Deer Meadows Rehabilitation and Nursing

600 Walden Road · Abingdon, VA · 24210 · 2766285137

119 certified beds For profit - Corporation Chain: Eastern Healthcare Group

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

RN staffing in the bottom 10% nationally

0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

62% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 34
Serious harm & abuse 20% 100
Staffing 20% 49
Federal penalties 15% 100
Trend 10% 42
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.303.48 min · 4.1 strong
RN hours / resident-day0.270.55–0.75
Weekend hours / resident-day2.97≈ weekday level
Nursing turnover / year62%median 45%
Fines (3-yr window)none

Inspection citations (53 in the current record)

  • Potential for harm · D March 14, 2025 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected April 15, 2025 · Resident Rights

  • Potential for harm · D March 14, 2025 · found via complaint

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected April 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 14, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 14, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · D March 14, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · D March 14, 2025 · found via complaint

    Provide appropriate foot care.

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · D March 14, 2025 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · E March 14, 2025 · found via complaint

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Corrected April 15, 2025 · Nursing and Physician Services

  • Potential for harm · D March 14, 2025 · found via complaint

    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.

    Corrected April 15, 2025 · Pharmacy Service

  • Potential for harm · D March 14, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected April 15, 2025 · Pharmacy Service

  • Potential for harm · E March 14, 2025 · found via complaint

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected April 15, 2025 · Administration

  • Potential for harm · D March 14, 2025 · found via complaint

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Corrected April 15, 2025 · Administration

  • Potential for harm · D March 14, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected April 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 6, 2024

    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.

    Corrected September 6, 2024 · Resident Rights

  • Potential for harm · D August 6, 2024

    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.

    Corrected September 6, 2024 · Resident Rights

  • Potential for harm · D August 6, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected September 6, 2024 · Resident Rights

  • Potential for harm · E August 6, 2024

    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.

    Corrected September 6, 2024 · Resident Rights

  • Potential for harm · D August 6, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected September 6, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 6, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected September 6, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 6, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 6, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E August 6, 2024

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

    Corrected September 6, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 6, 2024

    Provide activities to meet all resident's needs.

    Corrected September 6, 2024 · Quality of Life and Care

  • Potential for harm · D August 6, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected September 6, 2024 · Pharmacy Service

  • Potential for harm · E August 6, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected September 6, 2024 · Pharmacy Service

  • Potential for harm · D August 6, 2024

    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.

    Corrected September 6, 2024 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495338 · certified since July 1, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.