Riverside Lifelong Health & Rehab Smithfield
101 John Rolfe Drive, Smithfield, VA 23430 · Isle Of Wight County · 34 certified beds · avg 30 residents/day · certified since Sep 1, 1998
Part of chain: RIVERSIDE HEALTH SYSTEM (6 facilities, chain avg rating 3.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
⚠ 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 self-reported quality measures.
All citations in the current public record (17)
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 |
|---|---|---|
| Apr 12, 2024 | E · Potential for harm, repeated | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. |
| Apr 12, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Apr 12, 2024 | 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. · from a complaint |
| Apr 12, 2024 | 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. · from a complaint |
| Apr 12, 2024 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Apr 12, 2024 | 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. · from a complaint |
| Feb 25, 2021 | D · Potential for 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. |
| Feb 25, 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. |
| Feb 25, 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. |
| Feb 25, 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. |
| Feb 25, 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. |
| Feb 25, 2021 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Feb 25, 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. |
| Feb 25, 2021 | 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. |
| Mar 8, 2019 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 8, 2019 | 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. |
| Mar 8, 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 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | F |
| 2021 | 8 | 0 | D |
| 2024 | 6 | 0 | E |
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) | 4.56 | 3.67 | 3.95 | top 17% in Virginia; top 21% in the U.S. |
| Registered Nurse hours | 1.06 | 0.66 | 0.69 | top 10% in Virginia; top 13% in the U.S. |
| Weekend total nurse staffing | 4.26 | 3.21 | 3.50 | top 14% in Virginia; top 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.57 | 0.46 | 0.48 | top 17% in Virginia; top 25% in the U.S. |
| Total nursing staff turnover (%) | 59.6 | 48.1 | 45.8 | bottom 24% in Virginia; bottom 17% in the U.S. |
| RN turnover (%) | 60.0 | 48.2 | 42.9 | bottom 30% in Virginia; bottom 22% 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 4.47, RN 1.04, weekend 4.18. Staffing rating: 4/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Rector & Visitors of the University of Virginia | Organization | 5% or Greater Indirect Ownership Interest | 5% | 07/10/2023 |
| Riverside Healthcare Association, INC. | Organization | 5% or Greater Direct Ownership Interest | — | 05/03/2010 |
| Riverside Integrated Services INC | Organization | 5% or Greater Indirect Ownership Interest | 95% | 07/10/2023 |
| Alewynse, Joyce | Individual | Corporate Director | NOT APPLICABLE | 03/01/2022 |
| Austin, Walter | Individual | Corporate Officer | NOT APPLICABLE | 07/02/2012 |
| Bates, Jared | Individual | Corporate Director | NOT APPLICABLE | 03/01/2022 |
| Dacey, Michael | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2019 |
| Downey, William | Individual | Corporate Officer | NOT APPLICABLE | 05/03/2010 |
| Haywood, Barbara | Individual | Corporate Director | NOT APPLICABLE | 01/01/2014 |
| Heckler, Edward | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2019 |
| Houser, Jason | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2019 |
| Nelson, Linwood | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2025 |
| Nelson, Linwood | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Smith, Conway | Individual | Corporate Director | NOT APPLICABLE | 05/03/2010 |
| Smith, Kirby | Individual | Corporate Director | NOT APPLICABLE | 05/03/2010 |
| Tiller, Brooke | Individual | Corporate Director | NOT APPLICABLE | 03/01/2022 |
| Verser, Joseph | Individual | Corporate Director | NOT APPLICABLE | 03/01/2022 |
| Zeidler, Jeanne | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Where do you post the contact information for the state agency and the ombudsman, in case we ever need to file a complaint?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "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 |
|---|---|---|---|---|---|
| Newport Post Acute | 8.7 mi | Newport News, VA | ★★★★☆ | 3/5 | |
| Atlantic View Post Acute | 9.2 mi | Newport News, VA | ★★☆☆☆ | 2/5 | |
| Newport News Nursing & Rehab | 10.1 mi | Newport News, VA | ★☆☆☆☆ | 1/5 | abuse |
| Langley Post Acute | 10.7 mi | Hampton, VA | ★★★☆☆ | 3/5 | |
| Riverside Lifelong H & R Warwick Forest | 10.9 mi | Newport News, VA | ★☆☆☆☆ | 1/5 | |
| The Chesapeake | 11.5 mi | Newport News, VA | ★★★☆☆ | 3/5 | |
| Hampton Health & Rehab Center, LLC | 11.8 mi | Hampton, VA | ★★★☆☆ | 2/5 | |
| Old Dominion Rehabilitation and Nursing | 12.5 mi | Newport News, VA | ★☆☆☆☆ | 1/5 | abuse |
| Marcella Post Acute | 12.6 mi | Hampton, VA | ★★☆☆☆ | 2/5 | |
| Northern Cardinal Rehabilitation and Nursing | 13.0 mi | Suffolk, VA | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
All facilities in Smithfield →
Facility data as of CMS processing date 2026-08-01. CCN 495332.