THALIA GARDENS REHABILITATION AND NURSING
THALIA GARDENS REHABILITATION AND NURSING is a 138-bed nursing home in VIRGINIA BEACH, Virginia. CMS has certified it for Medicare and Medicaid since 1991-06-01. It averages 113.0 residents a day.
What harm was found in the violations cited at THALIA GARDENS REHABILITATION AND NURSING?
CMS lists 72 health-inspection deficiencies for THALIA GARDENS REHABILITATION AND NURSING since 2019-08-29, 37 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-04-28.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-28 | F0584, F0756, F0837, F0865, F0867, F0887, F0944, F0949 | 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. / Have a plan that describes the process for conducting QAPI and QAA activities. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / 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. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F |
| 2026-04-28 | F0557, F0558, F0577, F0606, F0657, F0689, F0732, F0755, F0868, F0919, F0925, F0941 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Reasonably accommodate the needs and preferences of each resident. / Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Not hire anyone with a finding of abuse, neglect, exploitation, or theft. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Post nurse staffing information every day. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Make sure that a working call system is available in each resident's bathroom and bathing area. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E |
| 2026-04-28 | F0572, F0574, F0580, F0585, F0605, F0609, F0628, F0641, F0677, F0695, F0761 | Give residents a notice of rights, rules, services and charges. / The resident has the right to receive notices in a format and a language he or she understands. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / 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. | D |
| 2023-08-15 | F0584, F0838, F0925 | 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. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2023-08-15 | F0812, F0868, F0921 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2022-06-09 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2022-06-09 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2022-06-09 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2022-06-09 | F0553, F0557, F0578, F0582, F0584, F0623, F0641, F0677, F0695, F0727, F0758 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / 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. | D |
| 2019-08-29 | F0908 | Keep all essential equipment working safely. | F |
| 2019-08-29 | F0553, F0584, F0622, F0625, F0677, F0755, F0812, F0842, F0880, F0925 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / 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. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2019-08-29 | F0550, F0582, F0641, F0655, F0656, F0657, F0684, F0695, F0745, F0758 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / 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. | D |
How is THALIA GARDENS REHABILITATION AND NURSING staffed relative to the VA average?
| Measure | This facility | VA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.15194 | 3.75779 |
| Total nursing staff turnover (%) | 61.8 | 48.1 |
| Average number of residents per day | 113.0 | 99.5 |
Who owns THALIA GARDENS REHABILITATION AND NURSING, and what chain is it in?
THALIA GARDENS REHABILITATION AND NURSING is registered with CMS as For profit - Corporation, operates under the legal business name THALIA GARDENS REHABILITATION AND NURSING LLC and belongs to the EASTERN HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | VA SNF OPERATIONS HOLDINGS LLC | since 01/31/2024 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | JJ UNITED TR | since 01/31/2024 |
| W-2 MANAGING EMPLOYEE | ROGERS, KEVIN | since 11/06/2023 |
| CORPORATE OFFICER | SHAPIRO, AKIVA | since 03/01/2022 |
Were you or a family member harmed at THALIA GARDENS REHABILITATION AND NURSING?