Virginia ›Hopewell

River View on the Appomattox Health & Rehab Center

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201 Epps Street, Hopewell, VA 23860 (opens Google Maps) · Hopewell City County · (804) 541-1445· 124 certified beds · avg 113 residents/day · certified since Jan 11, 1971 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Abuse citation flag (CMS)

What the abuse flag means →

Part of chain: COMMONWEALTH CARE OF ROANOKE (12 facilities, chain avg rating 3.6★)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

1/5
Health inspection rating (on-site)
inspected Mar 9, 2023
2
Serious findings on record
most recent Mar 9, 2023
$0
Fines, last 3 years
3.37
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, pattern · Mar 9, 2023 · 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 (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 23, 2023 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Mar 9, 2023 · F-0880

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.

Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 23, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 63 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    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. · from a complaint F-0657

  2. D · Potential for more than minimal harm, isolated

    The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint F-0658

  3. D · Potential for more than minimal harm, isolated

    The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint F-0757

View all 63 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
May 18, 2024D · Potential for more than minimal harm, isolatedThe 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. · from a complaint · F-0657
May 18, 2024D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658
May 18, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint · F-0757
May 18, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them. · from a complaint · F-0776
Mar 9, 2023▲ K · Immediate jeopardy, patternThe 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. · F-0686
Mar 9, 2023▲ J · Immediate jeopardy, isolatedThe 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. · F-0880
Mar 9, 2023F · Potential for more than minimal harm, widespreadThe facility did not keep residents' personal and medical information private and confidential. · F-0583
Mar 9, 2023E · Potential for more than minimal harm, patternThe facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565
Mar 9, 2023E · Potential for more than minimal harm, patternThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Mar 9, 2023E · Potential for more than minimal harm, patternThe 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. · F-0761
Mar 9, 2023E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Mar 9, 2023E · Potential for more than minimal harm, patternThe facility employed staff who were not licensed, certified, or registered as required by state law. · F-0839
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0550
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · F-0553
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · F-0600
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0656
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · F-0660
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0677
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0687
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not perform required COVID-19 testing on residents and staff. · F-0886
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925
Mar 9, 2023C · Potential for minimal harm, widespreadThe 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. · F-0577
Mar 9, 2023B · Potential for minimal harm, patternThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
Feb 6, 2020D · Potential for more than minimal harm, isolatedThe 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. · F-0554
Feb 6, 2020D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · F-0600
Feb 6, 2020D · Potential for more than minimal harm, isolatedThe 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. · F-0656
Feb 6, 2020D · Potential for more than minimal harm, isolatedThe 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. · F-0677
Feb 6, 2020D · Potential for more than minimal harm, isolatedThe 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. · F-0688
Feb 6, 2020D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Feb 6, 2020D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Feb 6, 2020D · Potential for more than minimal harm, isolatedThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Feb 6, 2020D · Potential for more than minimal harm, isolatedThe facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806
Feb 6, 2020D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Feb 6, 2020B · Potential for minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Apr 27, 2018E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Apr 27, 2018E · Potential for more than minimal harm, patternThe 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. · F-0880
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe 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. · F-0580
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · F-0583
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe 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. · F-0656
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe 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. · F-0677
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe 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. · F-0688
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe 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. · F-0695
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Apr 27, 2018D · Potential for more than minimal harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Apr 27, 2018B · Potential for minimal harm, patternThe 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. · F-0657

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (11 → 28).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2018
All citations: 20
Serious citations (G–L): 0
2020
All citations: 11
Serious citations (G–L): 0
2023
All citations: 28
Serious citations (G–L): 2
2024
All citations: 4
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2018200E
2020110D
2023282K ▲
202440D

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityVirginia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.37
Virginia average: 3.67
U.S. average: 3.95
Registered Nurse hours
This facility: 0.27
Virginia average: 0.66
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.87
Virginia average: 3.21
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityVirginia avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.373.673.95top 49% in Virginia; bottom 30% in the U.S.
Registered Nurse hours0.270.660.69bottom 3% in Virginia; bottom 7% in the U.S.
Weekend total nurse staffing2.873.213.50bottom 45% in Virginia; bottom 24% in the U.S.
Weekend RN hours (not acuity-adjusted)0.100.460.48bottom 1% in Virginia; bottom 1% in the U.S.
Total nursing staff turnover (%)74.848.145.8bottom 3% in Virginia; bottom 3% in the U.S.
RN turnover (%)100.048.242.9bottom 1% in Virginia; bottom 1% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.51, RN 0.29, weekend 2.99.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.51 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for River View on the Appomattox Health & Rehab Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Partnership

Owner / managerTypeRoleStakeSince
Alesantrino, JoeIndividualCorporate OfficerNOT APPLICABLE06/01/2019
Commonwealth Care of Roanoke INCOrganizationOperational/Managerial ControlNOT APPLICABLE01/24/2005
Petrine, DeborahIndividualCorporate OfficerNOT APPLICABLE12/16/2005
Tucker, DavidIndividualCorporate OfficerNOT APPLICABLE07/01/2007
Yacovone, ToddIndividualW-2 Managing EmployeeNOT APPLICABLE09/19/2018

All 5 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Commonwealth Care of Roanoke — 12 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 11 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
  • "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
  • "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
  • "If a resident needs an x-ray, how is it done and how long does it usually take?"
  • "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
  • "Does your facility have an active resident council, and how does management respond to its concerns?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Virginia midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 75% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Wonder City Rehabilitation and Nursing Center2.5 miHopewell, VA★☆☆☆☆1/5SFF
Colonial Heights Rehabilitation and Nursing Center6.2 miColonial Heights, VA★☆☆☆☆1/5
Petersburg Healthcare Center7.5 miPetersburg, VA★★☆☆☆2/5abuse
Battlefield Park Healthcare Center8.3 miPetersburg, VA★★☆☆☆2/5
Hiram W Davis Medical Ctr9.9 miPetersburg, VA★★★★☆4/5
Tyler's Retreat at Iron Bridge11.7 miChester, VA★★★☆☆3/5
Dinwiddie Health and Rehab Center12.8 miPetersburg, VA★★☆☆☆3/5
Health Care Center Lucy Corr13.7 miChesterfield, VA★★☆☆☆2/5
Sitter and Barfoot Veterans Care Center17.5 miRichmond, VA★★★★★3/5
Henrico Health & Rehabilitation Center17.8 miHighland Springs, VA—/5SFF
Forest Hill Health & Rehabilitation19.3 miRichmond, VA★☆☆☆☆1/5
Beaufont Health and Rehabilitation Center20.0 miRichmond, VA★★☆☆☆3/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 495085.

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