Riverside Lifelong Health & Rehabilitation Saluda
A nursing home in Saluda, Virginia 23149
672 Gloucester Road, Saluda, Virginia 23149. (804) 758-2363.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 9 health citations at the latest inspection cycle Virginia average: 14.0
- 3.13 nurse hours per resident per day Virginia average: 3.88
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- 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.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
9 health citations at the latest inspection cycle
The Virginia average is 14.0.
Last standard inspection Mar 6, 2026.
Most serious in three years: immediate jeopardy to health or safety (K), at a standard inspection on Mar 6, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
9 citations in 1 month of the last 36. Last cited Mar 2026. Most serious: immediate jeopardy to health or safety (K). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 9 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Mar 6, 2026: standard inspection9 citations
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Provide and implement an infection prevention and control program.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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Keep complete, dated laboratory records in the resident’s record.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Apr 23, 2021.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, corporation.
- 60 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $46,745 in all.
- 1 Medicare payment denial in the last three years.
- 0 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Mar 6, 2026 | Medicare payment denial | Not given |
| Mar 6, 2026 | Fine | $46,745 |
Who does the caring?
3.13 nurse hours per resident per day
The Virginia average is 3.88.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Virginia average |
|---|---|---|
| Nurse hours per resident per day | 3.13 | 3.88 |
| Of which registered nurses | 0.92 | 0.71 |
| At weekends | 2.60 | 3.35 |
| Nursing staff turnover | 38.8% | 47.5% |
| Registered nurse turnover | 20% | 46.5% |
| Administrators who left | 0 | Not given |
Who owns it?
- Riverside Healthcare Association, Inc. owns 100% directly since May 3, 2010.
- 14 owners or officers are people: Walter W Austin (corporate officer); Jason Houser (corporate officer); Michael J Dacey (corporate officer); Joyce J Alewynse (corporate director); Kirby Smith (corporate director); Joseph F Verser (corporate director); Brooke Tiller (corporate director); Jeanne Zeidler (corporate director); Barbara Smith Haywood (corporate director); Linwood Shawn Nelson (runs it (operational or managerial control)); William B Downey (corporate officer); Jared L Bates (corporate director); Edward Heckler (corporate officer); Conway Smith (corporate director).
- Part of Riverside Health System (6 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Riverside Healthcare Association, Inc. | Owns 5% or more directly | 100% | May 3, 2010 |
| Riverside Integrated Services Inc. | Owns 5% or more through other companies | 95% | Jul 10, 2023 |
| Rector & Visitors of the University of Virginia | Owns 5% or more through other companies | 5% | Jul 10, 2023 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Virginia average 4.0).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 26.6 miles, this one had the 3rd most health citations at the latest inspection cycle (9; the middle value was 5.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Riverside Lifelong Health & Rehabilitation Saluda This nursing home | 9 | |
| Dockside Health & Rehab Center | 4.9 | 3 |
| Three Rivers Health & Rehab Center | 11.3 | 8 |
| Rappahannock Westminster Canterbury | 12.0 | 10 |
| Walter Reed Post Acute | 12.9 | 2 |
| Riverside Lifelong Health & Rehabilitation Sanders | 13.6 | 3 |
| Lancashire Post Acute | 14.1 | 13 |
| Riverside Lifelong Health and Rehabilitation - M | 19.3 | 0 |
| Windsormeade of Williamsburg | 21.1 | 7 |
| Williamsburg Post Acute & Rehabilitation | 23.4 | 5 |
| Woodhaven Hall at Williamsburg Landing | 25.6 | 6 |
| Riverside Lifelong Health & Rehabilitation Patriot | 26.6 | 2 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home 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 home”, and paying will never change a finding, a rating or the order of results.