CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4950852026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

River View On The Appomattox Health & Rehab Center

201 Epps Street · Hopewell, VA 23860 · Hopewell City County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds124CMS provider file
Recent citation rows76current 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.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12023-03-09282023-03-099
Cycle 22020-02-06112020-02-064
Cycle 32018-04-27242018-04-270
02 / CITATION DETAIL

76 rows in the current release

2 rows carry G–L scope/severity codes; 2 carry J–L. 15 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2024-05-18 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2024-07-29 · complaint
2024-05-18 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Correction field: Deficient, Provider has date of correction · 2024-07-29 · complaint
2024-05-18 · HEALTHF0757Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Correction field: Deficient, Provider has date of correction · 2024-07-29 · complaint
2024-05-18 · HEALTHF0776Severity D · isolated; potential for more than minimal harm

Administration Deficiencies

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Correction field: Deficient, Provider has date of correction · 2024-07-29 · complaint
2023-03-09 · 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 · 2023-04-23
2023-03-09 · HEALTHF0553Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0565Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0577Severity C · widespread; potential for minimal harm

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0583Severity F · widespread; potential for more than minimal harm

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0584Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0660Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0686Severity K · pattern of immediate jeopardy

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0687Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate foot care.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0700Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0730Severity D · isolated; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0732Severity B · pattern; potential for minimal harm

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · HEALTHF0755Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction field: Deficient, Provider has date of correction · 2023-04-23
2023-03-09 · 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 · 2023-04-23
03 / 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.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • YACOVONE, TODDIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 09/19/2018
  • ALESANTRINO, JOEIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/01/2019
  • PETRINE, DEBORAHIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 12/16/2005
  • TUCKER, DAVIDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/01/2007
  • COMMONWEALTH CARE OF ROANOKE INCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/24/2005

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 hours3.51per resident day
RN hours0.29per resident day
Weekend nurse hours2.99per resident day
Staff turnover74.8%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.