Home / Virginia / Fredericksburg
Carriage Hill Health & Rehab Center
6106 Health Center Lane, Fredericksburg, VA 22407 · Spotsylvania County · (540) 785-1120
150 certified beds, about 141 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2008
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495396 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 7, 2023, inspectors cited 10 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 42 health citations since August 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.80 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
48.7% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Commonwealth Care of Roanoke, an affiliated group of 12 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.
1408/19
1301/22
1006/23
312/24
211/25
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 42 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
32D
7E
1F
Potential for minimal harm
0A
1B
0C
November 19, 2025Complaint inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to follow professional standards of practice for one of four residents in the survey sample, Resident #2.
- D 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 one of four residents in the survey sample, Resident #2.
December 12, 2024Complaint inspection · 3 citations
- E 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 provide care and services to promote the highest level of well-being for five of eleven residents in the survey sample, Residents #10, #4, #5, #6, and #2.
- 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 staff interview, facility document review, and clinical record review, the facility staff failed to notify the provider of a need to assess a resident for one of eleven residents in the survey sample, Resident #10.
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to maintain resident safety equipment in working order for one of 11 residents in the survey sample, Resident #2.
June 7, 2023Standard inspection · 10 citations
- G 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 to identify and prevent pressure ulcers/injuries, resulting in harm for two of 41 residents in the survey sample, Residents #47 and #15.
- 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, 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 five of 41 residents in the survey sample; Residents #121, #4, #76, #29, #130.
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide dialysis care and services per the comprehensive care plan, for one of 41 residents in the survey sample, Resident #29.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to offer information related to developing an advance directive for one of 41 residents in the survey sample, Resident #123.
- D 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 wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to evidence the required documents were sent to the receiving facility, upon transfer to the hospital for 2 of 41 residents in the survey sample, Residents #51 and #83.
- 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 staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide a bed hold notice upon transfer to the hospital, for three of 41 residents in the survey sample, Residents #51, #83 and #23.
- 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, clinical record review and facility document review, the facility staff failed to review and revise the comprehensive care for two of 41 residents in the survey sample, Residents #23 and #83.
- D 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, it was determined the facility staff failed to perform blood sugar checks per the physician order for one of 41 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, resident interview, staff interview, facility document review and clinical record review, the facility staff failed to implement safety interventions and/or maintain a safe environment for three of 41 residents in the survey sample, Residents #130, #278 and #4.
- 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 observation, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to provide appropriate care and services for an indwelling urinary catheter, for one of 41 residents in the survey sample; Resident #121.
January 27, 2022Standard inspection · 13 citations
- F Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Inspectors wroteBased on observation, staff interview, and facility documentation review, the facility staff failed to allow all residents to receive visitors from 7:00 P.M. through 10 A.M. for an undetermined length of time.
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteFor Resident #410, who reported an allegation of abuse, the facility staff failed to report the allegation or investigation results to the state survey agency (Office of Licensure and Certification), adult protective services and other officials as required. On the afternoon of 1/25/22, an interview was conducted with Resident #410. During this interview, the Resident verbalized that previously she had reported that CNA B dumped a pan of hot water on her during a bath. Review of the facility grievances revealed that a grievance form dated 12/6/21, read, Resident reported her CNA, [CNA B name redacted], threw hot water on her back while assisting her with getting cleaned up and bed bath [sic]. The facility conducted an investigation, which included a head to toe assessment of the Resident, checking the water temperature in the room and obtaining statements from staff. [...]
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview, clinical record review, facility documentation and in the course of a complaint investigation, the facility staff failed to ensure Residents were free from neglect for 3 Residents (#'s 310, 311, and 312) in a survey sample of 52 Residents.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on Resident interview, staff interview and facility documentation review, the facility staff failed to implement their abuse policy for one Resident (Resident #410) in a survey sample of 52 Residents. For Resident #410, who reported an allegation of abuse to the facility staff, the facility staff failed to carry out their abuse policy with regards to protecting the Resident while an investigation was being conducted and failing to report an allegation of abuse.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on Resident interview, staff interview, facility documentation review and clinical record review, the facility staff failed to implement measures to protect the Resident while an abuse investigation was conducted, for one Resident (Resident #410) in a survey sample of 52 Residents. For Resident #410, who reported an allegation of abuse, the facility staff failed to protect the Resident by not allowing the alleged perpetrator to have continued access to the Resident while an investigation was being conducted.
- 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 resident interview, staff interviews, facility documentation review and clinical record review, the facility staff failed to provide notice in writing before a facility transfer or discharge of a Resident to the Resident and Resident Representative (RP) for 1 Residents (Resident #410) in a survey sample of 52 Residents.
- 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 resident interview, staff interviews, facility documentation review and clinical record review, the facility staff failed to provide written information about bed-hold policy before the transfer of a Resident (Resident #410) to the hospital in a survey sample of 52 Residents.
- 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 observation, Resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to revise the care plan for for three Residents (Resident #55, #97, and #64) of the 52 residents in the survey sample.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to transcribe orders for 2 Residents (Resident #64, Resident #2) in a sample size of 52 Residents.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on interview, clinical record review and facility documentation the facility staff failed to ensure that Residents receive assistance to carry out Activities of Daily Living necessary to maintain good grooming and personal hygiene for 4 Residents (# 's 45, 43, 14, and 410) in a survey sample of 52 Residents
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to provide appropriate dialysis care for one Resident (Resident #64) in a sample size of 52 Residents. Specifically, the facility staff obtained blood pressures in the same arm where Resident #64's fistula was located which is contraindicated.
- D 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, clinical record review, and facility documentation review, the facility staff failed, for one resident (Resident # 105) in the survey sample of 52 residents, to administer physician-ordered medication. The facility staff failed to administer Levothyroxine Sodium Tablet 25 mcg. On 1/27/22 at 2:00 P.M., an observation was conducted of Resident #105. She was in the activity area of the memory unit. Resident #105 was dressed appropriately, and appeared to be clean and well-groomed. On 1/27/22, a review was conducted of Resident #105's clinical record. The Medication Administration Record (MAR) dated December, 2022 was reviewed. On 12/11/22 at 6:00 A.M., Levothyroxine Sodium Tablet 25 mcg. was not documented as having been administered. There was no documentation regarding why it had not been administered on the MAR. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, family interview, staff interview, clinical record review, and in the course of a complaint investigation, the facility staff failed to adhere to infection control standards of practice for one Resident (Resident #64) in a sample size of 52 Residents. Specifically, 1) Resident #64 was on Contact Precautions for Klebsiella in the urine and the family was allowed to enter and remain in Resident #64's room without wearing the proper personal protective equipment (PPE) on 01/27/2022 and 2) the nurse failed to wash hands between glove changes during wound care on 01/27/2022.
August 8, 2019Standard inspection · 14 citations
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, facility staff administered normal saline and heparin IV (intravenous) flushes through a Midline access without a physician order for one (1) of 31 residents in the survey sample, Resident #74.
- 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 observation, resident interview, staff interview, and facility document review, the facility staff failed to answer call bells in a timely manner for three of 31 residents in the survey sample, Resident #58, Resident #44 and Resident #121.
- 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, facility staff failed to provide a timely response to a pharmacy recommendation for one of 31 residents in the survey sample. Resident #104's physician failed to respond to a pharmacy recommendation dated 06/05/19 regarding the administration times for the appetite stimulate Dronabinol (Marinol).
- 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 observation, resident interview, staff interview and clinical record review, the facility staff failed to notify the physician that one of 31 residents (Resident #241) was not wearing a cervical collar prescribed due to spinal fractures.
- 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 observation, resident interview, staff interview and clinical record review, the facility staff failed develop a baseline care plan that included immediate problems, goals and/or interventions for care of spinal fractures for one of 31 residents in the survey sample (Resident #241).
- D 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, staff interview, and clinical record review, the facility failed to develop a comprehensive care plan for 2 of 31 residents. Resident #86 did not have a care plan for prevention of a urinary tract infection, and Resident #121 did not have a care plan for emotional distress. The Findings Include: 1. Resident #86 was admitted to the facility on [DATE]. Diagnoses for Resident #86 included; Urinary tract infection, muscle weakness, and hypertension. The most current MDS (minimum data set) was an initial assessment with an ARD (assessment reference date) of 7/10/19. Resident #86 was assessed with a score of 9 indicating moderately cognitively intact. [...]
- 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 observation, staff interview, and clinical record review, the facility staff failed to review and revise the comprehensive care plan (CCP) for one of 31 residents in the survey sample. Resident #47's CCP was not reviewed and revised for the use of TED (Thrombo-Embolic Deterrent) hose.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, staff interview, and clinical record review, facility staff failed to follow physician orders for the use of a bed alarm for one of 31 residents in the survey sample, Resident #74 and failed to follow physician orders for the use of TED (Thrombo-Embolic Deterrent) stockings for one of 31 residents, Resident #105.
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to provide social services regarding assessed emotional distress for one of 31 residents in the survey sample (Resident #121).
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on medication pass and pour observation, staff interview, clinical record review, and facility document review, facility staff failed to ensure a medication error rate of less than 5 percent. There were 3 errors observed from 28 opportunities, resulting in an error rate of 10.71 percent.
- 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, facility staff failed to date opened insulin on 2 of 6 medication carts.
- D Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, the facility staff failed to provide food and supplement preferences for one of 31 residents in the survey sample, Resident #40.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and facility document review staff failed to follow infection control practices in a resident room during a medication pass and pour observation.
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review and staff interview the facility staff failed to accurately complete a discharge MDS (minimum data set) for one of 31 residents, Resident #143.
Fire safety inspections
21 fire safety citations on file: 8 on January 27, 2022, 13 on August 8, 2019.
Every fire safety citation21 citations
- D Meet other general requirements.
- 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 Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Install a fire alarm system that can be heard throughout the facility.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have a battery powered remote alarm panel in a location accessible by operating personnel.
- D Have generator or other power source capable of supplying service within 10 seconds.
- E Use approved construction type or materials.
- E 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.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install an approved automatic sprinkler system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Meet requirements for the use of electrical equipment.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Provide properly protected cooking facilities.
- D Install a fire alarm system that can be heard throughout the facility.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- C Have approved installation, maintenance and testing program for fire alarm systems.
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.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.80 | 3.76 | 3.86 |
| Registered nurses | 0.49 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.38 | 3.29 | 3.42 |
| Nurse aides | 2.24 | ||
| Licensed practical nurses | 1.06 | ||
| Nursing staff turnover (share who left in a year) | 48.7% | 48.1% | 45.8% |
| Registered nurse turnover | 50.0% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.99 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 3.96 on weekdays and 3.38 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 3.80 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 | 3.80 | 0.49 | 3.96 | 3.38 | 5.9% | 0 of 90 | 141 |
| Oct to Dec 2025 | 3.84 | 0.51 | 4.02 | 3.40 | 8.6% | 0 of 92 | 139 |
| Jul to Sep 2025 | 3.79 | 0.47 | 3.94 | 3.41 | 6.7% | 0 of 92 | 140 |
| Apr to Jun 2025 | 3.61 | 0.51 | 3.75 | 3.25 | 6.8% | 0 of 91 | 141 |
| 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
Staff pay at this home
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.
Official wage estimates for Virginia
| 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.
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 | 19.9 | 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 | 1.2 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.9 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.2 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.8 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.5 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.5 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.0 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.5 | 1.8 |
Owners and operators
Legal business name: FREDERICKSBURG HEALTH CARE LLC. CMS links this home to Commonwealth Care of Roanoke, a group of 12 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sevier, John | W-2 managing employee | Individual | 09/10/2012 | |
| Alesantrino, Joe | Corporate officer | Individual | 06/01/2019 | |
| Petrine, Deborah | Corporate officer | Individual | 09/30/2008 | |
| Tucker, David | Corporate officer | Individual | 10/01/2008 | |
| Commonwealth Care of Roanoke Inc | Operational/managerial control | Organization | 09/30/2008 |
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 11 problems in this area, most recently on November 19, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on November 19, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on December 12, 2024: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on January 27, 2022: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
Other nursing homes nearby
- Fredericksburg Health and Rehab Fredericksburg, 1.2 mi · 2 of 5 stars · 46 citations
- Woodmont Center Fredericksburg, 5.4 mi · 1 of 5 stars · 74 citations
- Falls Run Nursing and Rehabilitation Fredericksburg, 5.9 mi · 4 of 5 stars · 28 citations
- Berea Health & Rehab Center Fredericksburg, 5.9 mi · 2 of 5 stars · 33 citations
- Heritage Hall King George King George, 19.1 mi · 2 of 5 stars · 53 citations
- Bowling Green Health & Rehabilitation Center Bowling Green, 19.7 mi · 3 of 5 stars · 53 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 Carriage Hill Health & Rehab Center's Medicare star rating?
- CMS rates Carriage Hill Health & Rehab Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Carriage Hill Health & Rehab Center get at its last inspection?
- 10 health deficiencies at the standard inspection on June 7, 2023. The Virginia average is 14.3.
- Has Carriage Hill Health & Rehab Center been fined?
- CMS lists no fines in the last three years.
- Does Carriage Hill Health & Rehab 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 Carriage Hill Health & Rehab Center?
- CMS lists 5 owners and managers, and links the home to Commonwealth Care of Roanoke. Legal business name: FREDERICKSBURG HEALTH CARE 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.