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Augusta Medical Ctr Skilled Ca

78 Medical Center Drive, Fishersville, VA 22939 · Augusta County · (540) 332-4020

17 certified beds, about 13 residents a day · Non profit - Corporation · Medicare since 1990

Last standard inspection more than 2 years ago Inside a hospital Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495214 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 15, 2024, inspectors cited 2 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 4 health citations since August 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 6.29 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 2.65 of those hours.

35.0% of nursing staff left within the year CMS measured (Virginia average 48.1%).

Health inspections

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 4 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
1D
1E
1F
Potential for minimal harm
0A
1B
0C
May 15, 2024Standard inspection · 2 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 16, 2024
    Inspectors wroteBased on observations, staff interviews, and facility document, it was determined that the facility staff failed to prepare and store food in a safe and sanitary manner for one of one unit.
  2. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2024
    Inspectors wroteBased on observation, resident interview, family interview, staff interview, and facility documentation review, the facility staff failed to maintain a resident's personal privacy affecting one resident (Resident #110- R110) in a survey sample of 11 residents.
July 14, 2021Standard inspection · 2 citations
  1. F
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 27, 2021
    Inspectors wroteBased on resident interview, staff interview, facility policy review and clinical record review, the facility stafffailed to develop baseline care plans to address immediate care needs and failed to provide a written summary of the plan for seven of seven new admission residents in the survey sample. Baseline care plans for Residents #65, #66, #67, #69, #165, #168 and #169 did not include all immediate care needs regarding management of a PICC (peripherally inserted central catheter), pain management, therapy services, medications and/or anticoagulant use. These residents nor their representatives were provided a written summary of the baseline care plan.
  2. B
    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.
    F625 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) August 27, 2021
    Inspectors wroteBased on staff interview, facility policy review and clinical record review, the facility staff failed to provide written notice of the bed-hold policy for one of ten residents in the survey sample, Resident #10. No written notice of the bed-hold policy was provided to Resident #10 upon admission or at the time of transfer to the hospital.
August 21, 2019Standard inspection · 0 citations

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)6.293.763.86
Registered nurses2.650.690.69
All nursing staff on weekends5.223.293.42
Nurse aides2.55
Licensed practical nurses1.09
Nursing staff turnover (share who left in a year)35.0%48.1%45.8%
Registered nurse turnover30.0%48.2%42.9%
Administrators who leftnot reported

CMS expects 4.22 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 6.71 on weekdays and 5.22 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.78 in April to June 2025 to 6.29 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20266.292.656.715.22 0.0%0 of 9013
Oct to Dec 20256.272.826.725.12 0.0%0 of 9212
Jul to Sep 20256.242.786.595.31 0.0%1 of 9212
Apr to Jun 20255.782.716.184.76 0.0%0 of 9113
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Virginia, Jan to Mar 20263.580.563.763.125.7%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.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeVirginiaUS
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.81.31.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.322.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.711.512.0

Owners and operators

Legal business name: AUGUSTA HEALTH CARE INC.

NameRoleTypeShareSince
Augusta Health Care IncDirect ownership interestOrganization07/16/1990
Bokelman, SethManaging control - governing bodyIndividual01/01/2025
Bowers, JohnManaging control - governing bodyIndividual01/01/2018
Callison, DebraManaging control - governing bodyIndividual01/01/2015
Crowder, RobinManaging control - governing bodyIndividual01/01/2017
Heck, ChristopherManaging control - governing bodyIndividual01/01/2018
Landes, LaurelManaging control - governing bodyIndividual01/01/2018
Layman, DanManaging control - governing bodyIndividual01/01/2025
Otteni, JackManaging control - governing bodyIndividual01/01/2020
Peterson, JohnManaging control - governing bodyIndividual01/01/2020
Rankin, KeriManaging control - governing bodyIndividual01/01/2021
Santos, VictorManaging control - governing bodyIndividual01/01/2021
Whitesell, LeeManaging control - governing bodyIndividual01/01/2025
Crabtree, ScottCorporate directorIndividual06/16/2023
Farmer, CrystalCorporate officerIndividual08/01/2023
Mannix, MaryCorporate officerIndividual03/18/2008
Meador, WilliamCorporate officerIndividual05/22/2023
Farmer, CrystalOperational/managerial controlIndividual08/01/2023
Mannix, MaryOperational/managerial controlIndividual03/18/2008
Meador, WilliamOperational/managerial controlIndividual06/16/2023
Stalzer, JoanOperational/managerial controlIndividual07/01/2009
Augusta Health Care IncAdp of the SNFOrganization07/16/1990
Forvis Mazars LLPAdp of the SNFOrganization07/01/2022
Crabtree, ScottAdp of the SNFIndividual06/16/2023
Farmer, CrystalAdp of the SNFIndividual08/01/2023
Mannix, MaryAdp of the SNFIndividual03/18/2008
Meador, WilliamAdp of the SNFIndividual06/16/2023
Stalzer, JoanAdp of the SNFIndividual07/01/2009

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 15, 2024: "Keep residents' personal and medical records private and confidential."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on May 15, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 14, 2021: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"

Other nursing homes nearby

Virginia contacts for a concern about a nursing home

These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.

Common questions

What is Augusta Medical Ctr Skilled Ca's Medicare star rating?
CMS rates Augusta Medical Ctr Skilled Ca 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Augusta Medical Ctr Skilled Ca get at its last inspection?
2 health deficiencies at the standard inspection on May 15, 2024. The Virginia average is 14.3.
Has Augusta Medical Ctr Skilled Ca been fined?
CMS lists no fines in the last three years.
Does Augusta Medical Ctr Skilled Ca accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Augusta Medical Ctr Skilled Ca?
CMS lists 28 owners and managers. Legal business name: AUGUSTA HEALTH CARE INC.

Sources

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