235 Evergreen Ave, Appomattox, VA 24522 · Appomattox County · (434) 352-7420
60 certified beds, about 54 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495188 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 10, 2023, inspectors cited 17 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 39 health citations since March 2019, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $18,636 in the last three years; the largest was $10,358, and the latest is dated August 13, 2025.
Nurses and nurse aides worked 3.36 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.
64.9% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Lifeworks Rehab, an affiliated group of 64 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 39 health citations on file.
Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, the facility staff failed to provide proper medical treatment for abnormal lab values resulting in hospitalization for one of six residents in the survey sample (Resident #4).
Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, the facility staff failed to ensure one of six residents (Resident #4) was free from a significant medication error resulting in hospitalization for treatment of hyperkalemia.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to follow abuse prevention policies for three of six residents in the survey sample (Residents #1, #3 and #4).
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to submit investigation findings regarding an abuse allegation to the state agency for one of six residents in the survey sample (Resident #1).
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to complete a thorough investigation regarding an injury of unknown origin for one of six residents in the survey sample (Resident #3).
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to provide a complete and accurate minimum data set (MDS) for one of six residents in the survey sample (Resident #1).
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to review and revise the comprehensive care plan for one of six residents in the survey sample (Resident #1).
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to provide fall mats for injury prevention as required in the plan of care for one of six residents in the survey sample (Resident #3).
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to ensure a complete and accurate clinical record for one of six residents in the survey sample (Resident #1).
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to implement safety interventions consistent with the individualized needs and standards of practice for one of sixteen residents (Resident #4). Staff failed to appropriately position the safety interventions (bilateral floor mats) identified in Resident #4's care plan. In addition to the ongoing monitoring of effectiveness, Staff failed to perform a risk/safety assessment prior to implementing devices.
Inspectors wroteBased on observation , resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to ensure adequate nutritional needs for the prevention of weight loss for one of 16 residents, Resident #1.
Inspectors wroteBased on observation, staff interview, and review of facility policy and procedure, the facility failed to ensure medications were properly dated on two of two medication carts. Undated multi-dose medication bottles were observed in the East Unit medication cart and the Central Unit medication cart.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to provide dental services to one of 16 residents, Resident #1.
Inspectors wroteBased on observation, and staff interview, the facility staff failed to store, serve, and prepare food in a sanitary manner in the main kitchen.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure an accurate clinical record for three of sixteen residents in the survey sample (Residents #24, #30 and #41).
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to maintain floor mats and positioning cushions in clean/intact condition for one of sixteen residents in the survey sample (Resident #4).
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to identify and report an injury of unknown origin to the appropriate facility staff for one of 16 residents, Resident #258.
Inspectors wroteBased on complaint investigation, closed clinical record review, and staff interview, the facility staff failed for one of 16 residents in the survey sample, Resident # 107, to forward a notice of discharge to the local Ombudsman. Resident # 107 was transferred to the hospital without a notice of discharge being sent to the local Ombudsman.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to ensure admission orders were in place for the care of suprapubic catheter for one of 16 residents, Resident #257.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to ensure a baseline care plan for the care of suprapubic catheter was in place for one of 16 residents, Resident #257.
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to develop a comprehensive care plan for one of sixteen residents in the survey sample (Resident #4).
Inspectors wroteBased on resident interview, staff interview and clinical record review, the facility staff failed to revise the comprehensive care plan for one of sixteen residents in the survey sample (Resident #41).
Inspectors wroteBased on complaint investigation, closed clinical record review, staff interview, and review of facility documents, the facility staff failed for one of 16 residents in the survey sample, Resident # 107, to administer medications in a timely manner. Six medications, administered by two different nurses, were given between 2 hours and 43 minutes, and 4 hours and 45 minutes late.
Inspectors wroteBased on observation, staff interview and clinical record review, the facility failed to follow physician orders for the treatment of a pressure ulcer for one of 23 resident's. Resident #6 did not have physician ordered elbow protector in place. The Findings Include: Diagnoses for Resident #6 included; Hemiplegia, contractures, bursa right elbow, dementia, and pressure ulcers. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 3/30/23. Resident #6 was assessed with long and short-term memory problems and severely cognitively impaired. On 5/8/23 Resident #6's clinical record was reviewed. An active physician's order read: Right Elbow: Cleanse with wound cleanser, pat dry, Apply Silver Alginate, Collagen Particles, cover with kerlix and elbow protector. [...]
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to administer oxygen as ordered by the physician for one of sixteen residents in the survey sample (Resident #24).
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to assess one of sixteen residents (Resident #4) for entrapment risks, attempt alternatives, or obtain informed consent prior to use of bed rails.
Inspectors wroteBased on resident interviews, facility document review, and staff interview, the facility staff failed to respond to call bells in a timely manner for 5 of 18 residents in the survey sample, Resident #15, #50, #45, #6 and #34. All five residents stated that due to staffing, it takes a long time to answer call bells. Staffing issues were also annotated in the July resident council minutes.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to complete an accurate Minimum Data Set (MDS) for one of eighteen residents in the survey sample, Resident #45. An admission MDS for Resident #45 inaccurately assessed the presence of pressure ulcers.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to develop a comprehensive care plan for one of eighteen residents in the survey sample, Resident #24. Resident #24 had no plan of care regarding behaviors and use of an anticoagulant.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to follow professional standards of practice for one of eighteen residents in the survey sample, Resident #24. Nursing failed to document an incident and physical assessment of Resident #24 after a hairbrush was found in her incontinence brief.
Inspectors wroteBased on staff interview and clinical record review the facility staff failed to follow physician orders for 1 of 18 residents in the survey sample, Resident #6. Fluid intake was not monitored and documented for Resident #6.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to perform a pressure ulcer dressing change in a manner to prevent infection for one of eighteen residents in the survey sample. Nursing failed to follow infection control practices during a dressing change to Resident #45's pressure ulcers.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to ensure proper wheelchair positioning for 1 of 18 residents in the survey sample, Resident #36. Resident #36 was observed seated in a wheelchair without footrests and her feet not touching the floor.
Inspectors wroteBased on clinical record review, facility document review, and staff interview, the facility staff failed to provide a rational for pharmacy recommendations for 2 of 18 residents in the survey sample, Resident #36 and Resident #24. The facility physician failed to provide a rational for a pharmacy recommendation for Donepezil 10 mg (Aricept) and Memantine 5 mg (Namenda). The facility physician failed to provide a rational for a pharmacy recommendation for Seroquel for Resident #24.
Inspectors wroteBased on a medication pass observation, staff interview and clinical record review, the facility staff failed to ensure a medication error rate of less than 5 %. A medication pass resulted in two errors out of 27 opportunities for an error rate of 7.41%.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to follow infection control practices during a dressing change for one of eighteen residents in the survey sample, Resident #45. A nurse failed to perform timely hand hygiene and glove changes during a dressing change for Resident #45 and applied topical medication to two wounds using the same applicator.
Inspectors wroteBased on observations, clinical record review, and staff interview, the facility staff failed to ensure a dignified dining experience for one of 16 residents in the survey sample (Resident #45). Resident #45, who was identified as needing to be fed, was fed by a staff member who stood over the resident while feeding him.
Inspectors wroteBased on staff interview, and clinical record review, the facility staff failed to follow physician's orders for two of 16 resident's, Resident's #2 and #37. 1. The facility did not make an orthopedic appointment as ordered by the physician for Resident #2. 2. Resident #37 was not administered calcium carbonate as ordered by the physician. The Findings Include: 1. Resident #2 was admitted to the facility on [DATE]. Diagnoses for Resident #2 included: Muscle Weakness, rheumatoid arthritis, and difficulty walking. The most current MDS (minimum data set) was a significant change assessment with an ARD (assessment reference date) of 2/18/19. Resident #2 was assessed as being cognitively intact with a score of 15 of 15. On 03/05/19 at 2:21 PM, Resident #2 was interviewed. [...]
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to provide supervision for fall prevention for one of 16 residents in the survey sample. Resident #18, with cognitive impairment, poor safety awareness and need for extensive assistance with transfers, fell after being left unsupervised on the commode.
13 fire safety citations on file: 5 on May 10, 2023, 3 on July 29, 2021, 5 on March 7, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| August 13, 2025 | Fine | $8,278 |
| August 13, 2025 | Fine | $10,358 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.36 | 3.76 | 3.86 |
| Registered nurses | 0.74 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.00 | 3.29 | 3.42 |
| Nurse aides | 1.89 | ||
| Licensed practical nurses | 0.73 | ||
| Nursing staff turnover (share who left in a year) | 64.9% | 48.1% | 45.8% |
| Registered nurse turnover | 77.8% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.49 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.50 on weekdays and 3.00 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.35 in April to June 2025 to 3.36 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.36 | 0.74 | 3.50 | 3.00 | 7.9% | 0 of 90 | 54 |
| Oct to Dec 2025 | 3.37 | 0.62 | 3.45 | 3.16 | 9.5% | 0 of 92 | 53 |
| Jul to Sep 2025 | 3.11 | 0.55 | 3.21 | 2.85 | 12.9% | 0 of 92 | 57 |
| Apr to Jun 2025 | 3.35 | 0.69 | 3.48 | 3.01 | 13.2% | 0 of 91 | 57 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.1 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.3 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.5 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.8 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.4 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.8 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.4 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Appomattox Health & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (59.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
59.0% this home
Better than the national rate
US median of homes 51.5% · Virginia: 101 better, 22 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 167 eligible stays.
10.6% this home
No different from the national rate
US median of homes 10.7% · Virginia: 1 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 181 eligible stays.
7.7% this home
No different from the national rate
US median of homes 7.1% · Virginia: 2 better, 8 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 113 eligible stays.
73.0% this home
Median of homes: Virginia60.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 63 residents counted.
0.0% this home
Median of homes: Virginia0.7% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 88 residents counted.
2.2% this home
Median of homes: Virginia2.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 88 residents counted.
97.5% this home
Median of homes: Virginia97.8% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 40 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: APPOMATTOX CARE CENTER LLC. CMS links this home to Lifeworks Rehab, a group of 64 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Appomattox Holdings I LLC | 5% or greater direct ownership interest | Organization | 100% | 05/28/2021 |
| Ak 2003 Family Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Al 2003 Family Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Charles 1994 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Edward 1998 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Golden 2017 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Golden 2017 LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Matt 2002 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Matt 2002 LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Mrcz Central LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Nathan 5604 & Family LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Nathan 5604 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Nathan 5604 LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Pivotal Central LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Sas 1998 Family Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Saul 2012 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Silverstone East LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Cook II, Timothy | W-2 managing employee | Individual | 10/26/2023 | |
| Cook II, Timothy | Corporate director | Individual | 10/26/2023 | |
| Rybst Central Manager LLC | Operational/managerial control | Organization | 05/28/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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