Starfile / Virginia

Ghent Health and Rehabilitation

3900 LLEWELLYN AVE, NORFOLK, VA 23504 · CCN 495273

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Inspection history vs Virginia & national averages

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

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

AVARDIS HEALTH

Facilities in chain

14

Chain avg overall

2.10 / 5

Inspection citations (54)1 immediate jeopardy2 actual harm

1. 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.2024-07-19 · Health · corrected 2024-08-30

   Potential for more than minimal harm

2. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-07-19 · Health · corrected 2024-08-30

   Potential for more than minimal harm

3. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-07-19 · Health · corrected 2024-08-30

   Potential for more than minimal harm

4. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-07 · Health · corrected 2023-03-24

   Potential for more than minimal harm

5. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-07 · Health · corrected 2023-03-24

   Immediate jeopardy

6. DF0730Observe each nurse aide's job performance and give regular training.2023-03-07 · Health · corrected 2023-03-24

   Potential for more than minimal harm

7. DF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2023-03-07 · Health · corrected 2023-03-24

   Potential for more than minimal harm

8. DF0946Provide training in compliance and ethics.2023-03-07 · Health · corrected 2023-03-24

   Potential for more than minimal harm

9. DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2023-03-07 · Health · corrected 2023-03-24

   Potential for more than minimal harm

10. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

11. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

12. 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.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

13. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2021-11-11 · Health · corrected 2021-12-26

    Actual harm

14. DF0610Respond appropriately to all alleged violations.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

15. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

16. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

17. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

18. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

19. EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

20. EF0695Provide safe and appropriate respiratory care for a resident when needed.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

21. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

22. DF0730Observe each nurse aide's job performance and give regular training.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

23. CF0732Post nurse staffing information every day.2021-11-11 · Health · corrected 2021-12-26

    Potential for minimal harm

24. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

25. 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.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

26. EF0880Provide and implement an infection prevention and control program.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

27. EF0908Keep all essential equipment working safely.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

28. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

29. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

30. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2021-11-11 · Health · corrected 2021-12-26

    Potential for more than minimal harm

31. DF0583Keep residents' personal and medical records private and confidential.2019-02-19 · Health · corrected 2019-04-06

    Potential for more than minimal harm

32. 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.2019-02-19 · Health · corrected 2019-05-13

    Potential for more than minimal harm

33. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2019-02-19 · Health · corrected 2019-04-06

    Potential for more than minimal harm

34. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-02-19 · Health · corrected 2019-04-06

    Potential for more than minimal harm

35. DF0625Notify 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.2019-02-19 · Health · corrected 2019-04-06

    Potential for more than minimal harm

36. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-02-19 · Health · corrected 2019-04-06

    Potential for more than minimal harm

37. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-02-19 · Health · corrected 2019-04-06

    Potential for more than minimal harm

38. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-02-19 · Health · corrected 2019-04-06

    Potential for more than minimal harm

39. GF0697Provide safe, appropriate pain management for a resident who requires such services.2019-02-19 · Health · corrected 2019-04-06

    Actual harm

40. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2019-02-19 · Health · corrected 2019-04-06

    Potential for more than minimal harm

41. DF0761Ensure 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.2019-02-19 · Health · corrected 2019-05-13

    Potential for more than minimal harm

42. DF0791Provide or obtain dental services for each resident.2019-02-19 · Health · corrected 2019-04-06

    Potential for more than minimal harm

43. 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.2019-02-19 · Health · corrected 2019-04-06

    Potential for more than minimal harm

44. DF0880Provide and implement an infection prevention and control program.2019-02-19 · Health · corrected 2019-05-13

    Potential for more than minimal harm

45. EF0881Implement a program that monitors antibiotic use.2019-02-19 · Health · corrected 2019-04-06

    Potential for more than minimal harm

46. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2019-02-19 · Health · corrected 2019-04-06

    Potential for more than minimal harm

47. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2019-02-19 · Health · corrected 2019-04-06

    Potential for more than minimal harm

48. EF0151Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States.2017-06-08 · Health · corrected 2017-07-14

    Potential for more than minimal harm

49. DF0157Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2017-06-08 · Health · corrected 2017-07-14

    Potential for more than minimal harm

50. CF0253Provide housekeeping and maintenance services.2017-06-08 · Health · corrected 2017-07-14

    Potential for minimal harm

51. EF0280Allow residents the right to participate in the planning or revision of care and treatment.2017-06-08 · Health · corrected 2017-07-14

    Potential for more than minimal harm

52. DF0315Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.2017-06-08 · Health · corrected 2017-07-14

    Potential for more than minimal harm

53. DF0372Dispose of garbage and refuse properly.2017-06-08 · Health · corrected 2017-07-14

    Potential for more than minimal harm

54. DF0431Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.2017-06-08 · Health · corrected 2017-07-14

    Potential for more than minimal harm

Ownership

Other facilities in NORFOLK

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