South Boston Health & Rehab Center
103 Rosehill Drive · South Boston, VA · 24592 · 4345724906
216 certified beds For profit - Individual Chain: Saber Healthcare Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.66 | 0.55–0.75 |
| Weekend hours / resident-day | 2.98 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 2 · $34,086 |
Inspection citations (50 in the current record)
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Immediate jeopardy · K December 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 9, 2025 · Quality of Life and Care
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Potential for harm · F May 22, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected June 26, 2025 · Resident Rights
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Potential for harm · D May 22, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected June 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 22, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 26, 2025 · Pharmacy Service
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Potential for harm · E May 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 26, 2025 · Nutrition and Dietary
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Potential for harm · D May 22, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 22, 2025
Provide and implement an infection prevention and control program.
Corrected June 26, 2025 · Infection Control
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Potential for harm · E May 22, 2025
Implement a program that monitors antibiotic use.
Corrected June 26, 2025 · Infection Control
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Potential for harm · D May 22, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 26, 2025 · Infection Control
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Potential for harm · E May 22, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected June 26, 2025 · Infection Control
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Potential for harm · E May 22, 2025 · found via complaint
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.
Corrected June 26, 2025 · Pharmacy Service
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Actual harm · G October 24, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 24, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 24, 2024 · found via complaint
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
Corrected November 13, 2024 · Environmental
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Immediate jeopardy · J January 28, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 1, 2022 · Resident Rights
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Immediate jeopardy · J January 28, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 1, 2022 · Quality of Life and Care
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Potential for harm · D January 28, 2022
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 June 26, 2020 · Resident Rights
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Potential for harm · E January 28, 2022
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 1, 2022 · Resident Rights
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Potential for harm · D January 28, 2022
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 March 1, 2022 · Resident Rights
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Potential for harm · D January 28, 2022
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 1, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 28, 2022
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 1, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 28, 2022
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected March 1, 2022 · Resident Assessment and Care Planning
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Potential for harm · D January 28, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 1, 2022 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 4, 2025 | Fine | $16,897 |
| October 24, 2024 | Fine | $17,189 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495372 · certified since February 10, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.