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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D26 | E7 | F6 |
| Minimal | A· | B· | C· |
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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jan 23, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 31, 2024 | Health | Health Complaint | 10 | Actual harm | — | Open → |
| Feb 23, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 23, 2023 | Health | Health Standard | 6 | Potential harm | — | Open → |
| May 27, 2021 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| May 27, 2021 | Health | Health Standard | 13 | Actual harm | — | Open → |
| Mar 14, 2019 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 14, 2019 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 31, 2024 | Civil money penalty (fine) | $50,635 | — | 495168|Fine|8229 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D26 | E7 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 23, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Past non-compliance Jan 17, 2025 | Complaint |
| Jan 23, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Past non-compliance Jan 17, 2025 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
9 facilities in 1 states. CMS chain ID 528.
Chain average overall rating (CMS): 1.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Gl Virginia Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 16, 2016 |
| Trio Health Care - East, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | May 24, 2019 |
| Trio Healthcare Investors LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 6, 2016 |
| Trio Healthcare LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 10, 2019 |
| Boyd Gentry | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2016 |
| David Rubenstein | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2016 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Gl Virginia Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 16, 2016 |
| Trio Health Care - East, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | May 24, 2019 |
| Trio Healthcare Investors LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 6, 2016 |
| Trio Healthcare LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Rose Hill Health and Rehab 110 Chalmers Court, Berryville, VA 22611 CCN 495140 | 120 | Aug 14, 2024 | 81 | — | |
| Alleghany Health and Rehab 1725 Main Street, Clifton Forge, VA 24422 CCN 495141 | 105 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Heritage Hall Lexington 205 Houston Street, East Lexington, VA 24450 CCN 495321 | 8.6 km | 60 | Aug 28, 2025 | 242 harm2 open | — | |
| Kendal at Lexington 160 Kendal Drive, Lexington, VA 24450 CCN 495034 | 10.2 km | 60 | Apr 24, 2024 | 301 harm | $10k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 495168 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 495168 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Jan 31, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 1, 2024 | Complaint |
| Jan 31, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 1, 2024 | Complaint |
| Jan 31, 2024 | F-0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 1, 2024 | Complaint |
| Jan 31, 2024 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Apr 1, 2024 | Complaint |
| Jan 31, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 1, 2024 | Complaint |
| Jan 31, 2024 | F-0838 | 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. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Apr 1, 2024 | Complaint |
| Jan 31, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 1, 2024 | Complaint |
| Jan 31, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 1, 2024 | Complaint |
| Jan 31, 2024 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Apr 1, 2024 | Complaint |
| Jan 31, 2024 | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Apr 1, 2024 | Complaint |
| Feb 23, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 23, 2023 |
| Feb 23, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 23, 2023 |
| Feb 23, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 23, 2023 |
| Feb 23, 2023 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 23, 2023 |
| Feb 23, 2023 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 23, 2023 |
| Feb 23, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 23, 2023 |
| May 27, 2021 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 25, 2021 |
| May 27, 2021 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 5, 2021 |
| May 27, 2021 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 5, 2021 |
| May 27, 2021 | K-0915 | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 5, 2021 |
| May 27, 2021 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 5, 2021 |
| May 27, 2021 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 25, 2021 |
| May 27, 2021 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 25, 2021 |
| May 27, 2021 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 25, 2021 |
| May 27, 2021 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2021 |
| May 27, 2021 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2021 |
| May 27, 2021 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 20, 2021 |
| May 27, 2021 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 25, 2021 |
| May 27, 2021 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 25, 2021 |
| May 27, 2021 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jun 25, 2021 |
| May 27, 2021 | F-0838 | 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. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jun 25, 2021 | IDR |
| May 27, 2021 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 20, 2021 |
| May 27, 2021 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 25, 2021 |
| Mar 14, 2019 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 7, 2019 |
| Mar 14, 2019 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 3, 2019 |
| Mar 14, 2019 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 3, 2019 |
| Mar 14, 2019 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 3, 2019 |
| Mar 14, 2019 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 3, 2019 |
| Mar 14, 2019 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 3, 2019 |
| Mar 14, 2019 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 3, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.52 (case-mix index 1.31).
| not provided |
| Dec 10, 2019 |
| Boyd Gentry | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2016 |
| David Rubenstein | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 16, 2016 |
| Boyd Gentry | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 16, 2016 |
| David Rubenstein | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 16, 2016 |
| Angela Lam | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | May 15, 2023 |
| Sep 11, 2025 |
724 IJ |
| $109k |
| Martinsville Health and Rehab 1607 Spruce Street, Martinsville, VA 24112 CCN 495143 | 140 | Jan 15, 2026 | 893 harm | — |
| Portsmouth Health and Rehab 900 London Boulevard, Portsmouth, VA 23704 CCN 495149 | 120 | Sep 19, 2025 | 903 IJ3 harm | $134k |
| Fredericksburg Health and Rehab 3900 Plank Road, Fredericksburg, VA 22407 CCN 495240 | 177 | May 6, 2026 | 57 | — |
| Galax Health and Rehab 836 Glendale Rd, Galax, VA 24333 CCN 495250 | 120 | Nov 21, 2024 | 581 IJ | $14k |
| Bayside of Poquoson Health and Rehab 1 Vantage Drive, Poquoson, VA 23662 CCN 495264 | 60 | Mar 27, 2025 | 851 harm | — |
| Elizabeth Adam Crump Health and Rehab 3600 Mountain Road, Glen Allen, VA 23060 CCN 495299 | 180 | Aug 12, 2026 | 1231 harm3 open | $9,011 |