{"schema_version":"1.0.0","facility":{"id":"cms-495178","ccn":"495178","name":"Charlottesville Health & Rehabilitation Center","source_name":"CHARLOTTESVILLE HEALTH & REHABILITATION CENTER","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"VA","address":{"line1":"505 West Rio Road","city":"Charlottesville","state":"VA","zip":"22901","county_name":"Albemarle County","county_fips":"51003","county_method":"name_match","ssa_county_code":"010","urban":true},"location":{"lat":38.0861,"lon":-78.484,"method":"cms_published_coordinates"},"phone":"4349787015","certification":{"authority":"CMS","ccn":"495178","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1988-01-29","certified_beds":105,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/495178"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":105,"avg_residents_per_day":99.5},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"CHARLOTTESVILLE CARE CENTER LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":true,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":2},"health_inspection":{"value":2},"quality_measures":{"value":4},"long_stay_qm":{"value":4},"short_stay_qm":{"value":3},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.67669,"lpn_hprd":0.78358,"rn_hprd":0.7656,"licensed_hprd":1.54918,"total_nurse_hprd":3.22587,"weekend_total_nurse_hprd":2.54307,"weekend_rn_hprd":0.45372,"pt_hprd":0.17302,"nursing_turnover_pct":49.5,"rn_turnover_pct":47.6,"administrators_left":0,"case_mix_index":1.4639,"case_mix_index_ratio":1.03804,"case_mix_total_nurse_hprd":4.04925,"adjusted_total_nurse_hprd":3.08326,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2024-07-10","cycle1_deficiencies":14,"cycle1_score":68,"cycle2_date":"2021-11-09","cycle23_deficiencies":24,"cycle23_score":140,"total_weighted_score":86},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-768","cms_chain_id":"768","name":"LIFEWORKS REHAB"},"operator_id":"op-charlottesville-care-center-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/495178","provenance":[{"source_id":"cms_provider_info","source_record_id":"495178","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495178&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"495178","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495178&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":11,"health_count":8,"fire_count":3,"complaint_count":6,"latest_date":"2025-09-04","latest_standard_health":"2024-07-10","earliest_date":"2019-02-14","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":59,"health_count":50,"fire_count":9,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":22,"by_severity":{"potential":57,"minimal":2},"by_scope_severity":{"E":17,"D":36,"F":4,"C":1,"B":1},"by_concept":{"resident_rights":10,"staffing":4,"clinical_care":21,"food_nutrition":10,"environment_life_safety":10,"medication":2,"infection_prevention":2},"type_ids":["cms-f0558","cms-f0605","cms-f0725","cms-f0627","cms-f0684","cms-f0711","cms-f0842","cms-f0803","cms-f0807","cms-f0808","cms-f0908","cms-f0806","cms-f0580","cms-k0324","cms-k0345","cms-k0281","cms-k0353","cms-k0917","cms-f0570","cms-f0812","cms-f0554","cms-f0559","cms-f0644","cms-f0689","cms-f0695","cms-f0758","cms-f0880","cms-f0947","cms-f0804","cms-f0656","cms-f0655","cms-f0686","cms-k0321","cms-k0374","cms-k0521","cms-f0645","cms-f0657","cms-f0676","cms-f0791","cms-f0623","cms-f0625"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":20,"organizations":18,"individuals":2,"not_available":false}},"row":{"id":"cms-495178","ccn":"495178","name":"Charlottesville Health & Rehabilitation Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"VA","city":"Charlottesville","zip":"22901","county_fips":"51003","county_name":"Albemarle County","address":"505 West Rio Road","beds":105,"residents":99.5,"ownership":"for_profit","operator_id":"op-charlottesville-care-center-llc","operator_name":"Charlottesville Care Center LLC","chain_id":"cms-chain-768","chain_name":"Lifeworks Rehab","lat":38.0861,"lon":-78.484,"overall":2,"health_rating":2,"staffing_rating":2,"qm_rating":4,"nurse_hprd":3.23,"turnover":49.5,"inspections":11,"last_inspection":"2025-09-04","deficiencies":59,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0558","cms-f0605","cms-f0725","cms-f0627","cms-f0684","cms-f0711","cms-f0842","cms-f0803","cms-f0807","cms-f0808","cms-f0908","cms-f0806","cms-f0580","cms-k0324","cms-k0345","cms-k0281","cms-k0353","cms-k0917","cms-f0570","cms-f0812","cms-f0554","cms-f0559","cms-f0644","cms-f0689","cms-f0695","cms-f0758","cms-f0880","cms-f0947","cms-f0804","cms-f0656","cms-f0655","cms-f0686","cms-k0321","cms-k0374","cms-k0521","cms-f0645","cms-f0657","cms-f0676","cms-f0791","cms-f0623","cms-f0625"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-charlottesville-care-center-llc","name":"Charlottesville Care Center LLC","legal_name":"CHARLOTTESVILLE CARE CENTER LLC","facility_count":1,"states":["VA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-768","name":"Lifeworks Rehab","cms_chain_id":"768","facility_count":64,"states":["DE","MD","NC","PA","VA"],"cms_reported":{"facility_count":64,"avg_overall_rating":2.2,"avg_health_inspection_rating":2,"avg_staffing_rating":1.8,"avg_qm_rating":4.1}},"ownership":[{"owner_id":"org-charlottesville-holdings-i-llc","owner_type":"organization","owner_name":"Charlottesville Holdings I LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2021-05-28"},{"owner_id":"org-ak-2003-family-trust","owner_type":"organization","owner_name":"Ak 2003 Family Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-al-2003-family-trust","owner_type":"organization","owner_name":"Al 2003 Family Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-charles-1994-family-grantor-trust","owner_type":"organization","owner_name":"Charles 1994 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-edward-1998-family-grantor-trust","owner_type":"organization","owner_name":"Edward 1998 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-golden-2017-family-grantor-trust","owner_type":"organization","owner_name":"Golden 2017 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-golden-2017-llc","owner_type":"organization","owner_name":"Golden 2017 LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-matt-2002-family-grantor-trust","owner_type":"organization","owner_name":"Matt 2002 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-matt-2002-llc","owner_type":"organization","owner_name":"Matt 2002 LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-mrcz-central-llc","owner_type":"organization","owner_name":"Mrcz Central LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-nathan-5604-and-family-llc","owner_type":"organization","owner_name":"Nathan 5604 & Family LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-nathan-5604-family-grantor-trust","owner_type":"organization","owner_name":"Nathan 5604 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-nathan-5604-llc","owner_type":"organization","owner_name":"Nathan 5604 LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-pivotal-central-llc","owner_type":"organization","owner_name":"Pivotal Central LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-sas-1998-family-trust","owner_type":"organization","owner_name":"Sas 1998 Family Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-saul-2012-family-grantor-trust","owner_type":"organization","owner_name":"Saul 2012 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-silverstone-east-llc","owner_type":"organization","owner_name":"Silverstone East LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-rybst-central-manager-llc","owner_type":"organization","owner_name":"Rybst Central Manager LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-05-28"},{"owner_type":"individual","owner_name":"Annette Allen Santos","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-05-28","owner_name_raw":"ALLEN SANTOS, ANNETTE"},{"owner_type":"individual","owner_name":"Moshe Rajchenbach","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2021-05-28","owner_name_raw":"RAJCHENBACH, MOSHE"}],"inspections":[{"id":"cms-495178-20250904-health","ccn":"495178","date":"2025-09-04","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-11","cmp":1},{"t":"cms-f0605","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-11","cmp":1},{"t":"cms-f0627","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-11","cmp":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-11","cmp":1},{"t":"cms-f0711","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-11","cmp":1},{"t":"cms-f0725","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-11","cmp":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-11","cmp":1}]},{"id":"cms-495178-20250319-health","ccn":"495178","date":"2025-03-19","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-29","cmp":1},{"t":"cms-f0806","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-29","cmp":1},{"t":"cms-f0807","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-29","cmp":1},{"t":"cms-f0808","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-29","cmp":1},{"t":"cms-f0908","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-29","cmp":1}]},{"id":"cms-495178-20241204-health","ccn":"495178","date":"2024-12-04","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-07","cmp":1}]},{"id":"cms-495178-20240710-fire","ccn":"495178","date":"2024-07-10","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0281","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-27","std":1,"tv":"New"},{"t":"cms-k0324","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-27","std":1,"tv":"New"},{"t":"cms-k0345","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-27","std":1,"tv":"New"},{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-27","std":1,"tv":"New"},{"t":"cms-k0917","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-27","std":1,"tv":"New"}]},{"id":"cms-495178-20240710-health","ccn":"495178","date":"2024-07-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1,3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":14,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0554","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-27","std":1},{"t":"cms-f0559","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-27","std":1},{"t":"cms-f0570","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-27","std":1},{"t":"cms-f0644","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-27","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-27","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-27","cmp":1,"std":1},{"t":"cms-f0725","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-27","cmp":1,"std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-27","std":1},{"t":"cms-f0806","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-27","std":1},{"t":"cms-f0808","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-27","cmp":1,"std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-27","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-27","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-27","cmp":1,"std":1},{"t":"cms-f0947","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-27","std":1}]},{"id":"cms-495178-20240410-health","ccn":"495178","date":"2024-04-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-14","cmp":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2024-05-14","cmp":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2024-05-14","cmp":1}]},{"id":"cms-495178-20231205-health","ccn":"495178","date":"2023-12-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-16","cmp":1},{"t":"cms-f0806","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-16","cmp":1}]},{"id":"cms-495178-20211109-fire","ccn":"495178","date":"2021-11-09","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-495178-20211109-health","ccn":"495178","date":"2021-11-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2021-12-16","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2021-12-16","std":1},{"t":"cms-f0684","ss":"E","sl":2,"cs":"corrected","cd":"2021-12-16","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2021-12-16","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2021-12-16","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2021-12-16","std":1}]},{"id":"cms-495178-20190214-fire","ccn":"495178","date":"2019-02-14","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"F","sl":2,"cs":"corrected","cd":"2019-04-18","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2019-04-18","std":1,"tv":"New"},{"t":"cms-k0374","ss":"F","sl":2,"cs":"corrected","cd":"2019-04-18","std":1,"tv":"New"},{"t":"cms-k0521","ss":"F","sl":2,"cs":"corrected","cd":"2019-04-18","std":1,"tv":"New"}]},{"id":"cms-495178-20190214-health","ccn":"495178","date":"2019-02-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":12,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0645","ss":"D","sl":2,"cs":"corrected","cd":"2019-03-07","std":1},{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2019-03-07","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2019-03-07","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2019-03-07","std":1},{"t":"cms-f0676","ss":"D","sl":2,"cs":"corrected","cd":"2019-03-07","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2019-03-07","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2019-03-07","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2019-03-07","std":1},{"t":"cms-f0758","ss":"E","sl":2,"cs":"corrected","cd":"2019-03-07","std":1},{"t":"cms-f0791","ss":"D","sl":2,"cs":"corrected","cd":"2019-03-07","std":1},{"t":"cms-f0623","ss":"C","sl":1,"cs":"corrected","cd":"2019-03-07","std":1},{"t":"cms-f0625","ss":"B","sl":1,"cs":"corrected","cd":"2019-03-07","std":1}]}],"deficiency_types":{"cms-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0605":{"code":"F-0605","title":"Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0725":{"code":"F-0725","title":"Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0627":{"code":"F-0627","title":"Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0711":{"code":"F-0711","title":"Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0803":{"code":"F-0803","title":"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.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0807":{"code":"F-0807","title":"Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0808":{"code":"F-0808","title":"Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0908":{"code":"F-0908","title":"Keep all essential equipment working safely.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0806":{"code":"F-0806","title":"Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0281":{"code":"K-0281","title":"Install proper backup exit lighting.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0917":{"code":"K-0917","title":"Ensure electrical receptacles or cover plates have distinctive color or marking.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0570":{"code":"F-0570","title":"Assure the security of all personal funds of residents deposited with the facility.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0554":{"code":"F-0554","title":"Allow residents to self-administer drugs if determined clinically appropriate.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0559":{"code":"F-0559","title":"Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0644":{"code":"F-0644","title":"Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0758":{"code":"F-0758","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0947":{"code":"F-0947","title":"Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0655":{"code":"F-0655","title":"Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0374":{"code":"K-0374","title":"Install smoke barrier doors that can resist smoke for at least 20 minutes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0521":{"code":"K-0521","title":"Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0645":{"code":"F-0645","title":"PASARR screening for Mental disorders or Intellectual Disabilities","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0676":{"code":"F-0676","title":"Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0791":{"code":"F-0791","title":"Provide or obtain dental services for each resident.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0623":{"code":"F-0623","title":"Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0625":{"code":"F-0625","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495178&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495178&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495178&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495178&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495178&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495178&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"VA","overall_rating":3.1,"health_inspection_rating":2.8,"qm_rating":4,"staffing_rating":2.5,"avg_residents_per_day":98.5,"cycle1_health_deficiencies":14,"cycle1_fire_deficiencies":2.8,"nurse_aide_hprd":2.14,"lpn_hprd":1.03,"rn_hprd":0.70763,"licensed_hprd":1.74,"total_nurse_hprd":3.87523,"weekend_total_nurse_hprd":3.353,"weekend_rn_hprd":0.48,"pt_hprd":0.09,"nursing_turnover_pct":47.5,"rn_turnover_pct":46.5,"administrators_left":0.6,"case_mix_index":1.461,"fines":0.5,"fine_amount":23455,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"VA","name":"Virginia"},"county":{"fips":"51003","name":"Albemarle County"},"zip":"22901","city":"Charlottesville"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-495087","ccn":"495087","name":"Salem Health & Rehabilitation","address":"1945 Roanoke Blvd","city":"Salem","state":"VA","zip":"24153","beds":240,"overall":3,"inspections":9,"last_inspection":"2026-05-06","deficiencies":57,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495093","ccn":"495093","name":"Harrisonburg Hlth & Rehab Cntr","address":"1225 Reservoir Street","city":"Harrisonburg","state":"VA","zip":"22801","beds":180,"overall":1,"inspections":14,"last_inspection":"2026-07-15","deficiencies":89,"serious":5,"ij":3,"open":2,"fines_total":192533,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495097","ccn":"495097","name":"Parham Health Care & Rehab Center","address":"2400 E Parham Road","city":"Richmond","state":"VA","zip":"23228","beds":180,"overall":1,"inspections":12,"last_inspection":"2026-03-19","deficiencies":139,"serious":10,"ij":4,"open":0,"fines_total":194276,"sff":"SFF Candidate","abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495099","ccn":"495099","name":"Fairfax Rehabilitation and Nursing Center","address":"10701 Main Street","city":"Fairfax","state":"VA","zip":"22030","beds":200,"overall":3,"inspections":12,"last_inspection":"2026-02-04","deficiencies":79,"serious":1,"ij":0,"open":0,"fines_total":23112,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495105","ccn":"495105","name":"Lynchburg Health & Rehabilitation Center","address":"5615 Seminole Avenue","city":"Lynchburg","state":"VA","zip":"24502","beds":180,"overall":1,"inspections":10,"last_inspection":"2026-07-14","deficiencies":71,"serious":1,"ij":1,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495107","ccn":"495107","name":"Piney Forest Health and Rehabilitation Center","address":"450 Piney Forest Rd","city":"Danville","state":"VA","zip":"24540","beds":120,"overall":3,"inspections":6,"last_inspection":"2025-01-30","deficiencies":41,"serious":0,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495108","ccn":"495108","name":"Chesapeake Health and Rehabilitation Center","address":"688 Kingsborough Square","city":"Chesapeake","state":"VA","zip":"23320","beds":180,"overall":1,"inspections":10,"last_inspection":"2026-08-20","deficiencies":82,"serious":5,"ij":1,"open":2,"fines_total":77303,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495115","ccn":"495115","name":"Colonial Heights Rehabilitation and Nursing Center","address":"831 Ellerslie Ave","city":"Colonial Heights","state":"VA","zip":"23834","beds":196,"overall":1,"inspections":11,"last_inspection":"2026-08-06","deficiencies":109,"serious":4,"ij":0,"open":0,"fines_total":127514,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":63,"same_site_review":[],"nearby":[{"id":"cms-49a007","ccn":"49A007","name":"Our Lady of Peace Inc","address":"751 Hillsdale Drive","city":"Charlottesville","state":"VA","zip":"22901","beds":30,"overall":3,"inspections":6,"last_inspection":"2026-03-19","deficiencies":27,"serious":2,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["nursing_home"],"distance_km":1.5},{"id":"cms-495377","ccn":"495377","name":"The Laurels of Charlottesville","address":"490 Hillsdale Drive","city":"Charlottesville","state":"VA","zip":"22901","beds":120,"overall":3,"inspections":9,"last_inspection":"2025-07-24","deficiencies":61,"serious":2,"ij":0,"open":0,"fines_total":8824,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.8},{"id":"cms-495326","ccn":"495326","name":"Monroe Health & Rehab Center","address":"1150 Northwest Drive","city":"Charlottesville","state":"VA","zip":"22901","beds":180,"overall":4,"inspections":8,"last_inspection":"2026-04-23","deficiencies":37,"serious":1,"ij":0,"open":0,"fines_total":10539,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.1},{"id":"cms-495254","ccn":"495254","name":"Colonnades Health Care Center","address":"100 Colonnades Hill Drive","city":"Charlottesville","state":"VA","zip":"22901","beds":34,"overall":2,"inspections":6,"last_inspection":"2024-11-01","deficiencies":28,"serious":2,"ij":2,"open":0,"fines_total":74535,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.3},{"id":"cms-495153","ccn":"495153","name":"Cedars Healthcare Center","address":"1242 Cedars Ct","city":"Charlottesville","state":"VA","zip":"22903","beds":141,"overall":2,"inspections":9,"last_inspection":"2025-02-27","deficiencies":60,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.6},{"id":"cms-495225","ccn":"495225","name":"Westminster Canterbury Blue Ri","address":"250 Pantops Mountain Rd","city":"Charlottesville","state":"VA","zip":"22911","beds":27,"overall":5,"inspections":6,"last_inspection":"2026-04-15","deficiencies":22,"serious":1,"ij":0,"open":0,"fines_total":16350,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.5},{"id":"cms-495420","ccn":"495420","name":"Albemarle Health & Rehabilitation Center","address":"1540 Founders Place","city":"Charlottesville","state":"VA","zip":"22902","beds":120,"overall":2,"inspections":13,"last_inspection":"2025-10-25","deficiencies":62,"serious":3,"ij":1,"open":0,"fines_total":197490,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":9.7}]}}