Starfile

Starfile / Virginia

BIRCHWOOD PARK REHABILITATION

340 LYNN SHORES DRIVE, VIRGINIA BEACH, VA 23452 · CCN 495150

Abuse icon

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★☆ 4
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
150
Avg residents/day
139.6
Phone
7573406611

Inspection history vs Virginia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityVirginia avgNational avgvs state
12024-12-195214.49.5+37.6 worse
22021-09-303712.39.8+24.7 worse
32020-03-052511.99.3+13.1 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation5
Quality of life and care10
Resident assessment and care planning7
Nursing and physician services1
Resident rights11
Pharmacy service4
Environmental1
Administration10
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4166.1%
RN staffing (reported)0.5262.5%
Total nurse staffing (adjusted)3.44

Fines & penalties

Total fines
$131,178
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
EASTERN HEALTHCARE GROUP
Facilities in chain
17
Chain avg overall
1.30 / 5

Inspection citations (114)2 immediate jeopardy5 actual harm

  1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-04 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  2. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-04-04 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-04 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  4. DF0610Respond appropriately to all alleged violations.2025-04-04 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  5. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-04 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  6. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-04-04 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  7. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  8. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  9. DF0558Reasonably accommodate the needs and preferences of each resident.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  10. DF0560Protect a residents' right to refuse some types of non-requested transfers within the nursing home.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  11. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  12. DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  13. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  14. DF0583Keep residents' personal and medical records private and confidential.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  15. FF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  16. DF0586Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  17. GF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2024-12-19 · Health · corrected 2025-02-15

    Actual harm

  18. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  19. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  20. DF0610Respond appropriately to all alleged violations.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  21. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  22. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  23. DF0637Assess the resident when there is a significant change in condition2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  24. EF0641Ensure each resident receives an accurate assessment.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  25. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  26. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  27. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  28. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  29. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  30. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  31. FF0679Provide activities to meet all resident's needs.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  32. FF0680Ensure the activities program is directed by a qualified professional.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  33. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-19 · Health · corrected 2025-05-14

    Actual harm

  34. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-12-19 · Health · corrected 2025-02-15

    Actual harm

  35. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-19 · Health · corrected 2025-02-15

    Actual harm

  36. DF0692Provide enough food/fluids to maintain a resident's health.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  37. GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-12-19 · Health · corrected 2025-02-15

    Actual harm

  38. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  39. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  40. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  41. DF0760Ensure that residents are free from significant medication errors.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  42. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  43. EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  44. FF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  45. DF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  46. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  47. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  48. FF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  49. FF0880Provide and implement an infection prevention and control program.2024-12-19 · Health · corrected 2025-05-14

    Potential for more than minimal harm

  50. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  51. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  52. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  53. EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  54. EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  55. EF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  56. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  57. EF0946Provide training in compliance and ethics.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  58. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  59. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-12-19 · Health · corrected 2025-02-15

    Potential for more than minimal harm

  60. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-04-15 · Health · corrected 2024-05-30

    Potential for more than minimal harm

  61. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-04-15 · Health · corrected 2024-04-02

    Potential for more than minimal harm

  62. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-03 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  63. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  64. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  65. DF0583Keep residents' personal and medical records private and confidential.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  66. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  67. EF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  68. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  69. EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  70. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  71. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  72. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  73. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  74. DF0685Assist a resident in gaining access to vision and hearing services.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  75. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  76. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  77. EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  78. DF0730Observe each nurse aide's job performance and give regular training.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  79. FF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  80. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  81. FF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  82. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  83. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  84. LF0880Provide and implement an infection prevention and control program.2021-09-30 · Health · corrected 2021-11-05

    Immediate jeopardy

  85. EF0881Implement a program that monitors antibiotic use.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  86. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  87. EF0885Report COVID19 data to residents and families.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  88. LF0886Perform COVID19 testing on residents and staff.2021-09-30 · Health · corrected 2021-11-05

    Immediate jeopardy

  89. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  90. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2021-09-30 · Health · corrected 2021-11-05

    Potential for more than minimal harm

  91. EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  92. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  93. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  94. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  95. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  96. DF0610Respond appropriately to all alleged violations.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  97. EF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  98. EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  99. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  100. DF0641Ensure each resident receives an accurate assessment.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  101. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  102. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  103. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  104. EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  105. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  106. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  107. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  108. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  109. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  110. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  111. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  112. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  113. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

  114. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2020-03-05 · Health · corrected 2020-04-10

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
VA SNF OPERATIONS HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-01-31
JJ UNITED TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-01-31
YDI EASTERN HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-01-31
YDI IRREVOCABLE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-01-31
SHAPIRO, AKIVAIndividualCORPORATE OFFICER2022-03-01
SHAPIRO, AKIVAIndividualW-2 MANAGING EMPLOYEE2022-03-01
WHITLEY, NAKIAIndividualW-2 MANAGING EMPLOYEE2023-03-27

Other facilities in VIRGINIA BEACH

NameOverallBeds
WESTMINSTER-CANTERBURY ON CHESAPEAKE BAY★★★★★108
SEASIDE HHC @ ATLANTIC SHORE★★★★☆50
OUR LADY OF PERPETUAL HELP★★★★☆30
MAIMONIDES HEALTH CENTER OF VIRGINIA BEACH★★☆☆☆120
CYPRESS POINTE REHABILITATION AND NURSING★★☆☆☆90

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.