Public Record
Deep Creek Health & Rehabilitation
From CMS
Facility profile
- CMS overall rating
- 2 / 5
- Certified beds
- 120
- Avg. residents per day
- 97.2
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 103
- Inspections on file
- 9
- Last inspection
- 2025-09-19
*CMS
*CMS
*CMS
Citations
103 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0835Generalpotential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- 0582Generalpotential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0925Generalpotential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0582Generalpotential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 0622Generalpotential for harm
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.
- 0623Generalpotential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 0625Generalpotential for harm
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.
- 0637Generalpotential for harm
Assess the resident when there is a significant change in condition
- 0638Generalpotential for harm
Assure that each resident’s assessment is updated at least once every 3 months.
- 0640Generalpotential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0727Generalpotential for harm
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.
- 0761Generalpotential for harm
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.
- 0947Generalpotential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- 0362Generalpotential for harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- 0222Generalpotential for harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 0036Generalno actual harm
Establish emergency prep training and testing.
- 0037Generalno actual harm
Establish staff and initial training requirements.
- 0006Generalno actual harm
Conduct risk assessment and an All-Hazards approach.
- 0915Generalpotential for harm
Have proper power supply for life support equipment.
- 0400Generalpotential for harm
Meet fire sprinkler requirement for tall buildings.
- 0814Generalpotential for harm
Dispose of garbage and refuse properly.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0577Generalpotential for harm
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- 0578Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0640Generalno actual harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- 0030Generalno actual harm
List the names and contact information of those in the facility.
- 0031Generalno actual harm
Provide emergency officials' contact information.
- 0033Generalno actual harm
Establish methods for sharing information.
- 0034Generalno actual harm
Provide a means of sharing information on occupancy/needs.
- 0035Generalno actual harm
Provide family notifications of emergency plan.
- 0036Generalno actual harm
Establish emergency prep training and testing.
- 0037Generalno actual harm
Establish staff and initial training requirements.
- 0039Generalno actual harm
Conduct testing and exercise requirements.
- 0041Generalno actual harm
Implement emergency and standby power systems.
- 0100Generalpotential for harm
Meet other general requirements.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0582Generalpotential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 0622Generalpotential for harm
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.
- 0623Generalpotential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 0625Generalpotential for harm
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.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0687Generalpotential for harm
Provide appropriate foot care.
- 0697Generalpotential for harm
Provide safe, appropriate pain management for a resident who requires such services.
- 0727Generalpotential for harm
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.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0770Generalpotential for harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
- 0810Generalpotential for harm
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- 0004Generalno actual harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0007Generalno actual harm
Address patient/client population and determine types of services needed.
- 0009Generalno actual harm
Include a process for Emergency Preparedness collaboration.
- 0013Generalno actual harm
Develop Emergency Preparedness policies and procedures.
- 0015Generalno actual harm
Address subsistence needs for staff and patients.
- 0018Generalno actual harm
Establish procedures for tracking staff and patients during an emergency.
- 0020Generalno actual harm
Establish policies and procedures including evacuation.
- 0022Generalno actual harm
Establish policies and procedures for sheltering.
- 0023Generalno actual harm
Establish policies and procedures for medical documentation.
- 0024Generalno actual harm
Establish policies and procedures for volunteers.
- 0025Generalno actual harm
Create arrangements with other facilities to receive patients.
- 0026Generalno actual harm
Establish roles under a Waiver declared by secretary.
- 0029Generalno actual harm
Develop a communication plan.
- 0285Generalpotential for harm
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.
- 0287Generalpotential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- 0309Generalpotential for harm
Provide necessary care and services to maintain or improve the highest well being of each resident .
- 0314Generalpotential for harm
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
- 0323Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
- 0332Generalpotential for harm
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
- 0425Generalpotential for harm
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
- 0431Generalpotential for harm
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0223Generalpotential for harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 0347Generalpotential for harm
Properly provide smoke detection systems in areas open to corridors.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0511Generalpotential for harm
Have properly installed electrical wiring and gas equipment.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0711Generalpotential for harm
Provide a written emergency evacuation plan.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0914Generalpotential for harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 0919Generalpotential for harm
Meet requirements for the use of electrical equipment.
- 0923Generalpotential for harm
Have proper medical gas storage and administration areas.
- 0281Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0280Generalpotential for harm
Allow residents the right to participate in the planning or revision of care and treatment.
- 0278Generalpotential for harm
Ensure each resident receives an accurate assessment by a qualified health professional.
- 0250Generalpotential for harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- 0241Generalpotential for harm
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
- 0514Generalpotential for harm
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
- 0469Generalpotential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- 0159Generalpotential for harm
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection6 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection1 deficiency
- View inspection reportInspection24 deficiencies
- View inspection reportInspection24 deficiencies
- View inspection reportInspection43 deficiencies
- View inspection reportInspection43 deficiencies
- View inspection reportInspection28 deficiencies
- View inspection reportInspection28 deficiencies
FAQ
Questions and answers
- What is Deep Creek Health & Rehabilitation?
- Deep Creek Health & Rehabilitation is a Medicare- and Medicaid-certified nursing home in Chesapeake, VA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 495330.
- What is the CMS rating for Deep Creek Health & Rehabilitation?
- Deep Creek Health & Rehabilitation has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Deep Creek Health & Rehabilitation have?
- Deep Creek Health & Rehabilitation is certified for 120 beds. It serves an average of 97.2 residents per day.
- How many citations does Deep Creek Health & Rehabilitation have?
- Deep Creek Health & Rehabilitation has 103 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Deep Creek Health & Rehabilitation last inspected?
- Deep Creek Health & Rehabilitation was last inspected on September 19, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/495330-deep-creek-health-rehabilitation