Hearth Record

Virginia Health Hospice

A hospice in Newport News, Virginia 23606

1103 William Styron, Sq S, Newport News, Virginia 23606. (757) 223-1396.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 8 deficiencies in 1 month of the last 36. Last cited Mar 2024. Most serious: Standard-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean2
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.

What did inspectors find?

8 deficiencies cited in the last three years

The middle of the 24 hospices serving ZIP code 23606 had 8.

The last inspection on record was on Mar 22, 2024: an initial inspection by the Accreditation Commission for Health Care.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

When those deficiencies happened

8 deficiencies in 1 month of the last 36. Last cited Mar 2024. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

8 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Mar 22, 2024: initial inspection by the Accreditation Commission for Health Care8 deficiencies
  • Content of comprehensive assessment (42 CFR 418.54(c)(6))

    The inspectors’ words, 125 words

    “Upon patient record review, 3 of 19 (Patients #10,11,13) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #10: POC indicated patient on Oxygen 3L/min via NC. Oxygen was not included on medication profile. Corrected on Site. Patient #11: Patient has Polyethylene Glycol listed on medication profile with no diluent (3/13/24) Corrected on Site. Patient #13: Patient has Polyethylene Glycol listed on medication profile with no diluent (3/14/24) Corrected on Site.”

    Rule L0530. Standard-level.

  • Content of comprehensive assessment (42 CFR 418.54(c)(7))

    The inspectors’ words, 110 words

    “Upon patient record review, 19 of 19 (Patients #1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient’s family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient’s death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patients #1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19: Did not have evidence in the patient record that the comprehensive assessment includes an initial bereavement assessment completed within the 5 days. Baseline assessment completed late (during survey) on 3/21/24.”

    Rule L0531. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(4))

    “Upon patient record review, 2 of 19 (Patients #11,13) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient #11: Patient has Polyethylene Glycol listed on POC with no diluent (3/13/24) Corrected on Site. Patient #13: Patient has Polyethylene Glycol listed on POC with no diluent (3/14/24) Corrected on Site.”

    Rule L0549. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(5))

    The inspectors’ words, 129 words

    “Upon patient record review, 3 of 19 (Patient #1,2,3) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient #1: This patient had an alternating pressure mattress and fall mat. These were not included on the Plan of Care. Patient #2: This patient had a wheel chair with gel pad, fall mats x 2 and bed slide. These were not included on the Plan of Care. Patient #3: This patient had a walker and cane. These were not included on the Plan of Care. Additionally, DME list on plan of care included an overlay mattress and commode. These items were not present in patient room at the SNF.”

    Rule L0550. Standard-level.

  • Hospice aide assignments and duties (42 CFR 418.76(g)(2))

    The inspectors’ words, 247 words

    “Upon patient record review 8 of 19 (Patients #3,4,5,6,7,10,13,14) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care (POC) Patient #3: The POC listed Aide visit frequency of, 2 X’s per week (2/27/24). For the 1st Benefit Week there were no visits made by the Aide. Patient #4: The POC listed Aide visit frequency of, 2-3 X’s per week (12/3/23). This frequency interval is not specific for Aide services. Patient #5: The POC listed Aide visit frequency of, 2-4 X’s per week (2/12/24). This frequency interval is not specific for Aide services. Patient #6: The POC listed Aide visit frequency of, 2 X’s per week (2/27/24). For the 1st Benefit Week there were no visits made by the Aide. Patient #7: The POC listed Aide visit frequency of, 2-4 X’s per week (1/20/24). This frequency interval is not specific for Aide services. Patient #10: The POC listed Aide visit frequency of, 2 X’s per week (2/23/24). For the 1st Benefit Week there were no visits made by the Aide. Patient #13: The POC listed Aide visit frequency of, 2 X’s per week (3/14/24). For the 1st Benefit Week there were no visits made by the Aide. Patient #14: The POC listed Aide visit frequency of, 2 X’s per week (10/2/23). For the 1st Benefit Week there was one visit made by the Aide on 10/3/23 only.”

    Rule L0626. Standard-level.

  • Content (42 CFR 418.104(a)(5))

    “Upon patient client record review, 6 of 19 (Patients #1,2,5,8,11,19) did not have evidence that each patient record contains Physician certification and recertification of terminal illness. Patients #1,2,5,8,11,19: Beneficiary’s attending physician selected is a nurse practitioner (NP). The NP signed the certification of terminal illness (CTI) as the attending physician. The NP did not meet CTI requirement to sign as a physician.”

    Rule L0676. Standard-level.

  • Discharge or transfer of care (42 CFR 418.104(e))

    “Upon client record review, 1 of 19 (Patient #15) did not have evidence that the hospice forwarded a summary and a copy of the patient record, if requested, to a facility when transferring the patient to that facility. Patient #15: The transfer summary did not include all the elements as required, these were: Ÿ ŸŸ • patient’s physician • transfer orders • advanced directives • plan of care Ÿ • consents • certification of terminal illness”

    Rule L0682. Standard-level.

  • Criminal background checks (42 CFR 418.114(d)(2))

    “Upon personnel record review, 1 of 13 (Personnel #2) did not have evidence of criminal background checks being obtained in accordance with state requirements. In the absence of state requirements, criminal background checks are obtained within three months of the date of employment for all states that the individual has lived or worked in the past 3 years. Personnel #2: Did not have Criminal Background Check in employee file. Agency submitted documentation during survey to have this updated.”

    Rule L0796. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Mar 22, 2024Initial inspection by the Accreditation Commission for Health Care8 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Jan 26, 2018.
  • Ownership: for-profit.
  • No deficiency or on record in the last three years.
Source:

CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Has anything been proven against it?

  • CMS doesn’t publish fines or other penalties for hospices, so none are shown.
  • 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Who does the caring?

  • From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 8.7 nurse care minutes per routine home care day, 5.1% of skilled nursing minutes at weekends and a visit near death for 81% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 23% at home, 14% in assisted living, 63% in a nursing facility.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day8.7 min
Skilled nursing minutes at weekends5.1%
Visits near death81.0% of patients who died

Who owns it?

  • VA Holdings Group LLC owns 100% directly since Sep 16, 2025.
  • 5 owners or officers are people: Robert E Walters (managing employee (under contract)); Mindee Posen (runs it (operational or managerial control)); David Dean Crosson (managing employee (under contract)); David Dean Crosson (corporate director); Michelle Keenan (runs it (operational or managerial control)).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
VA Holdings Group LLCOwns 5% or more directly100%Sep 16, 2025
Quinto Nexgen LLCOwns 5% or more through other companies78.6%Sep 16, 2025
Tryko Nexgen Holdings LLCOwns 5% or more through other companies56.8%Sep 16, 2025
Yr Nexgen TrOwns 5% or more through other companies28.4%Sep 16, 2025
Rsbrmk Holdings LLCOwns 5% or more through other companies21.8%Sep 16, 2025
Nfr 2020 Irrv TrOwns 5% or more through other companies21.8%Sep 16, 2025
Ukr Nexgen LLCOwns 5% or more through other companies20%Sep 16, 2025
Uak 2020 Irrv TrOwns 5% or more through other companies20%Sep 16, 2025
Sk Nexgen TrOwns 5% or more through other companies14.2%Sep 16, 2025
Yk Nexgen TrOwns 5% or more through other companies14.2%Sep 16, 2025

What do families say?

  • CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
  • In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 60% rated it 9 or 10 out of 10, and 57% would definitely recommend it.
  • CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 89.78% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 36.5% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5Not rated
Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold10 of 10

How does it compare nearby?

  • Of the 24 hospices CMS’s data show serving patients in ZIP code 23606, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 8.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospices, so none are shown.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
  • Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Oct 27, 2026.

From the hospice

The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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