SHALOM GARDENS HEALTH & REHABILITATION
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2026-05-06 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2026-05-06 — IMMEDIATE JEOPARDY (tag F0725, severity J)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2024-11-05 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing, from payroll records
Nursing hours / resident / day
3.19
state median 3.10
Weekend staffing gap
−7%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.35
registered nurses only
Contract (agency) staff
32%
share of all nursing hours
Nursing staff turnover
66%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $12,177 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-11-05 | Fine | $12,177 |
Ownership
Ownership type: For profit - Corporation. Part of the HILL VALLEY HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- OAKWOOD SNF LLC (MIDDLE RIVER, MD) —
- LAURELHURST POST ACUTE & REHABILITATION (PORTLAND, OR) —
- Mt. Tabor Health & Rehabilitation (PORTLAND, OR) —
- THE MCKENDREE POST ACUTE & REHABILITATION (HERMITAGE, TN) —
- GEORGE WASHINGTON HEALTH & REHABILITATION (ALEXANDRIA, VA) —
- LAKESIDE HEALTH & REHABILITATION (RICHMOND, VA) —
- OAKWOOD HEALTH AND REHAB CENTER (BEDFORD, VA) —
- TATE SPRINGS HEALTH & REHAB (LYNCHBURG, VA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-06 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2026-05-06 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-05-06 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2026-05-06 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-05-06 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-05-06 | F0725 | Nursing and Physician Services Deficiencies | J | not recorded |
| 2026-05-06 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-05-06 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-11-05 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-06-28 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-06-28 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-28 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-28 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-28 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-09-14 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-07-22 | F0565 | Resident Rights Deficiencies | D | not recorded |
| 2021-07-22 | F0577 | Resident Rights Deficiencies | D | not recorded |
| 2021-07-22 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2021-07-22 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2021-07-22 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2021-07-22 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-07-22 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-07-22 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-07-22 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-07-22 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-07-22 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-07-22 | F0807 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2019-03-14 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2019-03-14 | F0554 | Resident Rights Deficiencies | E | not recorded |
| 2019-03-14 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2019-03-14 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2019-03-14 | F0565 | Resident Rights Deficiencies | E | not recorded |
| 2019-03-14 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2019-03-14 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2019-03-14 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2019-03-14 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2019-03-14 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2019-03-14 | F0638 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-03-14 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-03-14 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-03-14 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-03-14 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2019-03-14 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-03-14 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-03-14 | F0730 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2019-03-14 | F0809 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2019-03-14 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2019-03-14 | F0868 | Administration Deficiencies | E | not recorded |
| 2019-03-14 | F0880 | Infection Control Deficiencies | E | not recorded |