01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-26 | 3 | 2025-11-26 | 0 |
| Cycle 2 | 2022-02-03 | 2 | 2022-02-03 | 2 |
| Cycle 3 | 2019-08-29 | 1 | 2019-08-29 | 2 |
CMS CCN 4953662026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Lake Prince Woods, Inc
100 Anna Goode Way · Suffolk, VA 23434 · Suffolk City County
Certified beds40CMS provider file
Recent citation rows10current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
10 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-26 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-11-26 · HEALTHF0847Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-11-26 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-12-182022-02-03 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2022-02-162022-02-03 · HEALTHF0881Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2022-02-162022-02-03 · FIREK0511Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2022-03-252022-02-03 · FIREK0761Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2022-03-252019-08-29 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2019-08-302019-08-29 · FIREK0914Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2020-02-112019-08-29 · FIREK0919Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Correction field: Deficient, Provider has date of correction · 2020-02-1103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- EVERYAGEOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 09/13/2019
- ABERNETHY, JULIUSIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- ALCORN, GREGORYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2021
- BOLICK, LAWRENCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2020
- BRANCH, ANTHONYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2017
- CLAPP, KENNETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2025
- ERDMAN, CHARLESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2024
- GILLIAM, JEFFREY JIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2020
- GRAY, PAULIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2023
- HORTON, MICHELLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- HOWELL, PARKERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2013
- MADDOX, LAMONTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2024
- MARCH, MILLSIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2018
- SMITH, SHANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- STONE, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2025
- STREET, JODYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2023
- SULLIVAN, DIANAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2024
- THIE, RONALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2015
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.83per resident day
RN hours0.78per resident day
Weekend nurse hours4.60per resident day
Staff turnover38.1%CMS reported field
06 / LOCAL RECORDS
Open the Suffolk ledger →