Brookside Rehab & Nursing Center
614 Hastings Lane, Warrenton, VA 20186 · Fauquier County · (540) 347-4770
130 certified beds, about 117 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
CMS abuse icon: cited for abuse in a recent inspection Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495267 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 8, 2024, inspectors cited 24 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 80 health citations since February 2022, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $109,725 in the last three years; the largest was $109,725, and the latest is dated August 8, 2024.
Nurses and nurse aides worked 3.09 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.
63.6% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Hill Valley Healthcare, an affiliated group of 43 nursing homes.
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.
2202/22
2909/23
2408/24
510/25
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 80 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
45D
29E
2F
Potential for minimal harm
0A
0B
2C
October 21, 2025Complaint inspection · 5 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to provide adequate supervision for three of 14 residents in the survey sample, Residents #2, #11, and #6.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to provide sufficient nursing staff for three of 14 residents in the survey sample, Residents #2, #11, and #6.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review and staff interview, facility staff failed to notify the physician of a need to alter treatment for one of 14 residents in the survey sample, Resident #8 (R8).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to review or revise the comprehensive care plan for one of 14 residents, Residents in the survey sample, Resident #2 (R2).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interview, facility staff failed to provide care and services in a timely manner for one of 14 residents in the survey sample, Resident #8 (R8).
August 8, 2024Standard inspection, Complaint inspection · 24 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to maintain residents' highest level of well-being for two of 52 residents in the survey sample, Residents #44 and #51.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview and facility document review, it was determined the facility staff failed to store food and maintain a kitchen in a sanitary manner for one of one kitchens.
- E Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to inform a resident/resident representative of the risks and benefits of psychotropic medication treatment for one of 52 residents in the survey sample, Resident #87.
- E Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to provide care and services in a dignified manner, to include retaining personal property, for four of 52 residents in the survey sample, Residents #94, #81, #162, and #102.
- E 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.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to maintain a clean and homelike environment for one of two units, the north unit, and for three of 52 residents in the survey sample, Residents #88, #90, and #81.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, resident interview, clinical record review, staff interview and facility document review it was determined that the facility staff failed to develop and/or implement the comprehensive care plan for eight of 52 residents in the survey sample, Residents #4, #362, #10, #81, #3, #11, #9 and #74.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined the facility staff failed to provide ADL (activities of daily living) care to a dependent resident for one of 52 residents in the survey sample, Resident #362.
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to provide care and services for the treatment of a pressure injury for three of 52 residents in the survey sample, Residents #87, #10, and #362.
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to ensure the physician responded to a pharmacy recommendation for three of five residents reviewed for unnecessary medications; Residents #74, #60 and #51.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, staff interview, and facility document review, it was determined the facility staff failed to serve pureed food in a palatable temperature.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to ensure a resident was safe to self-administer a medication for one of 52 residents in the survey sample, Resident #98.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to ensure 3 of 52 residents in the survey sample were free from abuse; Residents #212, #98 and #96.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to implement the facility abuse policy for three of 52 residents in the survey sample; Residents #212, #96 and #98.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to report an allegation of abuse to the required state agency in a timely manner for one of 52 residents in the survey sample; Resident #212.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to maintain an accurate MDS (minimum data set) assessment for three of 52 residents in the survey sample, Residents #3, #60 and #26.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to revise the comprehensive care plan for one of 52 residents in the survey sample, Resident #90.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, clinical record review, staff interview and facility document review, it was determined the facility staff failed to follow professional standards of practice for one of 52 residents in the survey sample, Resident #4.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, clinical record review, staff interview and facility document review it was determined that the facility staff failed to provide interventions for safety and supervision for two of 52 residents in the survey sample, Resident #4 and Resident #107.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on resident interview, facility document review and clinical record review, it was determined the facility staff failed to provide care and services for an indwelling catheter for one of 52 residents in the survey sample, Resident #162.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide respiratory care and services for two of 52 residents in the survey sample, Residents #9 and #3.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on resident interview, clinical record review, staff interview and facility document review, it was determined that the facility staff failed to monitor fluid restrictions for a hemodialysis patient for one of 52 residents in the survey sample, Resident #90.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to ensure that two of 52 residents in the survey sample were free of unnecessary medications, Resident #60 and Resident #81.
- D 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.
Inspectors wroteBased on clinical record review, staff interview, and staff interview, it was determined that the facility staff failed to ensure that three of 52 residents in the survey sample were free from and/or monitored for the use of psychotropic medications, Residents #81, #87 and #94.
- D 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.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to store medications in a locked compartment for one of six medications carts, a medication cart on the south unit.
September 1, 2023Standard inspection, Complaint inspection · 29 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, family interview, staff interview, facility document review, and clinical record review, the facility staff failed to assess and/or monitor a change in a resident's condition for one of 45 residents in the survey sample, Residents #254. For Resident #254, the facility staff failed to assess and monitor a diabetic resident's right great toe after identifying a skin tear. Three days after identifying the skin tear, the resident was transferred to the hospital with a necrotic right great toe and received treatment with antibiotics. The lack of assessment and monitoring resulted in harm to Resident #254.
- E Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document, it was determined that the facility staff failed to accommodate needs for one of 45 residents in the survey sample, Resident #28.
- E Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document, it was determined that the facility staff failed to provide care according to resident preference for one of 45 residents in the survey sample, Resident #28.
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to resolve resident concerns expressed at Resident Council meetings for two of three months of minutes reviewed, June and July 2023.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, resident interviews, staff interviews, clinical record reviews and facility document reviews it was determined that the facility staff failed to develop and/or implement the comprehensive care plan for six of 45 residents in the survey sample, Residents #28, #72, #10, #98, #25, and #87.
- E Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide evidence of providing ADLs (activities of daily living) for two of 45 residents in the survey sample, Residents #72 and #303.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to provide ADL (activities of daily living) care for dependent residents for three of 45 residents in the survey sample, Residents #6, #60, and #28.
- E Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on resident interview, staff interviews, clinical record reviews and facility document reviews it was determined that the facility staff failed to provide a complete pain management program for one of 45 residents in the survey sample, Resident #28.
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to monitor weights as ordered for a resident receiving dialysis, for one of 45 residents in the survey sample, Resident #25.
- E 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.
Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to evidence monitoring of psychotropic medication adverse effects and behavior monitoring for one of 45 residents in the survey sample, Resident #98.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interview, and facility document review, it was determined that the facility staff failed to maintain the kitchen in a sanitary manner. The facility staff failed to date and dispose of opened food in one of one kitchen areas.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to evidence that education and information regarding risks vs benefits of the influenza and/or pneumonia vaccines were provided to the resident and/or resident representative, prior to the vaccines being administered or refused, for four of five residents reviewed for immunizations; Residents #82, #93, #16, and #46.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to assess one of 45 residents in the survey sample for self-administration of medication, Resident #72.
- D 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.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to maintain a clean and homelike environment for three of 31 rooms on the north unit.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility failed to protect the resident's right to be free from physical abuse by another resident, for one of 45 residents in the survey sample, Residents #65.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to develop a baseline care plan for two of 45 residents in the survey sample; Residents #153 and #353.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to review and/or revise the care plan for three of 45 residents in the survey sample; Residents #153, #65, and #50.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on staff interviews, facility document review, and clinical record review, the facility staff failed to follow professional standards of care for three of 45 residents in the survey sample, Residents #6, #253, and #303.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to implement treatments and/or interventions to prevent and treat a pressure injury for three of 45 residents in the survey sample, Residents #7, #87, and #98.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to implement interventions for resident safety related to falls for one of 45 residents in the survey sample; Resident #7.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on staff interview, clinical record review and facility document review it was determined that the facility staff failed to report non-compliance with fluid restrictions to the physician for one of 45 residents in the survey sample, Resident #10.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to maintain respiratory equipment in a sanitary manner for two of 45 residents, Residents #6 and #253.
- D Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Inspectors wroteBased on observation, family interview, staff interview, facility document review, and clinical record review, the facility staff failed to provide physician/provider supervision of a resident's condition for two of 45 residents in the survey sample, Residents #254 and #87.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on staff interviews, facility document review, and clinical record review, the facility staff failed to complete laboratory testing to prevent administration of an unnecessary medication for one of 45 residents in the survey sample, Resident #253.
- D 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.
Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document , it was determined that the facility staff failed to maintain an accurate and complete facility assessment for care of one of 45 residents in the survey sample, Resident #28.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide complete and accurate documentation for two of 45 residents, Resident #353 and #98.
- D Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to evidence that education and information regarding the COVID-19 vaccine was provided to the resident and/or resident representative prior to the vaccine being refused, for one of five residents reviewed for immunizations; Resident #82.
- C Post nurse staffing information every day.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to post the required nursing staffing information on one of four days of the survey, 8/29/23.
- C Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Inspectors wroteBased on observations, staff interview, and facility document review, it was determined that the facility staff failed to evidence a policy regarding the use and storage of food brought to residents by family and other visitors to ensure safe and sanitary storage, handling and consumption.
February 17, 2022Standard inspection · 22 citations
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, it was determined that the facility staff failed to provide food at a palatable temperature during lunch service on 02/16/2022, with the potential to affect 55 of 55 residents on the North unit receiving a meal tray. The vegetables, potatoes, and mechanical soft vegetables served at lunch and tested for palatability were below a palatable temperature.
- E Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on staff interview, facility document review, and clinical record review it was determined that the facility staff failed to notify the physician or resident representative of a change in condition or a possible need to alter treatment for two of 44 residents in the survey sample, Residents #45 and #11.
- E Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wrote2. The facility staff failed to provide the required documentation to the hospital for two transfers to the hospital for Resident #104. Resident #104 was admitted to the facility on [DATE], with two recent readmissions on 1/25/2022 and 1/31/2022. On the most recent MDS (minimum data set), a Medicare five day assessment, with an ARD (assessment reference date) of 2/3/2022, the resident scored a 3 out of 15 on the BIMS (brief interview for mental status), indicating the resident was severely cognitively impaired for making daily decisions. The nurses' note dated, 1/15/2022 at 9:37 p.m. documented, Resident decreased LOC (level of consciousness), no PO (by mouth) intake. 179/91 (blood pressure) heart rate 109, resp (respirations) 16, temp (temperature) 97.6. Spoke with wife/RP (responsible party) regarding change in condition and she requested he be sent to hospital. [...]
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to develop and/or implement the comprehensive care plan for eight of 44 residents in the survey sample, Residents #43, #407, #18, #70, #73, #61, #45 and #307.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to maintain the resident's highest level of well-being for five of 44 residents in the survey sample, Residents # 43, # 91, #11, # 45 and # 73.
- E Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to implement a complete pain management program by documenting the location of the resident's pain and implementing non-pharmacological interventions prior to the administration of a prn (as needed) pain medications for two of 44 residents in the survey sample, Residents # 35 and # 77.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide pharmacy services for one of 44 residents in the survey sample, Resident #45. The facility staff failed to acquire Resident #45's medication Buspar (1) for administration on multiple dates in October 2021, November 2021 and January 2022.
- E 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.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to ensure residents were free of unnecessary psychoactive medications for 2 of 44 residents in the survey sample, Residents #70 and #61.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and facility document review it was determined facility staff failed to store and prepare food in a sanitary manner.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, staff interview, and facility document review, it was determined the facility staff failed to maintain a dignified dining experience in one of two dining rooms, the North Wing dining room. The facility staff failed to provide a dignified dining experience on the North Wing, not serving all residents at the same table at the same time.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to provide skilled nursing facility advance beneficiary notice of non-coverage (SNFABN) to two of three beneficiary protection notification resident reviews, Resident #87 and Resident #357.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to evidence written notification was provided to the responsible party and/or the ombudsman for a facility-initiated transfer for 2 of 44 residents in the survey sample, Resident #81 and Resident #104.
- D 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.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to evidence bed hold notice was provided to the resident and/or the responsible party for a facility-initiated transfer for 2 of 44 residents in the survey sample, Residents #81and #60.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on staff interview, facility document review, it was determined that the facility staff failed to review and/or revise the comprehensive care plan for 2 of 44 residents in the survey sample, Residents #61 and #45.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide respiratory care and services in accordance with professional standards of practice for two of 44 residents in the survey sample, Residents # 11 and # 307.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on staff interview, resident interview, facility document review and clinical record review, it was determined the facility staff failed to provide communication to the dialysis facility for one of 44 residents, Resident #407. For Resident #407, the facility failed to provide communication to the dialysis facility for 23 to 25 visits.
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on staff interview and facility document review, it was determined that the facility staff failed to conduct annual performance reviews for 2 of 3 CNAs (certified nursing assistants) whose records were reviewed, CNAs #4 and #6.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to ensure that 1 of 44 residents in the survey sample was free of unnecessary medications, Resident #359. On 7/27/2021, the facility staff administered Narcan nasal spray to Resident #359, rather than the physician-ordered and scheduled saline nasal spray.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to ensure a resident was free of a significant medication error for one of 44 residents in the survey sample, Resident #45. On 2/9/22, the nurse practitioner prescribed Resident #45 the medication Levaquin (1) for seven days for a diagnosis of pneumonia. The facility staff failed to administer Levaquin to Resident #45 on 2/15/22.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wrote2. The facility staff failed to document showers for Resident #53.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview and clinical record review, it was determined that the facility staff failed to follow infection control practices for 1 of 44 residents in the survey sample, Resident #207. Resident #207 was observed being assisted into the main dining room on the North unit for the lunch meal with other residents on 2/15/22 at 12:25 PM. Resident #207 was a newly admitted , unvaccinated resident who was on quarantine isolation for COVID-19 monitoring and observation. The main dining room on the North unit was filled with COVID-19 negative residents who were not on quarantine isolation. Resident #207's presence in this dining room placed other residents in the dining room at risk for contracting COVID-19.
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on staff interview and employee record review it was determined that the facility staff failed to ensure that 1 of 3 CNA (certified nursing assistant) records reviewed received the required annual training. The facility failed to provide evidence that CNA #5 received the required annual abuse training.
Fire safety inspections
13 fire safety citations on file: 1 on September 1, 2023, 12 on February 17, 2022.
Every fire safety citation13 citations
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Meet other general requirements.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
- D Have properly located and lighted "Exit" signs.
- D Provide properly protected cooking facilities.
- D Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- D Install corridor and hallway doors that block smoke.
- D Have simulated fire drills held at unexpected times.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Ensure proper usage of power strips and extension cords.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 8, 2024 | Fine | $109,725 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
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) | 3.09 | 3.76 | 3.86 |
| Registered nurses | 0.67 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.68 | 3.29 | 3.42 |
| Nurse aides | 1.68 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 63.6% | 48.1% | 45.8% |
| Registered nurse turnover | 52.6% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.51 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 3.26 on weekdays and 2.68 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 23.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.13 in April to June 2025 to 3.09 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 | 3.09 | 0.67 | 3.26 | 2.68 | 23.5% | 0 of 90 | 117 |
| Oct to Dec 2025 | 2.91 | 0.62 | 3.03 | 2.61 | 29.0% | 1 of 92 | 119 |
| Jul to Sep 2025 | 3.13 | 0.72 | 3.27 | 2.76 | 26.6% | 0 of 92 | 115 |
| Apr to Jun 2025 | 3.13 | 0.58 | 3.32 | 2.65 | 28.3% | 0 of 91 | 115 |
| 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.
Quality measures
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 | 15.7 | 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 | 0.9 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.9 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.2 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.5 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.7 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.7 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.3 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.5 | 1.8 |
Owners and operators
Legal business name: WARRENTON OPERATIONS LLC. CMS links this home to Hill Valley Healthcare, a group of 43 nursing homes averaging 1.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Derko 2, LLC | 5% or greater direct ownership interest | Organization | 50% | 01/08/2016 |
| Reg 2018 Irrevocable Trust U/a/D 1/1/18 | 5% or greater direct ownership interest | Organization | 50% | 01/01/2018 |
| Kushner, Judy | 5% or greater indirect ownership interest | Individual | 50% | 01/08/2016 |
| Coons, Amanda | W-2 managing employee | Individual | 07/20/2022 | |
| Gutnicki, Abraham | Corporate officer | Individual | 01/16/2015 | |
| Kushner, Judy | Corporate officer | Individual | 01/16/2015 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 22 problems in this area, most recently on October 21, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 16 problems in this area, most recently on October 21, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 13 problems in this area, most recently on October 21, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 10 problems in this area, most recently on August 8, 2024: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.68 hours per resident per day, below the Virginia average of 3.29.
Other nursing homes nearby
- Poplar Hill Health and Rehab Warrenton, 1.3 mi · 2 of 5 stars · 38 citations
- Lake Manassas Health & Rehabilitation Center Gainesville, 8.5 mi · 3 of 5 stars · 48 citations
- Gainesville Health and Rehab Center Gainesville, 11.6 mi · 3 of 5 stars · 46 citations
- Manassas Health and Rehab Center Manassas, 16 mi · 3 of 5 stars · 27 citations
- Birmingham Green Manassas, 18.6 mi · 5 of 5 stars · 15 citations
- Culpeper Health & Rehabilitation Center Culpeper, 22.1 mi · 2 of 5 stars · 52 citations
- The Culpeper Culpeper, 23.2 mi · 4 of 5 stars · 19 citations
- Dulles Health & Rehab Center Herndon, 24.5 mi · 4 of 5 stars · 42 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Brookside Rehab & Nursing Center's Medicare star rating?
- CMS rates Brookside Rehab & Nursing Center 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Brookside Rehab & Nursing Center get at its last inspection?
- 24 health deficiencies at the standard inspection on August 8, 2024. The Virginia average is 14.3.
- Has Brookside Rehab & Nursing Center been fined?
- Yes. CMS lists 1 fine totaling $109,725 in the last three years.
- Does Brookside Rehab & Nursing Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Brookside Rehab & Nursing Center?
- CMS lists 6 owners and managers, and links the home to Hill Valley Healthcare. Legal business name: WARRENTON OPERATIONS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.