Riverside Lifelong Health & Rehabilitation Salud
672 Gloucester Road, Saluda, VA 23149 · Middlesex County · 60 certified beds · avg 50 residents/day · certified since Apr 23, 2021
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: ★★☆☆☆2/5 · 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)
▲ Immediate jeopardy, repeated · Mar 6, 2026 · 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 (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Apr 15, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (31)
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 |
|---|---|---|
| Mar 6, 2026 | ▲ K · Immediate jeopardy, repeated | 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. |
| Mar 6, 2026 | 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. |
| Mar 6, 2026 | 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. |
| Mar 6, 2026 | 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. |
| Mar 6, 2026 | 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. |
| Mar 6, 2026 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. |
| Mar 6, 2026 | D · Potential for harm, one-off | The facility did not keep complete, dated laboratory records in residents' files. |
| Mar 6, 2026 | 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. |
| Mar 6, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Dec 20, 2022 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Dec 20, 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. |
| Dec 20, 2022 | 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. |
| Dec 20, 2022 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Dec 20, 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. |
| Dec 20, 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. |
| Dec 20, 2022 | 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. |
| Dec 20, 2022 | 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. |
| Dec 20, 2022 | 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. |
| Dec 20, 2022 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Dec 20, 2022 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Dec 20, 2022 | D · Potential for harm, one-off | The facility did not perform required COVID-19 testing on residents and staff. |
| Dec 20, 2022 | D · Potential for harm, one-off | The 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. |
| Mar 19, 2021 | E · Potential for harm, repeated | 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. |
| Mar 19, 2021 | 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. |
| Mar 19, 2021 | 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. |
| Mar 19, 2021 | 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. |
| Mar 19, 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. |
| Mar 19, 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. |
| Mar 19, 2021 | 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. |
| Mar 19, 2021 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Mar 19, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 9 | 0 | E |
| 2022 | 13 | 0 | E |
| 2026 | 9 | 1 | K ▲ |
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)
1 fine totaling $71,915, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Mar 6, 2026 | Fine | $71,915 |
| Mar 6, 2026 | Payment Denial | 6 days from Jun 6, 2026 |
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) | 3.65 | 3.67 | 3.95 | top 31% in Virginia; bottom 44% in the U.S. |
| Registered Nurse hours | 1.08 | 0.66 | 0.69 | top 10% in Virginia; top 13% in the U.S. |
| Weekend total nurse staffing | 3.15 | 3.21 | 3.50 | top 34% in Virginia; bottom 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.56 | 0.46 | 0.48 | top 18% in Virginia; top 27% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 48.1 | 45.8 | top 17% in Virginia; top 20% in the U.S. |
| RN turnover (%) | 10.0 | 48.2 | 42.9 | top 3% in Virginia; top 4% 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 3.21, RN 0.95, weekend 2.76. 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: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
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 | 100% | 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 |
| Dacey, Michael | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 09/02/2025 |
| Downey, William | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2008 |
| Haywood, Barbara | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| Heckler, Edward | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2019 |
| Houser, Jason | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2019 |
| Nelson, Linwood | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Smith, Conway | Individual | Corporate Director | NOT APPLICABLE | 06/01/2008 |
| Smith, Kirby | Individual | Corporate Director | NOT APPLICABLE | 06/01/2008 |
| 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.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "When a doctor orders lab work, how quickly is it done and how are results communicated back?"
- "How are lab results filed and reviewed, and how quickly does the doctor see abnormal results?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Dockside Health & Rehab Center | 5.0 mi | Locust Hill, VA | ★★★★☆ | 3/5 | |
| Three Rivers Health & Rehab Center | 11.3 mi | West Point, VA | ★★★☆☆ | 3/5 | |
| Rappahannock Westminster Canterbury | 12.0 mi | Irvington, VA | ★★★★★ | 3/5 | |
| Walter Reed Post Acute | 12.9 mi | Gloucester, VA | ★★★★☆ | 5/5 | |
| Riverside Lifelong Health & Rehabilitation Sanders | 13.6 mi | Gloucester, VA | ★★★★★ | 4/5 | |
| Lancashire Post Acute | 14.1 mi | Kilmarnock, VA | ★★★★☆ | 3/5 | |
| Riverside Lifelong Health and Rehabilitation - M | 19.3 mi | Mathews, VA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 495430.