Jamestown Health and Rehabilitation — nursing home in Williamsburg, VA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 90 CMS-certified beds (not state-licensed beds)
Licensed beds: 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.
Average residents per day: 84.9 CMS, MDS-derived
CMS Certification Number: 495190
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): May 10, 1989
Ownership type: For profit - Limited Liability company
Operator (legal business name): 1811 Jamestown Road Opco LLC
CMS chain: Avardis Health 38 facilities
Phone: (757) 229-9991
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Apr 25, 2024

Citations

37

29 health · 8 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D26	E7	F·
Minimal	A·	B3	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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 495190
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 90
First approved: May 10, 1989
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

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. State coverage for Virginia.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Apr 25, 2024	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Apr 25, 2024	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
May 12, 2022	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
May 12, 2022	Health	Health Standard	14	Actual harm	—	Open →
Mar 5, 2020	Fire safety	Fire Safety Standard	1	Minimal	1	Open →
Mar 5, 2020	Health	Health Standard	9	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D26	E7	F·
Minimal	A·	B3	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 25, 2024	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 1, 2024
Apr 25, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 1, 2024
Apr 25, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 1, 2024
Apr 25, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 1, 2024
Apr 25, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 1, 2024
Apr 25, 2024	K-0932	Meet other general requirements. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 1, 2024
Apr 25, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 3, 2024	Complaint
Apr 25, 2024	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 3, 2024	Complaint
Apr 25, 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 Jun 3, 2024	Complaint
Apr 25, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 3, 2024	Complaint
Apr 25, 2024	F-0807	Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jun 3, 2024
Apr 25, 2024	F-0808	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jun 3, 2024
May 12, 2022	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jun 15, 2022
May 12, 2022	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 30, 2022
May 12, 2022	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 15, 2022
May 12, 2022	F-0577	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 15, 2022
May 12, 2022	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 15, 2022
May 12, 2022	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 Jun 15, 2022
May 12, 2022	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 15, 2022
May 12, 2022	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 Jun 15, 2022
May 12, 2022	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 28, 2022
May 12, 2022	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 15, 2022
May 12, 2022	F-0745	Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 15, 2022
May 12, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 15, 2022
May 12, 2022	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jun 15, 2022
May 12, 2022	F-0886	Perform COVID19 testing on residents and staff. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jun 15, 2022
May 12, 2022	F-0919	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 15, 2022
Mar 5, 2020	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 14, 2020
Mar 5, 2020	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 14, 2020
Mar 5, 2020	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 14, 2020
Mar 5, 2020	F-0758	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 14, 2020
Mar 5, 2020	F-0770	Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Apr 14, 2020
Mar 5, 2020	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Apr 14, 2020
Mar 5, 2020	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 14, 2020
Mar 5, 2020	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	B · Minimal Pattern	No plan of correction
Mar 5, 2020	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	Corrected Apr 14, 2020
Mar 5, 2020	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	B · Minimal Pattern	Corrected Apr 14, 2020

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 2.5

Quality measuresstate 4

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.37

State avg 3.88US avg 3.90

Registered nurse (RN)0.33

State avg 0.71US avg 0.69

Licensed practical nurse1.32

State avg 1.03US avg 0.86

Nurse aide1.73

State avg 2.14US avg 2.35

Weekend total nurse3.05

State avg 3.35US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.68 (case-mix index 1.28).

Staff turnover

Total nursing staff turnover51.8%

State avg 47.5%US avg 45.3%

Registered nurse turnover55.6%

State avg 46.5%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Apr 25, 2024
Cycle 1 health score: 16
Total weighted score: 46.5

Operating entity

1811 Jamestown Road Opco LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Avardis Health

38 facilities in 4 states. CMS chain ID 843.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.1

Ownership disclosures

Disclosures

18

Organizations

3

Individuals

14

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Williamsburg Parentco LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2025
James City Holdco LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	May 1, 2025

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Williamsburg Parentco LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2025
James City Holdco LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	May 1, 2025
Tiffany Hoback	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2025
Daniel Morgan	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2025
SNF Mgr LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Sebastian Adams	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Tiffany Hoback	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Tequilla Jones	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Daniel Morgan	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Lori Reid	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Robert Walters	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
SNF Mgr LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 18, 2025
Sebastian Adams	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
Tiffany Hoback	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
Tequilla Jones	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
Daniel Morgan	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
Lori Reid	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
Robert Walters	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025

Same chain in Virginia

All 37 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Ghent Health and Rehabilitation 3900 Llewellyn Ave, Norfolk, VA 23504 CCN 495273Abuse icon	222	Feb 26, 2026	772 harm	—
Woodstock Valley Health and Rehabilitation 803 South Main St, Woodstock, VA 22664 CCN 495315Abuse icon	88	Sep 26, 2025	1203 IJ2 harm	$145k
Pheasant Ridge Nursing and Rehabilitation 4355 Pheasant Ridge Road, Roanoke, VA 24014 CCN 495325Abuse icon	101	Jul 28, 2026	594 IJ6 harm18 open	$192k
Grayson Health and Rehabilitation 400 South Independence Avenue, Independence, VA 24348 CCN 495331	120	Nov 20, 2025	39	—
Augusta Nursing and Rehabilitation 83 Crossroad Lane, Fishersville, VA 22939 CCN 495336	112	May 7, 2026	826 IJ1 harm	$398k
Newport News Nursing & Rehab 12997 Nettles Drive, Newport News, VA 23602 CCN 495340SFF CandidateAbuse icon	102	Apr 30, 2026	733 IJ5 harm1 open	$97k
Kings Daughters Community Health & Rehab 1410 North Augusta Street, Staunton, VA 24401 CCN 495344Abuse icon	117	May 15, 2026	855 IJ7 harm6 open	$62k
Windsor Grove Health and Rehabilitation 23352 Courthouse Highway, Windsor, VA 23487 CCN 495347	114	May 1, 2025	81	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1811 Jamestown Road, Williamsburg, VA 23185
ZIP: 23185
County: James City County FIPS 51095
State: Virginia
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Woodhaven Hall at Williamsburg Landing 5500 Williamsburg Landing Dr, Williamsburg, VA 23185 CCN 495184	3.2 km	73	Feb 27, 2026	351 IJ	$36k
Riverside Lifelong Health & Rehabilitation Patriot 6000 Patriots Colony Drive, Williamsburg, VA 23188 CCN 495369	4.3 km	60	Mar 22, 2024	19	—
Williamsburg Post Acute & Rehabilitation 1235 S Mount Vernon Avenue, Williamsburg, VA 23185 CCN 495235	5.7 km	130	Nov 14, 2025	35	—
Windsormeade of Williamsburg 3900 Windsor Hall Drive, Williamsburg, VA 23188 CCN 495402	9.7 km	22	Apr 17, 2026	14	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	495190	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	495190	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

Record-level source links for CCN 495190

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction