Overview of Chesapeake Health and Rehabilitation Center Located at 688 Kingsborough Square in Chesapeake, this 180-bed nursing home operates under Chesapeake Holdings I LLC ownership. The facility delivers skilled nursing, rehabilitation, respite care, and memory care, with residents spanning Medicare, Medicaid, and private pay, averaging 83 days per stay. Occupancy at 95.8% far exceeds the Virginia average of 85.7%.
Programming includes the LifeWorkRehab model, Advanced Rehabilitation Conditioning (ARC®), Fast Track Ortho recovery track, and specialized modules for post-surgical and post-accident rehabilitation. Amenities comprise restaurant-style dining, a state-of-the-art exercise facility, and active resident and family governance councils.
The 1-star CMS rating signals systematic care and safety deficiencies despite financial strength. Health inspections run 64% below the Virginia benchmark. More strikingly, staffing at 3 hours 1 minute per resident daily ranks 72nd of 85 state facilities; 59.5% below state average, with a staff-to-resident ratio of 1.31-to-1, 21% worse than the 1.67-to-1 Virginia norm.
The facility reports 50 citations with 10 citations per inspection and 5 critical findings.
Federal penalties in 2023-24 totaled $25,000 across two fines, well below the state average, and no Medicare/Medicaid payment denials occurred.
Depressive symptoms strike 23.2% of residents, 56% exceeding state prevalence. Antipsychotic medication use reaches 23.1%; 80% above state averages, suggesting either substantial behavioral or psychiatric load, or medication patterns warranting scrutiny. ADL decline affects 22.2% of long-stayers (32% worse than average), while pressure ulcers develop in 7.6% of high-risk residents (41% worse than benchmark).
On the other hand,:major injury falls remain rare at 1.7% (53% below state), weight loss stays controlled at 3.3% (44% below average), and urinary infections nearly absent at 0.2%.
The facility generates strong revenue: $30.2 million annually with $1.2 million net income. And, it maintains 95.8% occupancy. Yet payroll represents only 38.7% of the operating budget, substantially below the 51-60% range that characterizes well-resourced peers across Virginia.