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Colonial Health & Rehab Center, LLC

1604 Old Donation Pkwy, Virginia Beach, VA 23454 · Virginia Beach City County · (757) 496-3939

90 certified beds, about 79 residents a day · For profit - Corporation · Medicare and Medicaid since 2007

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495392 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 18, 2024, inspectors cited 29 health deficiencies (the Virginia average is 14.3, the national average 9.2).

Of 61 health citations since November 2019, 4 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $78,455 in the last three years; the largest was $78,455, and the latest is dated September 18, 2024.

Nurses and nurse aides worked 3.52 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.

66.7% of nursing staff left within the year CMS measured (Virginia average 48.1%).

CMS links it to Saber Healthcare Group, an affiliated group of 126 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.

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 61 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
4G
0H
0I
Potential for more than minimal harm
40D
14E
2F
Potential for minimal harm
0A
1B
0C
September 18, 2024Standard inspection, Complaint inspection · 29 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wrote5. The facility failed to clarify diuretic medication prior to administering it for Resident #32. Resident #32 was admitted to the facility on [DATE] with diagnosis that included CHF (congestive heart failure), diabetes and dementia. The most recent MDS (minimum data set) assessment, a quarterly assessment, with an ARD (assessment reference date) of 8/2/24, coded the resident as scoring a 02 out of 15 on the BIMS (brief interview for mental status) score, indicating the resident was severely cognitively impaired. A review of the MDS Section GG-functional abilities and goals coded the resident as being dependent for mobility/transfers, dressing, hygiene toileting and set up for eating. A review of the comprehensive care plan dated 3/14/24 revealed, FOCUS: Resident has impairment a potential for fluid deficit related to diuretic. INTERVENTIONS: [...]
  2. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to implement an effective pain management program for two of 35 residents in the survey sample, Residents #5 and #138.
  3. G
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    F710 · Nursing and Physician Services · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to provide physician services for one of 35 residents in the survey sample, Resident #5.
  4. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on staff interview and facility document review, it was determined the facility staff failed to maintain a complete infection control program.
  5. 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.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to evidence that all hospital transfer documentation requirements were implemented for three of 35 residents in the survey sample; Residents #36, #9 and #11.
  6. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to evidence that written notification of a hospital transfer was provided to the resident representative and the Ombudsman for three of 35 residents in the survey sample; Residents #36, #9 and #11.
  7. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to implement the comprehensive care plan for four of 35 residents in the survey sample, Residents #42, #21, #138 and #11.
  8. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to provide oxygen related care and services for three of 35 residents in the survey sample; Residents #60, #11, and #42.
  9. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide pharmacy services for five of 35 residents in the survey sample and on one of two units, Residents #138, #63, #48, #16, #88 and Unit 2.
  10. E
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined the facility staff failed to ensure residents were free of unnecessary medications for one of 35 residents in the survey sample, Resident #39.
  11. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, and facility document review, it was determined the facility staff failed to serve food at a palatable temperature for five of 35 residents in the survey sample, Residents #21, #63, #46, #39 and #59.
  12. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, it was determined the facility staff failed to promote dignity for one of 35 residents in the survey sample, Resident #137.
  13. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined that the facility failed to implement their abuse policy for reporting an allegation of abuse within two hours after the allegation was made, for one of 35 residents in the survey sample, Resident #21 (R21).
  14. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined that the facility failed to report an allegation of abuse in a timely manner for one of 35 residents in the survey sample, Resident #21 (R21).
  15. 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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to evidence a written bed hold notice was provided to the resident and/or resident representative upon a hospital transfer for two of 35 residents in the survey sample; Residents #36 and #9.
  16. D
    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
    F635 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to ensure admission orders were put in place to provide immediate care for one of 35 residents in the survey sample, Resident #139.
  17. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on observations, staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide an accurate MDS (minimum data set) assessment for two out of 35 residents in the survey sample, Resident #48 and Resident #58.
  18. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 16, 2024
    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 35 residents in the survey sample, Resident #5.
  19. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on resident interview, staff interview, facility document review, and clinical record review it was determined the facility staff failed to provide ADL (activities of daily living) care for three of 35 residents in the survey sample, Residents #33, 46, and #42.
  20. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to provide care and services for a feeding tube for two of 35 residents in the survey sample, Residents #139 and #42.
  21. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide care and services for a midline for one of 35 residents, Residents #88.
  22. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to complete an accurate bed rail assessment for two of 35 residents in the survey sample, Residents #137 and #138.
  23. D
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined the facility staff failed to post daily staffing for one of four days reviewed.
  24. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to act upon pharmacy recommendations in a timely manner for two of 35 residents in the survey sample, Residents #21 and #63.
  25. D
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, it was determined that the facility staff failed to prepare food in a form to meet the resident's needs for one of 35 residents, Resident #46.
  26. D
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
    F836 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on observation, staff interview and facility document review, it was determined the facility staff failed to be in compliance with state laws and regulations in regard to maintaining emergency medical equipment on one of two units.
  27. D
    Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
    F840 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on staff interview, facility policy review and clinical record review, it was determined the facility staff failed to have a contract with a dialysis center where one of 35 residents in the survey sample was getting treatment from, Resident #33.
  28. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 16, 2024
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to maintain an accurate clinical record for one of 35 residents in the survey sample, Resident #18.
  29. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on staff interview, clinical record review, and review of facility documents, the facility's staff failed to provide a Hospice Care Plan for 1 of 25 residents (Resident #106), in the survey sample.
July 8, 2021Standard inspection · 15 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) October 1, 2021
    Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, it was determined that facility staff failed to obtain a treatment for pre-existing pressure ulcer* that had later declined to an unstageable (1) pressure ulcer for one of 41 residents in the survey sample; Resident #35 AND failed to provide treatment and services to promote the healing of a pressure sore for one of 41 residents; Resident #74. *Pressure Injury (ulcer) - A pressure injury is localized damage to the skin and underlying soft tissue usually over a bony prominence or related to a medical or other device. The injury can present as intact skin or an open ulcer and may be painful. The injury occurs as a result of intense and/or prolonged pressure or pressure in combination with shear. [...]
  2. F
    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, widespread · Corrected (the home has a date of correction) November 4, 2021
    Inspectors wroteBased on observation, staff interview and facility document review the facility staff failed to store food in accordance with professional standards for food service safety.
  3. E
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 4, 2021
    Inspectors wroteBased on observation, resident and staff interviews and clinical record review the facility staff failed to provide the accommodation needed for 1 of 41 residents (Resident #69) in the survey sample.
  4. E
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 1, 2021
    Inspectors wroteBased on staff interviews, clinical record review and facility documentation review, the facility staff failed to ensure 1 of 41 residents (Resident #63) had an accurate medical record for an advanced directive and failed to ensure 4 out of 41 residents (Resident #27, Resident #22, Resident #9 and Resident #32) in the survey sample were given the opportunity to formulate an advance directive.
  5. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 4, 2021
    Inspectors wrote4. The facility staff failed to provide personal hygiene for Resident #25 who was dependent on the staff to wash her hair. Resident #25 was admitted to the nursing facility on 3/23/17 with diagnoses that included type II diabetes mellitus, stroke with right sided hemiplegia and hemiparesis and expressive aphasia, high blood pressure and non-Alzheimer's dementia. The resident's most recent Minimum Data Set (MDS) assessment was a quarterly and coded Resident #25 with clear speech, able to understand the staff and was understood by them. She was coded on the Brief Interview for Mental Status (BIMS) with a score of 15 out of a possible score of 15, which indicated she was cognitively intact with the skills needed for daily decision-making. She was coded as having no problems with behavior and mood. The resident required extensive assistance of one staff for personal hygiene. [...]
  6. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2021
    Inspectors wroteBased on observation, clinical record review, staff and resident interviews, the facility staff failed to ensure dignity was maintained for 1 of 41 residents (Resident #25) in the survey sample to wear personal clothing, wash and cut hair.
  7. D
    Give the resident's representative the ability to exercise the resident's rights.
    F551 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 9, 2021
    Inspectors wroteBased on observation, clinical record review, staff and resident interviews, the facility staff failed to honor choices for 1 of 41 residents (Resident #25) in the survey sample and assist to change out seasonal clothing from winter to spring and summer.
  8. 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.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2021
    Inspectors wroteBased on staff interviews, clinical record review and facility documentation review the facility staff failed to send a copy of the Resident's Care Plan to include their goals after being transferred and admitted to the hospital for one resident (Resident #27) in a survey sample of 41 residents.
  9. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2021
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide evidence that one out of 41 residents was invited to attend a care plan meeting, Resident #35.
  10. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 9, 2021
    Inspectors wroteBased on observations, a complaint investigation, resident and staff interview and review of facility documentation, the facility staff failed to ensure 2 of 41 residents (Resident #25 and #49) were able to continue to maintain their ability to independently perform mouth care.
  11. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2021
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to assess and monitor two additional skin areas that were observed by the hospice aide during incontinence care on 7/7/21 to Resident #35's bilateral feet.
  12. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2021
    Inspectors wroteBased on observations, clinical record reviews, staff and resident interviews, the facility staff failed to ensure 2 of 41 residents (Resident #49 and #37) were free of accident hazards. The sit-to-stand mechanical lift was not used in accordance to assessed need to prevent possible accidents for Resident #49, and that fall preventative measures, to include fall mats, were consistently in place to protect from potential fall injuries for Resident #37.
  13. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2021
    Inspectors wroteBased on observation, resident and staff interviews, clinical record review, the facility staff failed to follow the physician order for the oxygen flow rate for 1 of 41 residents (Resident # 63) in the survey sample.
  14. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2021
    Inspectors wroteBased on observation, staff interview, resident interview and clinical record review it was determined that facility staff failed to obtain dental services for one of 41 residents, Resident #30.
  15. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2021
    Inspectors wroteBased on staff interview, clinical record review and in the course of a complaint investigation, it was determined that facility staff failed to maintain a complete record for one of 41 residents in the survey sample; Resident #73.
November 14, 2019Standard inspection · 17 citations
  1. 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.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on staff interviews, clinical record review and facility documentation review, the facility staff failed to send a copy of the comprehensive care plan to include the residents goals after being transferred to the hospital for 6 of 38 residents in the survey sample (Residents #55, #70, #67, #4, #45, & #12).
  2. E
    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 more than minimal harm, pattern · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to provide 4 of 38 residents in the survey sample, and/or the resident representative, a written bed hold notice when discharged to the hospital (Residents #4, #45, #12, #55).
  3. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wrote2. Facility staff failed to develop an ADL (activities of daily living) functional status care plan for Resident #45. Resident #45 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included, but were not limited to, unspecified dementia without behavioral disturbance, and cervical spinal cord injury. Resident #45's most recent MDS (Minimum Data Set) assessment was an annual assessment with an ARD (assessment reference date) of 9/30/19. Resident #45 was coded as being moderately impaired in cognitive function scoring 12 out of possible 15 on the BIMS (Brief Interview for Mental Status) exam. Resident #45 was coded as being totally dependent on one staff member with all ADLs (activities of daily living), except with meals. In Section V (Care Area Assessment ) (CAA) Summary, care area ADL Functional/Rehabilitation Potential was triggered on the assessment. [...]
  4. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on observations and staff interview the facility staff failed to provide a sanitary environment in the kitchen which could potentially affect most of the 35 current residents in the survey sample.
  5. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on observation, staff interviews and facility documentation, the facility staff failed to maintain a clean, sanitary and homelike environment for 2 of 38 residents (Resident #6 and #27) in the survey sample.
  6. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that facility staff failed to ensure one resident (Resident #14), was free from a sexual encounter initiated by another resident (Resident #44) that occurred on two occasions on 8/30/19.
  7. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that facility staff failed to implement abuse policies for 2 of 38 residents in the survey sample to ensure Resident #14 was free from a second sexual encounter by Resident #44 that occurred on 8/30/19; and failed to report an allegation of abuse to the facility administrator and to the appropriate state agencies in a timely manner.
  8. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that facility staff failed to report an allegation of abuse that occurred between two residents of 38 sampled residents (Resident #44 and Resident #14) to the facility Administrator and to the appropriate State Agencies in a timely manner.
  9. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on clinical record review, staff interview and facility documentation, the facility staff failed to ensure that 1 of 38 residents (Resident #30) in the survey sample received a complete and accurate Minimum Data Set (MDS) assessment. Resident #30's quarterly MDS assessment with an Assessment Reference Date (ARD) of 09/09/19 was coded incorrectly under Section G (Functional Limitations of Range of Motion).
  10. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on staff interview and clinical record review the facility staff failed to revise the comprehensive care plan for 2 of 38 residents in the survey sample, Residents #40 and #14.
  11. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility document review, it was determined that facility staff failed to provide fingernail care for a dependent resident for one of 38 residents in the survey sample, Resident #45.
  12. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, it was determined that facility staff failed to provide podiatry services for one of 38 residents in the survey sample, Resident #45.
  13. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that facility staff failed to follow physician's orders and plan of care for the application of a hand splint for one of 38 residents in the survey sample, Resident #44.
  14. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that facility staff failed to ensure one of 38 sampled residents, Resident #47, was free from unnecessary psychotropic drugs.
  15. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on observations, staff interview, facility document review, and clinical record review, it was determined that facility staff inaccurately documented that one of 38 residents (Resident #44), had a right hand roll/splint in use.
  16. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on observations and staff interview the facility staff failed to perform appropriate hand hygiene after removing dirty gloves for 1 of 38 residents in the survey sample (Resident #321).
  17. B
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) December 27, 2019
    Inspectors wroteBased on staff interview and clinical record review the facility staff failed to ensure a discharge assessment (MDS) was completed for 1 of 38 residents (Residents #2), in the survey sample.

Fire safety inspections

4 fire safety citations on file: 2 on September 18, 2024, 2 on July 8, 2021.

Every fire safety citation4 citations
  1. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 18, 2024 · Corrected (the home has a date of correction)
  2. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · September 18, 2024 · Corrected (the home has a date of correction)
  3. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 8, 2021 · Corrected (the home has a date of correction)
  4. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 8, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
September 18, 2024Fine $78,455

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.

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)3.523.763.86
Registered nurses0.760.690.69
All nursing staff on weekends2.813.293.42
Nurse aides1.82
Licensed practical nurses0.94
Nursing staff turnover (share who left in a year)66.7%48.1%45.8%
Registered nurse turnover57.9%48.2%42.9%
Administrators who left1

CMS expects 4.31 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 3.80 on weekdays and 2.81 on weekends, 26% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.32 in April to June 2025 to 3.52 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.520.763.802.81 8.5%0 of 9079
Oct to Dec 20253.520.683.752.94 7.7%0 of 9283
Jul to Sep 20253.370.683.572.87 15.3%0 of 9285
Apr to Jun 20253.320.693.492.89 5.9%0 of 9182
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.

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

JobMedianMiddle halfEmployed
Virginia, all employers
CNAs (nursing assistants)$20.77$17.80 to $22.5640,580
LPNs and LVNs$31.21$28.66 to $35.8415,550
Registered nurses$45.00$38.51 to $49.5377,490
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

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

MeasureThis homeVirginiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
6.414.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.03.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.61.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
8.815.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.74.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.214.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.522.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.211.512.0

Owners and operators

Legal business name: COLONIAL HEALTH & REHAB CENTER, LLC. CMS links this home to Saber Healthcare Group, a group of 126 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Bnv Dynasty LLCDirect ownership interestOrganization01/01/2023
Saber Healthcare Holdings LLCDirect ownership interestOrganization11/01/2020
Benjamin N. Volpe Family Dynasty Trust (dated December 29, 2020)Indirect ownership interestOrganization01/01/2023
Decanted William I. Weisberg Family Dynasty Trust (dated Sept 30, 2020Indirect ownership interestOrganization01/01/2023
Wiw Dynasty LLCIndirect ownership interestOrganization01/01/2023
Ohi Asset (VA) Windermere, LLC5% or greater security interestOrganization11/01/2020
Volpe, BenjaminCorporate directorIndividual11/01/2020
Weisberg, WilliamCorporate directorIndividual11/01/2020
Nicoluzakis, GregoryCorporate officerIndividual11/01/2020
Volpe, BenjaminCorporate officerIndividual11/01/2020
Weisberg, WilliamCorporate officerIndividual11/01/2020
Shg Management LLCOperational/managerial controlOrganization11/01/2020
Jackson, AshleyOperational/managerial controlIndividual06/28/2022
Sherring, AdamOperational/managerial controlIndividual09/23/2024
Weisberg, WilliamIndividual is an owner, partner or trustee of any ADP of the SNFIndividual12/30/2025
Citrin Cooperman Advisors LLCAdp of the SNFOrganization11/01/2020
Ohi Asset (VA) Windermere, LLCAdp of the SNFOrganization11/01/2020
Saber Governance LLCAdp of the SNFOrganization11/01/2020
Saber Healthcare Group LLCAdp of the SNFOrganization11/01/2020
Shg Boa LLCAdp of the SNFOrganization12/30/2025
Shg Management LLCAdp of the SNFOrganization11/01/2020
Shg Mt, LLCAdp of the SNFOrganization12/30/2025
Tcf National BankAdp of the SNFOrganization12/02/2022
Walker & Associates PCAdp of the SNFOrganization11/01/2020
Biedenbender, RexAdp of the SNFIndividual12/05/2022
Jackson, AshleyAdp of the SNFIndividual06/28/2022
Nicoluzakis, GregoryAdp of the SNFIndividual11/01/2020
Sherring, AdamAdp of the SNFIndividual09/23/2024
Volpe, BenjaminAdp of the SNFIndividual11/01/2020
Weisberg, WilliamAdp of the SNFIndividual11/01/2020

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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 17 problems in this area, most recently on September 18, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 12 problems in this area, most recently on September 18, 2024: "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."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 12 problems in this area, most recently on September 18, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on September 18, 2024: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.81 hours per resident per day, below the Virginia average of 3.29.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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

Common questions

What is Colonial Health & Rehab Center, LLC's Medicare star rating?
CMS rates Colonial Health & Rehab Center, LLC 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Colonial Health & Rehab Center, LLC get at its last inspection?
29 health deficiencies at the standard inspection on September 18, 2024. The Virginia average is 14.3.
Has Colonial Health & Rehab Center, LLC been fined?
Yes. CMS lists 1 fine totaling $78,455 in the last three years.
Does Colonial Health & Rehab Center, LLC 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 Colonial Health & Rehab Center, LLC?
CMS lists 30 owners and managers, and links the home to Saber Healthcare Group. Legal business name: COLONIAL HEALTH & REHAB CENTER, LLC.

Sources

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