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Culpeper Health & Rehabilitation Center

602 Madison Road, Culpeper, VA 22701 · Culpeper County · (540) 825-2884

180 certified beds, about 171 residents a day · For profit - Corporation · Medicare and Medicaid since 1993

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495279 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 10, 2024, inspectors cited 23 health deficiencies (the Virginia average is 14.3, the national average 9.2).

Of 52 health citations since May 2021, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $16,298 in the last three years; the largest was $16,298, and the latest is dated July 10, 2024.

Nurses and nurse aides worked 3.34 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.29 of those hours.

59.2% of nursing staff left within the year CMS measured (Virginia average 48.1%).

CMS links it to Lifeworks Rehab, an affiliated group of 64 nursing homes.

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 52 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
34D
15E
0F
Potential for minimal harm
0A
0B
2C
July 29, 2025Complaint inspection · 5 citations
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 23, 2025
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, it was determined the facility staff failed to ensure three of five residents were free from verbal abuse, Residents #3, #4 and #5.
  2. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 23, 2025
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined the facility staff failed to review and revise the comprehensive care plan for three of five residents in the survey sample, Residents #3, #4, and #5.
  3. E
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F745 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 23, 2025
    Inspectors wroteBased on resident interview, facility document review and clinical record review, it was determined the facility staff failed to provided medical related social services for three of five residents in the survey sample, Residents #3, #4 and #5.
  4. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 23, 2025
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to maintain a complete and accurate clinical record for three of five residents, Resident #3, #4, and #5.
  5. 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 · found on a complaint visit · Corrected (the home has a date of correction) September 23, 2025
    Inspectors wroteBased on resident interview, staff interview, and facility document review, it was determined that the facility staff failed to treat one of five residents in the survey sample, in a dignified manner, Resident #3.
March 13, 2025Complaint inspection · 2 citations
  1. E
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on staff interview and facility document review, it was determined the facility staff failed to completely document grievances and failed to document the resolution of the grievances.
  2. D
    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
    F573 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on family interview, staff interview, and clinical record review, it was determined the facility staff failed to release the medical records for one of three residents in the survey sample, in a timely manner, Resident #1.
July 10, 2024Standard inspection, Complaint inspection · 23 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wrote3. For Resident #97 (R97), the facility staff failed to provide supervision for safe LOA (leave of absence). On 7/9/24 at 10:08 a.m., R97 was interviewed. He stated that he leaves the premises and walks across the street to the store about once a week by himself. He also stated that he lets the front desk, and the nurses know before leaving, but staff do not supervise his trips. He stated that he should be using his cane to walk, but he does not. On 7/9/24 at 5:50 PM, R97 was observed walking over to Walgreens without a cane. He looked both ways on his way to Walgreens while crossing Sunset Lane. He was observed crossing 4 lanes of traffic across the street with no staff supervision. He walked with a shuffling gait. Upon his return to the facility, he was observed crossing the same 4 lanes of traffic with no staff supervision and did not look for oncoming traffic. [...]
  2. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on staff interview and facility document review, the facility staff failed to respond to resident council concerns for two of three resident council meetings reviewed, the May 2024 and June 2024 meetings.
  3. E
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to notify the physician of a change in condition and possible need to alter treatment for one of 50 residents in the survey sample, Resident #106.
  4. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wrote4. For Resident #32 (R32), Resident #34 (R34), and Resident #104 (R104), the facility staff failed to serve lunch in a homelike manner on 7/8/24. Staff left meal trays and plate lids sitting on the tables during the meal. On R32's most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 6/27/24, the resident scored 14 out of 15 on the BIMS (brief interview for mental status), indicating the resident was cognitively intact for making daily decisions. On R34's most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 5/29/24, the resident scored 15 out of 15 on the BIMS (brief interview for mental status), indicating the resident was cognitively intact for making daily decisions. [...]
  5. 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) August 20, 2024
    Inspectors wrote4. For Resident #86, the facility staff failed to implement the care plan for pressure injury (1) care. The comprehensive care plan dated, 3/1/24, documented in part, Focus: Skin Impairment: The resident has a skin impairment: R/L (right/left) groin necrotizing fasciitis post-surgical, R/L ABD (abdominal) rash, L axilla hidradenitis, L/R scrotum hidradenitis, R lateral groin post-surgical necrotizing fasciitis, L groin post-surgical necrotizing fasciitis, sacrum pressure. The Interventions documented in part, Notify MD (medical doctor) as indicated. Observe area for signs of improvement or decline. Treatment as ordered. The wound care nurse practitioner note dated 5/20/24 documented in part, Sacrum scar tissue. The wound care physician notes dated, 5/31/24, documented in part, Sacrum - stage 2 (2) measuring approximately 1x1x 0.1 cm (centimeters) in size. [...]
  6. E
    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, pattern · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to provide care and services to promote or maintain the highest level of well being for two of 50 residents in the survey sample; Residents #269 and #151.
  7. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to prevent one of 50 residents in the survey sample, Resident #269, from a significant medication error.
  8. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on observations, staff interview, and facility document review, it was determined that the facility staff failed to maintain one of one kitchen in a safe and sanitary manner.
  9. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 8, 2024
    Inspectors wroteBased on staff interview, resident interview, clinical record review and facility document review, it was determined the facility staff failed to implement infection control practices for four of four residents in medication administration and one of one infection control program, Residents #45, #25, #132, #118 and the facility.
  10. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 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 maintain the call bell in a position accessible to the resident for two of 50 residents in the survey sample, Resident #89 and Resident #13.
  11. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined the facility staff failed to implement the baseline care plan for one of 50 residents in the survey sample, Residents #470.
  12. 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) August 20, 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 review and revise the comprehensive care plan to reflect the residents current status for two of 50 residents in the survey sample; Resident #148 and #120.
  13. 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 · found on a complaint visit · Corrected (the home has a date of correction) August 20, 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 provide ADL (activities of daily living) care for dependent residents for three of 50 residents in the survey sample, Residents #90, #89 and #151.
  14. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to assess and monitor a pressure injury for one of 50 residents in the survey sample, Resident #86.
  15. 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) August 20, 2024
    Inspectors wroteBased on observation, staff interview and clinical record review, facility staff failed to provide toenail care for one of 50 residents, Resident #56 (R56).
  16. 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) August 20, 2024
    Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to apply splints for one of 50 residents, Resident #56.
  17. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 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 maintain a urinary catheter bag in a sanitary manner for one of 50 residents in the survey sample, Resident #89.
  18. 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) August 20, 2024
    Inspectors wroteBased on observation, staff interivew, facility document review and clinical record review, it was determined the facility staff failed to provide respiratory services for two of 50 residents in the survey sample, Residents #56 and #13.
  19. 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) August 20, 2024
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to act on a pharmacy recommendation for one of 50 residents in the survey sample, Resident #79.
  20. 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) August 20, 2024
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure a resident was free from an unnecessary psychotropic medication for one of 50 residents in the survey sample, Resident #79.
  21. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on observation, staff interview and facility document review it was determined facility staff failed to secure Medications in a safe and secure manner according to professional standards for two of 50 residents, Resident #32 and Resident #159.
  22. D
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    F909 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined the facility staff failed to perform a bed inspection for two of 50 residents in the survey sample, Residents #86 and #124.
  23. D
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    F944 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on staff interview and facility document review, it was determined that the facility staff failed to ensure QAPI (quality assurance and performance improvement) program training was completed for one of five employees reviewed, OSM (other staff member) #5.
September 15, 2022Standard inspection · 14 citations
  1. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 19, 2022
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to provide care and service for a complete dialysis program for one of 55 residents in the survey sample, Residents #87 (R87).
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 19, 2022
    Inspectors wroteBased on observation, staff interview, and facility document review it was determined facility staff failed to store food in a sanitary manner in one of one facility kitchens. 1. The facility staff failed to seal one 13.9 ounce package of dry gravy mix in one of one dry food storage rooms. 2. The facility staff failed to close a box containing one frozen pie and seal a package of frozen cookie dough in one of one walk-in freezers.
  3. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2022
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to determine if a resident had an Advance Directive for one of 55 residents in the survey sample, Resident #110 (R110).
  4. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2022
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to respect the resident's right to privacy for one of 55 residents, Resident #467.
  5. D
    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, isolated · Corrected (the home has a date of correction) October 19, 2022
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to implement the comprehensive care plan for 2 of 55 residents in the survey sample; Residents #146 and #82.
  6. 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 19, 2022
    Inspectors wroteBased on staff interview, clinical record review and in the course of a complaint investigation, the facility staff failed to provide care and services to maintain a resident's highest level of well-being for one of 55 residents in the survey sample, Resident #367. The facility staff failed to ensure Resident #367's (R367) high white blood cell count (1) result was addressed by the nurse practitioner on 7/8/22.
  7. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2022
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to provide treatment to a pressure ulcer in a sanitary manner for one of 55 residents in the survey sample, Resident #107 (R107). For R107, the nurse providing wound care failed to wash/sanitize hands between glove changes (between dirty and clean parts of the procedure).
  8. 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 19, 2022
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to implement interventions to prevent accidents and hazards for one of 55 residents in the survey sample; Resident #146.
  9. 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 19, 2022
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to provide respiratory care and services per the plan of care for one of 55 residents in the survey sample, Resident #82. For Resident #82 (R82), the facility staff failed to administer to oxygen at the physician prescribed rate of 3 liters per minute.
  10. D
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    F710 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2022
    Inspectors wroteBased on staff interview, clinical record review and in the course of a complaint investigation, the facility staff failed to ensure the nurse practitioner and/or physician supervised the residents care for one of 55 residents in the survey sample, Resident #367. The covering nurse practitioner failed to address Resident #367's (R367) reported high white blood cell count (1) on 7/8/22 when reported by the laboratory.
  11. 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) October 19, 2022
    Inspectors wrote2. For R107, the nurse providing wound care failed to follow infection control procedures related to washing/sanitizing hands between glove changes (between dirty and clean parts of the procedure). On the most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 8/5/22, R107 was coded as being in a persistent vegetative state. R107 was coded as having no pressure ulcers during the look back period. On 9/14/22 at 10:59 a.m., RN (registered nurse) #3 was observed as she provided wound care to R107. RN #3 removed the old dressing from the top of R107's right foot wound. RN#3 cleansed the wound with wound cleanser, and wiped the wound with dry gauze. RN #3 threw the soiled gauze in the trash can, removed her dirty gloves and put on a clean pair of gloves. [...]
  12. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2022
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to determine and document the pneumococcal vaccination status for two of five residents in the infection control review, Residents #128 and #218.
  13. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2022
    Inspectors wrote2. The facility staff failed to maintain a functioning call bell system for Resident #217 (R217). There was no MDS (minimum data set) assessment completed at the time of survey. The Admission/readmission Nursing Collection Tool dated 9/6/2022, documented in part, R217 was cognitively intact. During the resident interview on 9/13/2022 at approximately 11:30 a.m. R217 stated it takes a long time for the staff to answer the call bell. Observation was made of the call bell on 9/13/2022 at approximately 1:30 p.m. The call bell was turned on by one surveyor. The other surveyor observed that the call light outside the room did not turn on. An interview was conducted with LPN (licensed practical nurse) #8 on 9/13/2022 at 1:49 p.m. When asked if a resident's call bell is not working, how does the staff know when the need assistance, LPN #8 stated they make constant rounds. [...]
  14. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) October 19, 2022
    Inspectors wroteBased on observation and staff interview, it was determined that the facility staff failed to post daily nurse staffing information before the shift. On 09/13/2022 and 09/14/2022 the facility staff failed to post the nurse staffing prior to the beginning of the shift.
May 19, 2021Standard inspection · 8 citations
  1. 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) June 8, 2021
    Inspectors wroteBased on observation, staff interview and clinical record review, it was determined that facility staff failed to promote resident's dignity for three of 33 current residents in the survey sample, Resident's # 26, #141 and #108. The facility staff were observed standing while feeding Resident #26 and Resident #141. The facility staff failed to provide privacy for Resident # 108's catheter collection bag [1].
  2. D
    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, isolated · Corrected (the home has a date of correction) June 8, 2021
    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 the use of TED hose for one of 33 residents in the survey sample, Resident #42.
  3. 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) June 8, 2021
    Inspectors wroteBased on observation, staff interview and clinical record review it was determined that the facility staff failed to follow professional standards of practice for one of nine residents in the medication administration observation, Resident #30. The facility staff failed to follow medication administration standards of practice during the administration of a Dulera Aerosol inhaler to Resident #30 on 5/17/2021.
  4. 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) June 8, 2021
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility document review it was determined that the facility staff failed to follow the physician's order for the use of TED hose for one of 33 residents in the survey sample, Resident #42.
  5. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 8, 2021
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide care and services for a catheter bag for one of 33 residents in the survey sample, Resident #142. Multiple observations of Resident #142 revealed the attached leg bag above the level of the nephrostomy (1) site it was connected to.
  6. 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) June 8, 2021
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to consistent with professional standards of practice, the comprehensive person-centered care plan for two of 33 residents in the survey sample, Residents #38 and #42. 1. The facility staff failed to maintain an Ambu bag [1] at Resident # 38's bed side according to physician's orders. 2. The facility staff failed to store a nebulizer (1) in a sanitary manner for Resident #42.
  7. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 8, 2021
    Inspectors wroteBased on observation, resident interview, staff interview and facility document review, it was determined that the facility staff failed to maintain a functional call system for two of 33 residents in the survey sample, Resident #46 and Resident #66. Resident #46 and Resident #66 shared a room with a broken call bell and had no alternate means to call staff when the call bell was not working.
  8. C
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) June 8, 2021
    Inspectors wroteBased on observation, staff interview, and facility document review, it was determined that the facility staff failed to dispose of trash in a sanitary manner in one of three rolling linen carts positioned outside the kitchen door. The rolling linen cart was open to air, and contained standing water and several bags of trash. One of the bags contained soiled linens which were covered in green mold like appearing substance.

Fire safety inspections

11 fire safety citations on file: 5 on July 10, 2024, 4 on September 15, 2022, 2 on May 19, 2021.

Every fire safety citation11 citations
  1. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · July 10, 2024 · Corrected (the home has a date of correction)
  2. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 10, 2024 · Corrected (the home has a date of correction)
  3. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 10, 2024 · Corrected (the home has a date of correction)
  4. D
    Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
    K 791 · July 10, 2024 · Corrected (the home has a date of correction)
  5. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · July 10, 2024 · Corrected (the home has a date of correction)
  6. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · September 15, 2022 · Corrected (the home has a date of correction)
  7. E
    Provide properly protected cooking facilities.
    K 324 · September 15, 2022 · Corrected (the home has a date of correction)
  8. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 15, 2022 · Corrected (the home has a date of correction)
  9. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 15, 2022 · Corrected (the home has a date of correction)
  10. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · May 19, 2021 · Corrected (the home has a date of correction)
  11. D
    Have proper power supply for life support equipment.
    K 915 · May 19, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
July 10, 2024Fine $16,298

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)3.343.763.86
Registered nurses0.290.690.69
All nursing staff on weekends3.123.293.42
Nurse aides1.88
Licensed practical nurses1.17
Nursing staff turnover (share who left in a year)59.2%48.1%45.8%
Registered nurse turnover50.0%48.2%42.9%
Administrators who left0

CMS expects 4.60 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 3.43 on weekdays and 3.12 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 26.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.27 in April to June 2025 to 3.34 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.340.293.433.12 26.0%0 of 90171
Oct to Dec 20253.360.283.483.04 30.9%0 of 92171
Jul to Sep 20253.350.253.483.01 31.4%0 of 92171
Apr to Jun 20253.270.253.402.94 33.7%0 of 91169
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. If you work here, your report helps start one.

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.

Work here? Share your pay anonymously

For Culpeper Health & Rehabilitation Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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
4.314.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.11.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.23.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.91.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.215.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.14.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.914.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.622.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.311.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Culpeper Health & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

49.0% this home

No different from the national rate

US median of homes 51.5% · Virginia: 101 better, 22 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 272 eligible stays.

Potentially preventable readmissions

10.8% this home

No different from the national rate

US median of homes 10.7% · Virginia: 1 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 250 eligible stays.

Infections that led to a hospital stay

6.5% this home

No different from the national rate

US median of homes 7.1% · Virginia: 2 better, 8 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 159 eligible stays.

Self-care and mobility at discharge

77.3% this home

Median of homes: Virginia60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 88 residents counted.

Falls with major injury

2.8% this home

Median of homes: Virginia0.7% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 141 residents counted.

New or worsened pressure ulcers

0.6% this home

Median of homes: Virginia2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 141 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Virginia97.8% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 18 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: CULPEPER CARE CENTER LLC. CMS links this home to Lifeworks Rehab, a group of 64 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Culpeper Holdings LLC5% or greater direct ownership interestOrganization05/28/2021
Ak 2003 Family Trust5% or greater indirect ownership interestOrganization05/28/2021
Al 2003 Family Trust5% or greater indirect ownership interestOrganization05/28/2021
Charles 1994 Family Grantor Trust5% or greater indirect ownership interestOrganization05/28/2021
Edward 1998 Family Grantor Trust5% or greater indirect ownership interestOrganization05/28/2021
Matt 2002 LLC5% or greater indirect ownership interestOrganization05/28/2021
Mrcz Central LLC5% or greater indirect ownership interestOrganization05/28/2021
Nathan 5604 & Family LLC5% or greater indirect ownership interestOrganization05/28/2021
Nathan 5604 LLC5% or greater indirect ownership interestOrganization05/28/2021
Pivotal Central LLC5% or greater indirect ownership interestOrganization05/28/2021
Sas 1998 Family Trust5% or greater indirect ownership interestOrganization05/28/2021
Saul 2012 Family Grantor Trust5% or greater indirect ownership interestOrganization05/28/2021
Silverstone East LLC5% or greater indirect ownership interestOrganization05/28/2021
Morrison, CandyW-2 managing employeeIndividual05/28/2021
Rybst Central Manager LLCOperational/managerial controlOrganization05/28/2021

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

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 July 29, 2025: "Provide medically-related social services to help each resident achieve the highest possible quality of life."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 10 problems in this area, most recently on July 29, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on July 29, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on July 10, 2024: "Ensure that residents are free from significant medication errors."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.12 hours per resident per day, below the Virginia average of 3.29.

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Common questions

What is Culpeper Health & Rehabilitation Center's Medicare star rating?
CMS rates Culpeper Health & Rehabilitation Center 2 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Culpeper Health & Rehabilitation Center get at its last inspection?
23 health deficiencies at the standard inspection on July 10, 2024. The Virginia average is 14.3.
Has Culpeper Health & Rehabilitation Center been fined?
Yes. CMS lists 1 fine totaling $16,298 in the last three years.
Does Culpeper Health & Rehabilitation 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 Culpeper Health & Rehabilitation Center?
CMS lists 15 owners and managers, and links the home to Lifeworks Rehab. Legal business name: CULPEPER CARE CENTER LLC.

Sources

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