Rosemont Health & Rehab Center, LLC
3750 Sentara Way, Virginia Beach, VA 23452 · Virginia Beach City County · 116 certified beds · avg 112 residents/day · certified since Nov 28, 1992
Abuse citation flag (CMS)
Part of chain: SABER HEALTHCARE GROUP (126 facilities, chain avg rating 2.9★)
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.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
⚠ 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Sep 22, 2022 · F-0600
The 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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Oct 20, 2022 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 22, 2022 · F-0610
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.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
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: Oct 20, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (32)
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 29, 2024 | 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. · from a complaint |
| Sep 22, 2022 | ▲ G · Actual harm, one-off | The 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. |
| Sep 22, 2022 | ▲ G · Actual 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. |
| Sep 22, 2022 | E · Potential for harm, repeated | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Sep 22, 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. |
| Sep 22, 2022 | D · Potential for harm, one-off | The 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. |
| Sep 22, 2022 | D · Potential for harm, one-off | The facility did not honor residents' right to manage their own money and financial affairs. |
| Sep 22, 2022 | 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. |
| Sep 22, 2022 | 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. |
| Sep 22, 2022 | 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. |
| Sep 22, 2022 | 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. |
| Sep 22, 2022 | 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. |
| Sep 22, 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. |
| Sep 22, 2022 | 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. |
| Sep 22, 2022 | D · Potential for harm, one-off | The 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. |
| Sep 22, 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. |
| Sep 22, 2022 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Sep 22, 2022 | D · Potential for harm, one-off | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Oct 18, 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. |
| Oct 18, 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. |
| Oct 18, 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. |
| Oct 18, 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. |
| Oct 18, 2019 | 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. |
| Oct 18, 2019 | D · Potential for harm, one-off | 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. |
| Oct 18, 2019 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| May 25, 2018 | 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. |
| May 25, 2018 | 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. |
| May 25, 2018 | 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. |
| May 25, 2018 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| May 25, 2018 | D · Potential for harm, one-off | The 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. |
| May 25, 2018 | 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. |
| May 25, 2018 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 17).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 7 | 0 | D |
| 2019 | 7 | 0 | D |
| 2022 | 17 | 2 | G ▲ |
| 2024 | 1 | 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) | 3.23 | 3.67 | 3.95 | bottom 40% in Virginia; bottom 23% in the U.S. |
| Registered Nurse hours | 0.34 | 0.66 | 0.69 | bottom 13% in Virginia; bottom 14% in the U.S. |
| Weekend total nurse staffing | 2.74 | 3.21 | 3.50 | bottom 35% in Virginia; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.15 | 0.46 | 0.48 | bottom 7% in Virginia; bottom 6% in the U.S. |
| Total nursing staff turnover (%) | 34.9 | 48.1 | 45.8 | top 19% in Virginia; top 24% in the U.S. |
| RN turnover (%) | 50.0 | 48.2 | 42.9 | top 50% in Virginia; bottom 39% 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 3.48, RN 0.36, weekend 2.95. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Benjamin N. Volpe Family Dynasty Trust (dated December 29, 2020) | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| BNV Dynasty LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Decanted William I. Weisberg Family Dynasty Trust (dated Sept 30, 2020 | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Wiw Dynasty LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Citrin Cooperman Advisors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2020 |
| Hughes, Candice | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/14/2022 |
| Hughes, Candice | Individual | ADP of the SNF | NOT APPLICABLE | 07/14/2022 |
| 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 | ADP of the SNF | NOT APPLICABLE | 11/01/2020 |
| Ohi Asset (VA) Virginia Beach LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 11/01/2020 |
| Ohi Asset (VA) Virginia Beach LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2020 |
| Saber Governance LLC | Organization | Operational/Managerial Control | 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 |
| Salyers, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/13/2021 |
| Salyers, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 09/13/2021 |
| SHG Boa LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/09/2026 |
| SHG Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2020 |
| SHG Management LLC | Organization | ADP of the SNF | 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.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How are residents and families included in care plan meetings, and how often do those meetings happen?"
- "How are residents' personal funds handled here, and what records can families review?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "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 |
|---|---|---|---|---|---|
| Birchwood Park Rehabilitation | 0.6 mi | Virginia Beach, VA | ★☆☆☆☆ | 1/5 | abuse |
| Thalia Gardens Rehabilitation and Nursing | 1.0 mi | Virginia Beach, VA | ★☆☆☆☆ | 1/5 | |
| Our Lady of Perpetual Help | 2.7 mi | Virginia Beach, VA | ★★★★★ | 4/5 | |
| Bayside Health & Rehabilitation Center | 3.1 mi | Virginia Beach, VA | ★☆☆☆☆ | 1/5 | |
| Cypress Pointe Rehabilitation and Nursing | 4.3 mi | Virginia Beach, VA | ★★☆☆☆ | 2/5 | |
| Bay Pointe Rehabilitation and Nursing | 4.5 mi | Virginia Beach, VA | ★★☆☆☆ | 2/5 | |
| Colonial Health & Rehab Center, LLC | 4.7 mi | Virginia Beach, VA | ★☆☆☆☆ | 1/5 | |
| Virginia Beach Healthcare and Rehab Center | 4.7 mi | Virginia Beach, VA | ★☆☆☆☆ | 1/5 | abuse |
| Waterside Health & Rehab Center | 5.1 mi | Norfolk, VA | ★★★☆☆ | 3/5 | |
| Kempsville Health & Rehab Center | 5.1 mi | Virginia Beach, VA | ★★☆☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 495270.