Ghent Health and RehabilitationCMS ratings, inspections and fines
- Address
- 3900 Llewellyn Ave, Norfolk, VA 23504
- CCN
- 495273
- Ownership type
- For-profit, limited liability company
- Certified beds
- 222
- Chain
- Avardis Health
- Residents per day
- 161
- CMS flags
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Ghent Health and Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 26 Feb 2026. The latest survey cycle has 28 health citations. The median for nursing homes in Virginia is 11. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Norfolk city median | Virginia median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 8 homes in the county, 289 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Virginia median |
|---|---|---|---|
| Cycle 1 (latest) | 26 Feb 2026 | 28 | 11 |
| Cycle 2 | 11 Nov 2021 | 21 | 10 |
| Cycle 3 | No date | 20 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 28 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Feb 2026 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Complaint investigation | 5 Apr 2026 |
| 26 Feb 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0584 | 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. | F | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0585 | 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. | D | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 5 Apr 2026 |
| 26 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Apr 2026 |
| 26 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 5 Apr 2026 |
| 26 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 5 Apr 2026 |
| 26 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 5 Apr 2026 |
| 26 Feb 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 5 Apr 2026 |
| 26 Feb 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0700 | 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. | D | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0837 | 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. | E | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0887 | 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. | F | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 5 Apr 2026 |
| 26 Feb 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 5 Apr 2026 |
Survey cycle 2: 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Nov 2021 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0584 | 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. | E | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0732 | Post nurse staffing information every day. | C | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0761 | 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. | E | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 26 Dec 2021 |
| 11 Nov 2021 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 26 Dec 2021 |
Survey cycle 3: 20 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Jul 2024 | F0584 | 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. | E | Complaint investigation | 30 Aug 2024 |
| 19 Jul 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint investigation | 30 Aug 2024 |
| 19 Jul 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 30 Aug 2024 |
| 19 Feb 2019 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 6 Apr 2019 |
| 19 Feb 2019 | F0584 | 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. | E | Standard survey | 13 May 2019 |
| 19 Feb 2019 | F0622 | 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. | D | Standard survey | 6 Apr 2019 |
| 19 Feb 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 6 Apr 2019 |
| 19 Feb 2019 | F0625 | 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. | D | Standard survey | 6 Apr 2019 |
| 19 Feb 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 6 Apr 2019 |
| 19 Feb 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 6 Apr 2019 |
| 19 Feb 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 6 Apr 2019 |
| 19 Feb 2019 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 6 Apr 2019 |
| 19 Feb 2019 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 6 Apr 2019 |
| 19 Feb 2019 | F0761 | 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 | Standard survey | 13 May 2019 |
| 19 Feb 2019 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 6 Apr 2019 |
| 19 Feb 2019 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 6 Apr 2019 |
| 19 Feb 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 13 May 2019 |
| 19 Feb 2019 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 6 Apr 2019 |
| 19 Feb 2019 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 6 Apr 2019 |
| 19 Feb 2019 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 6 Apr 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Virginia median | Virginia average (CMS) |
|---|---|---|---|
| All nurse staff | 2.79 | 3.40 | 3.76 |
| Registered nurses (RN) | 0.26 | 0.50 | 0.69 |
| Licensed practical nurses (LPN) | 0.89 | 1.00 | |
| Nurse aides | 1.64 | 2.07 | |
| All nurse staff, weekends | 2.34 | 3.00 | 3.29 |
- Nurse staff turnover in a year
- 50.7%
- Nurse staff turnover, Virginia median
- 48.3%
- RN turnover in a year
- 53.8%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.4% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.2% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 7.1% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.0% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.5% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.9% | 13.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- 3900 Llewellyn Avenue Opco LLC
- Chain
- Avardis Health (38 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Norfolk Parentco LLC | 5% or greater direct ownership interest | 100% | 1 May 2025 |
| Mermaid Parade Holdco LLC | 5% or greater indirect ownership interest | 1 May 2025 | |
| Vaop Holdco LLC | 5% or greater indirect ownership interest | 1 May 2025 | |
| Ohi Assets (VA) Norfolk - 3900 Llewellyn, LLC | 5% or greater security interest | 1 May 2025 | |
| SNF Mgr LLC | Operational/managerial control | 1 May 2025 | |
| Ohi Assets (VA) Norfolk - 3900 Llewellyn, LLC | Adp of the snf | 1 May 2025 | |
| SNF Mgr LLC | Adp of the snf | 20 Apr 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Norfolk city
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Signature Healthcare of Norfolk | Norfolk | 3 of 5 | 9 | $0 | 21 Jul 2023 | |
| Norview Heights Rehabilitation and Nursing | Norfolk | 2 of 5 | 11 | $0 | 28 Oct 2021 | |
| Norfolk Health Care Center | Norfolk | 1 of 5 | 25 | $102,245 | 15 Jul 2021 | |
| Harbor's Edge | Norfolk | 5 of 5 | 1 | $0 | 5 Feb 2026 | |
| Autumn Care of Norfolk | Norfolk | 4 of 5 | 11 | $0 | 13 Jan 2023 | |
| Lake Taylor Hosp | Norfolk | 4 of 5 | 5 | $59,150 | 26 Sep 2025 | |
| Waterside Health & Rehab Center | Norfolk | 3 of 5 | 12 | $8,375 | 23 Jun 2023 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Virginia Department of Health: file a complaintThe complaint page of the State Survey Agency for Virginia, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Ghent Health and Rehabilitation (CCN 495273). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/ghent-health-and-rehabilitation-norfolk-va-495273/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Ghent Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 26 Feb 2026. It was a standard survey and a complaint investigation. It gave 28 citations. The standard survey before the last one was on 11 Nov 2021.
- Who operates Ghent Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Avardis Health. The CMS ownership file names SNF Mgr LLC for operational or managerial control. This site does not show the names of persons.
- Is Ghent Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Virginia as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.