
| Jan 18, 2022 | 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. |
| Jan 18, 2022 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Jan 18, 2022 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jan 18, 2022 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jan 18, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 18, 2022 | 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. |
| Jan 18, 2022 | 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. |
| Jan 18, 2022 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Jul 11, 2019 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Jul 11, 2019 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Jul 11, 2019 | 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 11, 2019 | 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 11, 2019 | 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 11, 2019 | 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. |
| Jul 11, 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. |
| Jul 11, 2019 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jul 11, 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. |
| Jul 11, 2019 | 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 11, 2019 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jul 11, 2019 | D · Potential for harm, one-off | The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. |
| Jul 11, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (15 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 13 | 0 | D |
| 2022 | 15 | 1 | G ▲ |
| 2026 | 6 | 0 | D |
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) | 3.03 | 3.67 | 3.95 | bottom 25% in Virginia; bottom 15% in the U.S. |
| Registered Nurse hours | 0.51 | 0.66 | 0.69 | bottom 48% in Virginia; bottom 39% in the U.S. |
| Weekend total nurse staffing | 2.46 | 3.21 | 3.50 | bottom 16% in Virginia; bottom 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.46 | 0.48 | top 46% in Virginia; bottom 42% in the U.S. |
| Total nursing staff turnover (%) | 54.1 | 48.1 | 45.8 | bottom 37% in Virginia; bottom 27% in the U.S. |
| RN turnover (%) | 58.3 | 48.2 | 42.9 | bottom 32% in Virginia; bottom 24% 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 3.17, RN 0.53, weekend 2.58. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bundle Tenant LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/03/2026 |
| Citrin Cooperman Advisors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2012 |
| Hajimomenian, Amir | Individual | ADP of the SNF | NOT APPLICABLE | 10/31/2013 |
| Jackson, Ashley | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/28/2022 |
| Jackson, Ashley | Individual | ADP of the SNF | NOT APPLICABLE | 06/28/2022 |
| Nicoluzakis, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2019 |
| Nicoluzakis, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2019 |
| Saber Governance LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Saber Healthcare Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2012 |
| SHG Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| SHG Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| TCF National Bank | Organization | ADP of the SNF | NOT APPLICABLE | 07/19/2019 |
| Vevoda, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/06/2018 |
| Vevoda, David | Individual | ADP of the SNF | NOT APPLICABLE | 04/06/2018 |
| Virginia Beach Health Investors, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2015 |
| Volpe, Benjamin | Individual | Corporate Director | NOT APPLICABLE | 03/01/2019 |
| Volpe, Benjamin | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2019 |
| Volpe, Benjamin | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2019 |
| Walker & Associates PC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2012 |
| Weisberg, William | Individual | Corporate Director | NOT APPLICABLE | 03/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "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 |
|---|---|---|---|---|---|
| Maimonides Health Center of Virginia Beach | 1.8 mi | Virginia Beach, VA | ★★☆☆☆ | 2/5 | abuse |
| Waterside Health & Rehab Center | 2.5 mi | Norfolk, VA | ★★★☆☆ | 3/5 | |
| Our Lady of Perpetual Help | 2.7 mi | Virginia Beach, VA | ★★★★★ | 4/5 | |
| Autumn Care of Norfolk | 3.9 mi | Norfolk, VA | ★★★★☆ | 3/5 | |
| Cypress Pointe Rehabilitation and Nursing | 4.2 mi | Virginia Beach, VA | ★★☆☆☆ | 2/5 | |
| Autumn Care of Chesapeake | 4.4 mi | Chesapeake, VA | ★★★☆☆ | 3/5 | |
| Thalia Gardens Rehabilitation and Nursing | 4.4 mi | Virginia Beach, VA | ★☆☆☆☆ | 1/5 | |
| Oak Grove Health & Rehab Center, LLC | 4.7 mi | Chesapeake, VA | ★★★★★ | 4/5 | |
| Lake Taylor Hosp | 4.9 mi | Norfolk, VA | ★★★★☆ | 3/5 | |
| Birchwood Park Rehabilitation | 4.9 mi | Virginia Beach, VA | ★☆☆☆☆ | 1/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 495232.