1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 67th out of 78 homes in Virginia for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 21m per day | ▼ 49% State avg: 41m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 0m per day | ■ Avg State avg: 1h 0m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 40m per day | ▼ 22% State avg: 2h 8m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 31m per day | ▼ 24% State avg: 3h 19m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ▼ 8% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 9m per day | ▼ 67% State avg: 28m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
21% fewer staff per resident than Virginia average
0% compared with Virginia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 14 RN Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursAssists with medical care and medications.
45 total: 40 full-time employees and 5 contractors.
45
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
92 total: 80 full-time employees and 12 contractors.
92
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,400 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 80 | 12 | 92 | 26,642 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 40 | 5 | 45 | 13,576 | 92 | 100% | 8.6 |
| Registered Nurse | 14 | 0 | 14 | 3,290 | 92 | 100% | 7.9 |
| RN Director of Nursing | 11 | 0 | 11 | 2,777 | 77 | 84% | 7 |
| Speech Language Pathologist | 13 | 0 | 13 | 2,364 | 90 | 98% | 6.5 |
| Physical Therapy Aide | 7 | 0 | 7 | 2,057 | 79 | 86% | 6.9 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 1,902 | 78 | 85% | 6.8 |
| Physical Therapy Assistant | 5 | 0 | 5 | 1,376 | 76 | 83% | 7.3 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,244 | 76 | 83% | 6.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,023 | 83 | 90% | 6.6 |
| Dental Services Staff | 2 | 0 | 2 | 984 | 68 | 74% | 7.8 |
| Qualified Social Worker | 2 | 0 | 2 | 933 | 80 | 87% | 8.1 |
| Other Social Services Staff | 3 | 0 | 3 | 663 | 64 | 70% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 498 | 55 | 60% | 6.7 |
| Dietitian | 1 | 0 | 1 | 458 | 62 | 67% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 424 | 56 | 61% | 7.6 |
| Administrator | 1 | 0 | 1 | 414 | 58 | 63% | 7.1 |
| Nurse Aide in Training | 3 | 0 | 3 | 367 | 37 | 40% | 8 |
Includes penalties issued in 2023-2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
53% lower than Virginia averageVirginia average: $52K
14% more fines than Virginia averageVirginia average: 1.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Virginia averageVirginia average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 4, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 30, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.9
7% worse than Virginia averageVirginia average: 10.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.5
9% worse than Virginia averageVirginia average: 19.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
22.2%
32% worse than Virginia averageVirginia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
19.7%
In line with Virginia averageVirginia average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.6%
In line with Virginia averageVirginia average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
53% better than Virginia averageVirginia average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
7.6%
41% worse than Virginia averageVirginia average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.2%
88% better than Virginia averageVirginia average: 1.5%
Percent of long-stay residents who lose too much weight
3.3%
44% better than Virginia averageVirginia average: 5.9%
Percent of long-stay residents who have depressive symptoms
23.2%
56% worse than Virginia averageVirginia average: 14.9%
Percent of long-stay residents who received an antipsychotic medication
23.1%
80% worse than Virginia averageVirginia average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.1%
In line with Virginia averageVirginia average: 91.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.6%
In line with Virginia averageVirginia average: 94.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.42
In line with Virginia averageVirginia average: 1.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.68
19% worse than Virginia averageVirginia average: 1.41
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.8%
20% better than Virginia averageVirginia average: 74.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
7% better than Virginia averageVirginia average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
19% better than Virginia averageVirginia average: 73.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.5%
11% better than Virginia averageVirginia average: 22.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.4%
37% better than Virginia averageVirginia average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
8% worse than Virginia averageVirginia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.6%
13% better than Virginia averageVirginia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
65.1%
29% better than Virginia averageVirginia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
19% of new residents, usually for short-term rehab.
15% of new residents, often for short stays.
65% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
166Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Chesapeake Health and Rehabilitation Center from 2011–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #32 / 78Payroll — State benchmarkedThis home is ranked 32nd out of 78 homes in Virginia for Payroll. Shows total annual staff payroll benchmarked to the Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #55 / 78Payroll % — State benchmarkedThis home is ranked 55th out of 78 homes in Virginia for Payroll %. Shows payroll as a percentage of revenue versus the Virginia average. Well-run Virginia facilities typically land around 51–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (65% of admissions), and a typical Medicaid stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.8 miles from city center
Estimated distance in miles from Chesapeake's city center to Chesapeake Health and Rehabilitation Center's address, calculated via Google Maps.
— 0.11 miles to nearest hospital (Chesapeake Regional Medical Center)
Add your location
The information below is reported by the Virginia Department of Social Services and Department of Health.
| Autumn Care of Chesapeake | NH HOS MC RC SNF | Chesapeake (Greenbrier East) | 117
Facility
117
VA AVG
96
Rank
#98 / 365 |
96.1%
Facility
96.1%
VA AVG
70.5
Rank
#17 / 297 | +36% | 3.41
Facility
3.41
VA AVG
3.74
Rank
#50 / 78 | -24% | -9% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 82 | 43
Facility
43
VA AVG
38.4
Rank
#53 / 77 | 14.3
Facility
14.3
VA AVG
8.9
Rank
#66 / 77 | - | 112 | - |
5
Facility
5
VA AVG
44
Rank
#424 / 446 | Anthony Bonawit | $13.6MFiscal year ending 12/2023
Facility
$13.6MFiscal year ending 12/2023
VA AVG
$18.3M
Rank
#60 / 78 | $6.7MFiscal year ending 12/2023
Facility
$6.7MFiscal year ending 12/2023
VA AVG
$6.9M
Rank
#47 / 78 | 49.1%Fiscal year ending 12/2023
Facility
49.1%Fiscal year ending 12/2023
VA AVG
39.7%
Rank
#5 / 78 | 495256 | ||||
| Carrington Place of Chesapeake | NH | Chesapeake (Deep Creek North) | 120
Facility
120
VA AVG
96
Rank
#87 / 365 |
81.0%
Facility
81.0%
VA AVG
70.5
Rank
#100 / 297 | +15% | 3.45
Facility
3.45
VA AVG
3.74
Rank
#50 / 78 | +7% | -8% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 82 | 58
Facility
58
VA AVG
38.4
Rank
#66 / 77 | 9.7
Facility
9.7
VA AVG
8.9
Rank
#48 / 77 | - | 97 | - |
40
Facility
40
VA AVG
44
Rank
#245 / 446 | - | $8.8MFiscal year ending 12/2023
Facility
$8.8MFiscal year ending 12/2023
VA AVG
$18.3M
Rank
#75 / 78 | $4.3MFiscal year ending 12/2023
Facility
$4.3MFiscal year ending 12/2023
VA AVG
$6.9M
Rank
#74 / 78 | 48.5%Fiscal year ending 12/2023
Facility
48.5%Fiscal year ending 12/2023
VA AVG
39.7%
Rank
#27 / 78 | 495330 | ||||
| Chesapeake Health and Rehabilitation Center | NH SNF | Chesapeake (Greenbrier West) | 180
Facility
180
VA AVG
96
Rank
#23 / 365 |
97.9%
Facility
97.9%
VA AVG
70.5
Rank
#11 / 297 | +39% | 3.02
Facility
3.02
VA AVG
3.74
Rank
#67 / 78 | -33% | -19% | $24.6k
Facility
$24.6k
VA AVG
$54.3k
Rank
#76 / 82 | 50
Facility
50
VA AVG
38.4
Rank
#60 / 77 | 10.0
Facility
10.0
VA AVG
8.9
Rank
#50 / 77 | 5 | 176 | - |
59
Facility
59
VA AVG
44
Rank
#115 / 446 | Chesapeake Holdings I LLC | $24.8MFiscal year ending 06/2024
Facility
$24.8MFiscal year ending 06/2024
VA AVG
$18.3M
Rank
#34 / 78 | $10.0MFiscal year ending 06/2024
Facility
$10.0MFiscal year ending 06/2024
VA AVG
$6.9M
Rank
#32 / 78 | 40.4%Fiscal year ending 06/2024
Facility
40.4%Fiscal year ending 06/2024
VA AVG
39.7%
Rank
#55 / 78 | 495108 |
Chesapeake Health and Rehabilitation Center is located in Chesapeake, Virginia.
Here are the financial assistance programs available to residents in Virginia.
Chesapeake Health and Rehabilitation Center is in the Greenbrier West neighborhood.
Chesapeake Health and Rehabilitation Center has a walk score of 59. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Chesapeake Health and Rehabilitation Center's occupancy is 95.8%.
No, Chesapeake Health and Rehabilitation Center has a no-pet policy.
Chesapeake Health and Rehabilitation Center is registered as a for-profit.
Yes — there are 7 photos of Chesapeake Health and Rehabilitation Center in the photo gallery on this page.
Chesapeake Health and Rehabilitation Center is located at 688 Kingsborough Square, Chesapeake, VA 23320.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
