Deep Creek Health & Rehabilitation

CMS star ratings

Overall★★★★★ 2/5

State avg 3.0

Health inspections★★★★★ 3/5

State avg 2.7

Staffing★★★★★ 1/5

State avg 2.4

Quality measures★★★★★ 2/5

State avg 3.9

Long-stay quality★★★★★ 2/5

Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.05 (state 3.76 · U.S. 3.86)
Registered nurses (RN): 0.46 (state 0.69 · U.S. 0.69)
Licensed practical nurses: 0.89 (state 1.00 · U.S. 0.86)
Nurse aides: 1.70 (state 2.07 · U.S. 2.32)
Weekend total: 2.60 (state 3.29 · U.S. 3.42)
Nursing staff turnover: 65.9 (state 48.1 · U.S. 45.8)%
RN turnover: 63.6 (state 48.2 · U.S. 42.9)%
Administrators who left: 2 in the last year

Inspections

Last standard inspection: September 19, 2025
Health deficiencies (last cycle): 9.0 (state 14.5 · U.S. 9.3)
From complaints: 6
Citations on record (3 years): 44 health · 36 fire safety

Date	Citation	Severity	Status
2025-09-19	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2025-10-27
2025-09-19	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2025-10-27
2025-09-19	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-10-27
2025-09-19	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-10-27
2025-09-19	Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-10-27
2025-09-19	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-10-27
2025-09-19	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-10-27
2025-09-19	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-10-27
2025-09-19	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-10-27
2023-11-16	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-12-08
2021-07-22	Honor 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. F0578 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2021-07-22	Assure that each resident’s assessment is updated at least once every 3 months. F0638 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2021-07-22	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2021-07-22	Have 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. F0727 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2021-07-22	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2021-07-22	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2021-07-22	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2021-07-22	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. F0622 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2021-07-22	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2021-07-22	Notify 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. F0625 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2021-07-22	Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2021-07-22	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-06-21
2021-07-22	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2021-07-22	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2021-07-22	Ensure 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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2021-07-22	Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2021-07-22	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-09-05
2019-04-16	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. F0622 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	Notify 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. F0625 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	Have 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. F0727 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	Provide timely, quality laboratory services/tests to meet the needs of residents. F0770 · Administration Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	Provide appropriate foot care. F0687 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-05-31
2019-04-16	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies	B No actual harm, potential for minimal harm	Corrected 2019-05-31

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

Name	Role	Since
West Coast Commonwealth LLC (organization)	5%+ Direct Ownership Interest · 96%
Bridges, Roy (individual)	Corporate Officer · NOT APPLICABLE
Justiniano, Kimberly (individual)	Corporate Officer · NOT APPLICABLE
Bryant, Tameika (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Deep Creek Health & Rehabilitation?

Deep Creek Health & Rehabilitation has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Virginia.

How many beds does Deep Creek Health & Rehabilitation have?

It has 120 certified beds and cares for about 104 residents per day.

Has Deep Creek Health & Rehabilitation been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Deep Creek Health & Rehabilitation?

It is part of Ark Post Acute Network and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Deep Creek Health & Rehabilitation?

(757) 485-5500. The facility is located at 1017 George Washington Highway North, Chesapeake, VA 23323.

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Contact & location

Facility details