B90

SOUTHAMPTON MEMORIAL HOSP

Grade B 90/100 composite score

Non profit - Church related

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
4/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

129

Ownership

Non profit - Church related

Total Fines

None

Last Survey

N/A

100 FAIRVIEW DR, FRANKLIN, VA 23851
7575696287

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.16h
LPN
0.56h
CNA
2.74h
Total
4.46h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2020

100%

BON SECOURS MERCY HEALTH INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2020

100%

HAYNES, JONATHAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2020

BEALE, TERESA

IndividualCORPORATE DIRECTORSince Jan 2022

CANNADY, DAVID

IndividualCORPORATE DIRECTORSince Jan 2023

DAVIS-HAGENS, PATRICIA

IndividualCORPORATE DIRECTORSince Oct 2021

FAIRCHILD, CHARLETTE

IndividualCORPORATE DIRECTORSince Jan 2020

GERARDO, EDWARD

IndividualCORPORATE DIRECTORSince Jan 2023

GLYNN, DAWN

IndividualCORPORATE DIRECTORSince Jan 2024

HAYNES, JONATHAN

IndividualCORPORATE DIRECTORSince Jan 2022

JEFFERSON, JOY

IndividualCORPORATE DIRECTORSince Jan 2025

KIRK, ANN

IndividualCORPORATE DIRECTORSince Jan 2025

MCCRAY, COREY

IndividualCORPORATE DIRECTORSince Jan 2024

ROMERO, CYNTHIA

IndividualCORPORATE DIRECTORSince Jan 2020

RUSSELL, DEBORAH

IndividualCORPORATE DIRECTORSince Jan 2023

RUTLEDGE, CAROLYN

IndividualCORPORATE DIRECTORSince Jan 2023

SUBER, DIANE

IndividualCORPORATE DIRECTORSince Jan 2023

YANOFCHICK, BRIAN

IndividualCORPORATE DIRECTORSince Jan 2020

ZAWOLOKA, ALEX

IndividualCORPORATE DIRECTORSince Jan 2025

HAJIMOMENIAN, AMIR

IndividualCORPORATE OFFICERSince Jan 2025

HAYNES, JONATHAN

IndividualCORPORATE OFFICERSince Jan 2022

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (19)

September 22, 2023Health3 deficiencies
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 31, 2023
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Oct 31, 2023
0775DMinimal harm, Isolated

Keep complete, dated laboratory records in the resident's record.

Administration Deficiencies

Corrected Oct 31, 2023
February 12, 2020Health8 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Mar 27, 2020
0578EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Mar 27, 2020
0622EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Mar 27, 2020
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 27, 2020
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 27, 2020
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Mar 27, 2020
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Mar 27, 2020
0775DMinimal harm, Isolated

Keep complete, dated laboratory records in the resident's record.

Administration Deficiencies

Corrected Mar 27, 2020
October 18, 2018Health8 deficiencies
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 30, 2018
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 30, 2018
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 30, 2018
0688DMinimal harm, Isolated

Provide 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.

Quality of Life and Care Deficiencies

Corrected Nov 30, 2018
0758DMinimal harm, Isolated

Implement 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.

Pharmacy Service Deficiencies

Corrected Nov 30, 2018
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Nov 30, 2018
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Nov 30, 2018
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Nov 30, 2018

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Frequently Asked Questions

What is the CareGrader rating for SOUTHAMPTON MEMORIAL HOSP?

SOUTHAMPTON MEMORIAL HOSP in FRANKLIN, Virginia has a CareGrader grade of B (Good), with a composite score of 89.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for SOUTHAMPTON MEMORIAL HOSP?

SOUTHAMPTON MEMORIAL HOSP has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does SOUTHAMPTON MEMORIAL HOSP have?

SOUTHAMPTON MEMORIAL HOSP has 19 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does SOUTHAMPTON MEMORIAL HOSP have?

SOUTHAMPTON MEMORIAL HOSP has 129 certified beds with approximately 88 current residents (68% occupancy). The facility is located at 100 FAIRVIEW DR, FRANKLIN, Virginia 23851. It is a non profit - church related facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.