Nursing Care Index

Riverside Lifelong Health & Rehabilitation Salud

Saluda, Middlesex County, Virginia · CCN 495430 · Non-profit (Corporation) · part of Riverside Health System (6 facilities, chain average 3.3 stars)

CMS rates Riverside Lifelong Health & Rehabilitation Salud 2 of 5 overall as of August 2026. 60 certified beds, 50 residents a day on average. 31 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $71,915 and 1 payment denial.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay3 / 5 of 5

Staffing

Total nurse staffing3.20749 hours per resident per day
Registered nurses0.94726 hours per resident per day
Weekend total2.76311 hours per resident per day
Nursing staff turnover33.3% (registered nurses 10%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-06 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2026-04-15
2026-03-06 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-15
2026-03-06 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-15
2026-03-06 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-15
2026-03-06 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-12
2026-03-06 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · tag F0773
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-15
2026-03-06 Keep complete, dated laboratory records in the resident's record.
Administration Deficiencies · tag F0775
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-15
2026-03-06 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-15
2026-03-06 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-15
2022-12-20 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-01-31
2022-12-20 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-01-31
2022-12-20 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-01-31
2022-12-20 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.
Resident Rights Deficiencies · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-01-31
2022-12-20 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-01-31
2022-12-20 Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · tag F0685
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-01-31
2022-12-20 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-01-31
2022-12-20 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-01-31
2022-12-20 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-01-31
2022-12-20 Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · tag F0791
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-01-31
2022-12-20 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-01-31
2022-12-20 Perform COVID19 testing on residents and staff.
Infection Control Deficiencies · tag F0886
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-01-31
2022-12-20 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.
Infection Control Deficiencies · tag F0887
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-01-31
2021-03-19 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-04-23
2021-03-19 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-04-23
2021-03-19 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-04-23
2021-03-19 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-04-23
2021-03-19 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-04-23
2021-03-19 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-04-23
2021-03-19 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-04-23
2021-03-19 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-04-23
2021-03-19 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-04-23

Fines and payment denials

DatePenaltyAmount
2026-03-06Payment denial for 6 days from 2026-06-06
2026-03-06Fine$71,915

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Riverside Healthcare Association, Inc.
Organization
5% or greater direct ownership interest100%2010-05-03
Rector & Visitors Of The University Of Virginia
Organization
5% or greater indirect ownership interest5%2023-07-10
Riverside Integrated Services Inc.
Organization
5% or greater indirect ownership interest95%2023-07-10
Alewynse, Joyce
Individual
corporate director2022-03-01
Bates, Jared
Individual
corporate director2022-03-01
Haywood, Barbara
Individual
corporate director2016-01-01
Smith, Conway
Individual
corporate director2008-06-01
Smith, Kirby
Individual
corporate director2008-06-01
Tiller, Brooke
Individual
corporate director2022-03-01
Verser, Joseph
Individual
corporate director2022-03-01
Zeidler, Jeanne
Individual
corporate director2019-01-01
Austin, Walter
Individual
corporate officer2012-07-02
Dacey, Michael
Individual
corporate officer2019-01-01
Downey, William
Individual
corporate officer2008-06-01
Heckler, Edward
Individual
corporate officer2019-01-01
Houser, Jason
Individual
corporate officer2019-01-01
Dacey, Michael
Individual
individual is an owner, partner or trustee of any adp of the snf2025-09-02
Nelson, Linwood
Individual
operational/managerial control2025-01-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Middlesex County.