Oak Grove Health & Rehab Center, LLC
776 Oak Grove Rd, Chesapeake, VA 23320 · Chesapeake City County · 120 certified beds · avg 119 residents/day · certified since Sep 6, 1990
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: ★★★★☆4/5 · CMS overall rating: 5/5
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 · Aug 9, 2023 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
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: Aug 9, 2023 (Past Non-Compliance)
▲ Actual harm, one-off · Jul 19, 2019 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Aug 26, 2019 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 19, 2019 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: Aug 26, 2019 (Deficient, Provider has date of correction)
All citations in the current public record (30)
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 19, 2026 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Feb 19, 2026 | 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. |
| Feb 19, 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. |
| Aug 9, 2023 | ▲ G · Actual harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jan 28, 2022 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jan 28, 2022 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Jan 28, 2022 | E · Potential for harm, repeated | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). |
| Jan 28, 2022 | 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. |
| Jan 28, 2022 | 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. |
| Jan 28, 2022 | 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. |
| Jan 28, 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 28, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jul 19, 2019 | ▲ G · Actual 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. |
| Jul 19, 2019 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jul 19, 2019 | E · Potential for harm, repeated | 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 19, 2019 | 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 19, 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. |
| Jul 19, 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 19, 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 19, 2019 | 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 19, 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. |
| Jul 19, 2019 | 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. |
| Jul 19, 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 19, 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 19, 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 19, 2019 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jul 19, 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 19, 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. |
| Jul 19, 2019 | 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 19, 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 (8 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 18 | 2 | G ▲ |
| 2022 | 8 | 0 | E |
| 2023 | 1 | 1 | G ▲ |
| 2026 | 3 | 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) | 3.27 | 3.67 | 3.95 | bottom 42% in Virginia; bottom 25% in the U.S. |
| Registered Nurse hours | 0.49 | 0.66 | 0.69 | bottom 45% in Virginia; bottom 37% in the U.S. |
| Weekend total nurse staffing | 2.79 | 3.21 | 3.50 | bottom 40% in Virginia; bottom 20% 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 (%) | 46.8 | 48.1 | 45.8 | top 45% in Virginia; bottom 45% in the U.S. |
| RN turnover (%) | 56.0 | 48.2 | 42.9 | bottom 34% in Virginia; bottom 26% 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 3.52, RN 0.53, weekend 3.01. Staffing rating: 2/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Citrin Cooperman Advisors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2020 |
| Hajimomenian, Amir | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Hayes, Le'anne | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2020 |
| Hayes, Le'anne | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2020 |
| Hippenstiel, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2020 |
| Nicoluzakis, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2020 |
| Nicoluzakis, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2020 |
| Ohi Asset (VA) Oak Grove LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 11/01/2020 |
| Ohi Asset (VA) Oak Grove LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2020 |
| Saber Governance LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2020 |
| Saber Healthcare Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2020 |
| SHG Boa LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/02/2026 |
| SHG Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2020 |
| SHG Mt, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/02/2026 |
| TCF National Bank | Organization | ADP of the SNF | NOT APPLICABLE | 12/02/2022 |
| Volpe, Benjamin | Individual | Corporate Director | NOT APPLICABLE | 11/01/2020 |
| Volpe, Benjamin | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2020 |
| Volpe, Benjamin | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2020 |
| Walker & Associates PC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2020 |
| Weisberg, William | Individual | Corporate Director | NOT APPLICABLE | 11/01/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "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 |
|---|---|---|---|---|---|
| Chesapeake Health and Rehabilitation Center | 0.8 mi | Chesapeake, VA | ★☆☆☆☆ | 1/5 | |
| Autumn Care of Chesapeake | 2.1 mi | Chesapeake, VA | ★★★☆☆ | 3/5 | |
| Maimonides Health Center of Virginia Beach | 4.1 mi | Virginia Beach, VA | ★★☆☆☆ | 2/5 | abuse |
| Kempsville Health & Rehab Center | 4.7 mi | Virginia Beach, VA | ★★☆☆☆ | 3/5 | |
| Deep Creek Health & Rehabilitation | 5.9 mi | Chesapeake, VA | ★★☆☆☆ | 3/5 | |
| Waterside Health & Rehab Center | 6.4 mi | Norfolk, VA | ★★★☆☆ | 3/5 | |
| Our Lady of Perpetual Help | 7.0 mi | Virginia Beach, VA | ★★★★★ | 4/5 | |
| Portsmouth Health and Rehab | 7.1 mi | Portsmouth, VA | ★☆☆☆☆ | 1/5 | |
| Autumn Care of Norfolk | 7.2 mi | Norfolk, VA | ★★★★☆ | 3/5 | |
| Harbor's Edge | 7.5 mi | Norfolk, VA | ★★★★★ | 5/5 | |
| Norfolk Health Care Center | 7.6 mi | Norfolk, VA | ★☆☆☆☆ | 1/5 | |
| Portside Health & Rehab Center | 7.8 mi | Portsmouth, VA | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 495215.