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Fredericksburg Health and Rehab

3900 Plank Road, Fredericksburg, VA 22407 · Spotsylvania County · (540) 786-8351

177 certified beds, about 147 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495240 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 26, 2023, inspectors cited 17 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 46 health citations since April 2021 was rated as actual harm or immediate jeopardy.

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

Nurses and nurse aides worked 3.58 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

CMS links it to Trio Healthcare, an affiliated group of 9 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 46 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
35D
11E
0F
Potential for minimal harm
0A
0B
0C
May 6, 2026Complaint inspection · 1 citation
  1. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · 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) May 25, 2026
    Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to promote dignity for one of 4 residents in the survey sample, Resident #1.
February 5, 2026Complaint inspection · 2 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to implement the baseline care plan for one of six residents in the survey sample, Resident #3.
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to provide respiratory care and services for two of six residents in the survey sample, Residents #2, and #3.
July 2, 2024Complaint inspection · 4 citations
  1. 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 · 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 implement the comprehensive care plan for the treatment of pain for one of 13 residents in the survey sample, Resident #3.
  2. 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 · 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 follow professional standards of practice for the administration of medications for one of 13 residents in the survey sample, Resident #3.
  3. 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 · found on a complaint visit · 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 provide the care and services to prevent pressure wounds for one of 13 residents in the survey sample, Resident #4.
  4. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · 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 manage pain for one of 13 residents in the survey sample, Resident #3.
January 17, 2024Complaint inspection · 1 citation
  1. 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) February 16, 2024
    Inspectors wroteBased on observation, staff interview, and facility document review, it was determined the facility staff failed to store medications in a secure location.
October 26, 2023Standard inspection, Complaint inspection · 17 citations
  1. 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) November 21, 2023
    Inspectors wroteBased on observations, staff /resident interviews and facility document review, it was determined the facility staff failed to develop/implement the care plan for four of 39 residents in the survey sample, Resident #130, Resident #6, Resident #79 and Resident #61.
  2. E
    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
    F741 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 21, 2023
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide trauma informed care education for five of five staff reviewed.
  3. 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) November 21, 2023
    Inspectors wroteBased on observation, staff interview and facility document review, it was determined that the facility staff failed to store and serve food in a sanitary manner in one of one kitchen.
  4. D
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · 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) November 21, 2023
    Inspectors wroteBased on a review of facility's documentation and staff interview, it was determined that the facility failed to convey personal funds in a timely manner for one of 39 residents in the sample, Resident #438.
  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) November 21, 2023
    Inspectors wroteBased on observation, staff interview and clinical record review, it was determined that the facility staff failed to maintain a clean, comfortable and homelike environment for one of 39 residents in the survey sample; Resident #125.
  6. 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) November 21, 2023
    Inspectors wroteBased on 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 one out of 39 residents in the survey sample, Residents #135.
  7. 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) November 21, 2023
    Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to review and revise the care plan for one of 39 residents in the survey sample, Resident #79.
  8. 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 · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2023
    Inspectors wroteBased on resident interview, staff interview and clinical record review, the facility staff failed to follow professional standards of practice for one of 39 residents in the survey sample, Resident #89.
  9. 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) November 21, 2023
    Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to follow a physician's order for one of 39 residents in the survey sample, Resident #79.
  10. 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) November 21, 2023
    Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to implement interventions to prevent a decline in mobility for two of 39 residents in the survey sample, Residents #79 and #6.
  11. 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 · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2023
    Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to provide safe supervision for one of 39 residents in the sample, Resident #106.
  12. 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) November 21, 2023
    Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to provide respiratory services in a sanitary manner for one of 39 residents in the survey sample, Resident #138.
  13. D
    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, isolated · Corrected (the home has a date of correction) November 21, 2023
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to evidence communication with the dialysis center for each dialysis visit for one of 39 residents in the survey sample; Resident #61.
  14. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2023
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide trauma informed care for 1 of 39 residents in the sample Resident #130.
  15. 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) November 21, 2023
    Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to provide physician oversight of a resident's care for one of 39 residents in the survey sample, Resident #79
  16. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2023
    Inspectors wroteBased on observation, resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to provide medically related social services for two of 39 residents in the survey sample, Residents #106 and #130.
  17. D
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2023
    Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to provide therapy services to prevent further decline in mobility for one of 39 residents in the survey sample, Resident #79.
August 31, 2022Standard inspection · 12 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) September 28, 2022
    Inspectors wroteBased on staff interview, clinical record review, facility document review, and in the course of a complaint investigation, it was determined the facility staff failed to provide evidence that all required information was provided to the hospital staff when five out of 47 residents in the survey sample were transferred to the hospital; Residents #56, #94, #90, #16 and #116.
  2. 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) September 28, 2022
    Inspectors wroteBased on staff interview, clinical record review, facility document review and in the course of a complaint investigation, it was determined the facility staff failed to provide evidence of written RP (responsible party) and/or ombudsman notification when six out of 47 residents in the survey sample were transferred to the hospital; Residents #56, #94, #90, #34, #16 and #116.
  3. 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) September 28, 2022
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide evidence that bed hold notification was provided when four out of 47 residents in the survey sample were transferred to the hospital; Residents #56, #94, #90 and #34.
  4. 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) September 28, 2022
    Inspectors wroteBased on observation, staff interview, and facility document review it was determined the facility staff failed to have a repair person present in the kitchen wear protective hair guard; store food properly in the walk-in refrigerator; dry dishware in a sanitary manner; store a scoop used for dry goods properly; and store food in one of two nourishment room refrigerators in accordance with professional standards for food service safety.
  5. E
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2022
    Inspectors wroteBased on staff interview and facility document review it was determined that the facility staff failed to evidence annual abuse, neglect and dementia training for five out of five CNAs (certified nursing assistants) reviewed who were employed for at least one year.
  6. D
    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
    F563 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2022
    Inspectors wroteBased on staff interview, facility document review, clinical record review, and in the course of a complaint investigation, it was determined that the facility staff failed to honor a resident's rights to visitation for 1 of 47 residents in the survey sample; Resident #701. The facility staff denied Resident #701 family visitation on Christmas Day 2021.
  7. 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) September 28, 2022
    Inspectors wroteBased on resident interview, staff interview, clinical record review, facility document review and in the course of a complaint investigation, it was determined that the facility staff failed to protect two of 47 residents in the survey sample from abuse, Residents #32 (R32) and (R317).
  8. 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) September 28, 2022
    Inspectors wroteBased on staff interview and clinical record review it was determined that the facility staff failed to maintain an accurate MDS (minimum data set) assessment for two of 47 residents in the survey sample, Resident #116 and Resident #31.
  9. 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) September 28, 2022
    Inspectors wroteBased on staff interview, resident interview, clinical record review and facility document review, it was determined the facility staff failed to implement the care plan for one of 47 residents in the survey sample, Resident #30.
  10. 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) September 28, 2022
    Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, it was determined facility staff failed to follow professional standards of practice during medication administration for one of five residents observed during the medication administration observation, Resident #83.
  11. 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) September 28, 2022
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to provide respiratory care and services according to professional standards for one of 47 residents in the survey sample, Resident #316. The facility staff failed to obtain a physician's order for Resident #316's (R316) use of oxygen.
  12. D
    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, isolated · Corrected (the home has a date of correction) September 28, 2022
    Inspectors wroteBased on staff interview, resident interview, clinical record review, and facility document review, it was determined the facility staff failed to provide dialysis care and services for one of 47 residents in the survey sample, Resident #30.
April 16, 2021Standard inspection · 9 citations
  1. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 18, 2021
    Inspectors wroteBased on staff interview and employee record review it was determined that the facility staff failed to ensure that received annual performance reviews for 10 of 10 CNA [certified nursing assistant] records reviewed.
  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) May 18, 2021
    Inspectors wroteBased on observations, staff interview, and facility document review, it was determined that the facility staff failed to maintain the kitchen in a sanitary manner. The facility staff failed to store food in closed containers during the facility task- kitchen observation on 4/13/21 at 11:10 AM.
  3. 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) May 18, 2021
    Inspectors wroteBased on observation, staff interview and clinical record review, it was determined that the facility staff failed to serve lunch in a manner to promote resident dignity for one of 24 current residents in the survey sample, (Resident # 9). CNA [certified nursing assistant] # 3 was observed standing next to the bed while feeding Resident # 9 the lunch meal.
  4. 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) May 18, 2021
    Inspectors wroteBased on observation, staff interview and facility document review it was determined the facility staff failed to ensure services provided or arranged by the facility were in accordance with professional standards of quality for one of five residents in the medication administration observation, (Residents #52). The facility staff failed to administer a generic Symbacort inhaler per the manufacturer's instructions for Resident #52.
  5. 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) May 18, 2021
    Inspectors wroteBased on observations, staff interview, and facility document review, it was determined that the facility staff failed to provide oxygen therapy in a sanitary manner for one of 24 residents, (Resident #46). Resident #46's nasal cannula oxygen tubing was observed wrapped around the oxygen tank with the nasal cannula portion on the floor.
  6. 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) May 18, 2021
    Inspectors wroteBased on observation and staff interview, it was determined that the facility staff failed to post daily nurse staffing information. On 04/13/2021 the facility staff failed to post the daily nurse staffing information.
  7. 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) May 18, 2021
    Inspectors wroteBased on observation, staff interview and facility document review, it was determined that the facility staff failed to label and store medications according to professional standards in one of three observed medication room refrigerators, (Wing 2 [NAME] medication refrigerator). The facility staff failed to label an open date on a opened multidose vial of Afluria Quadrivalent Influenza Vaccine and failed to label an open date on a opened multidose vial of Tuberculin Purified Protein Derivative, in the Wing 2 [NAME] medication refrigerator.
  8. D
    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, isolated · Corrected (the home has a date of correction) May 18, 2021
    Inspectors wroteBased on observation, staff interview and clinical record review, it was determined that facility staff failed to serve for the lunch meal at a palatable temperature for one of 24 current residents in the survey sample, (Resident # 9). Resident # 9's lunch sat in their room for thirty-three minutes and was not reheated by staff before the meal was fed to the resident. OSM [other staff member] # 6, regional director for dietary services stated that the resident's (Resident #9's) food would have been cold.
  9. 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) May 18, 2021
    Inspectors wroteBased on observation, staff interview, and facility document review, it was determined the facility staff failed to maintain infection control practice during the medication administration observation for one of five residents in the medication administration observation, (Resident # 57). During the medication pass observation LPN (licensed practical nurse) #8 dropped a pill on the top of her medication cart, picked the pill up with her bare hands placed it in the cup with the other medications and administered the pill to Resident 57.

Fire safety inspections

11 fire safety citations on file: 3 on October 26, 2023, 5 on August 31, 2022, 3 on April 16, 2021.

Every fire safety citation11 citations
  1. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · October 26, 2023 · Corrected (the home has a date of correction)
  2. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · October 26, 2023 · Corrected (the home has a date of correction)
  3. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · October 26, 2023 · Corrected (the home has a date of correction)
  4. E
    Establish staff and initial training requirements.
    E 37 · August 31, 2022 · Corrected (the home has a date of correction)
  5. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · August 31, 2022 · Corrected (the home has a date of correction)
  6. D
    Install proper backup exit lighting.
    K 281 · August 31, 2022 · Corrected (the home has a date of correction)
  7. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 31, 2022 · Corrected (the home has a date of correction)
  8. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 31, 2022 · Corrected (the home has a date of correction)
  9. D
    Have properly located and lighted "Exit" signs.
    K 293 · April 16, 2021 · Corrected (the home has a date of correction)
  10. D
    Install corridor and hallway doors that block smoke.
    K 363 · April 16, 2021 · Corrected (the home has a date of correction)
  11. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · April 16, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

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

Staffing

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

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)3.583.763.86
Registered nurses0.490.690.69
All nursing staff on weekends3.223.293.42
Nurse aides2.07
Licensed practical nurses1.02
Nursing staff turnover (share who left in a year)not reported48.1%45.8%
Registered nurse turnovernot reported48.2%42.9%
Administrators who left1

CMS expects 4.17 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 3.73 on weekdays and 3.22 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.34 in April to June 2025 to 3.58 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.580.493.733.22 0.3%0 of 90147
Oct to Dec 20253.160.443.252.91 0.2%0 of 92146
Jul to Sep 20253.410.453.563.03 1.0%0 of 92142
Apr to Jun 20253.340.413.532.85 0.1%0 of 91142
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
42.714.813.9
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
0.81.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.13.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.11.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
36.415.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.44.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.114.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
15.122.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.511.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.81.51.8

Owners and operators

Legal business name: GL VIRGINIA FREDERICKSBURG LLC. CMS links this home to Trio Healthcare, a group of 9 nursing homes averaging 1.6 stars overall.

NameRoleTypeShareSince
Gl Virginia Holdings LLC5% or greater direct ownership interestOrganization100%12/16/2016
Trio Health Care - East, LLC5% or greater indirect ownership interestOrganization05/24/2019
Trio Healthcare Investors LLC5% or greater indirect ownership interestOrganization12/16/2016
Trio Healthcare LLC5% or greater indirect ownership interestOrganization12/10/2019
Gentry, Boyd5% or greater indirect ownership interestIndividual12/16/2016
Rubenstein, David5% or greater indirect ownership interestIndividual12/16/2016
Mitchell, PamelaW-2 managing employeeIndividual01/17/2024
Gentry, BoydCorporate officerIndividual12/16/2016
Rubenstein, DavidCorporate officerIndividual12/16/2016

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 15 problems in this area, most recently on February 5, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 11 problems in this area, most recently on February 5, 2026: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on May 6, 2026: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on October 26, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.22 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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Virginia contacts for a concern about a nursing home

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Common questions

What is Fredericksburg Health and Rehab's Medicare star rating?
CMS rates Fredericksburg Health and Rehab 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Fredericksburg Health and Rehab get at its last inspection?
17 health deficiencies at the standard inspection on October 26, 2023. The Virginia average is 14.3.
Has Fredericksburg Health and Rehab been fined?
CMS lists no fines in the last three years.
Does Fredericksburg Health and Rehab 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 Fredericksburg Health and Rehab?
CMS lists 9 owners and managers, and links the home to Trio Healthcare. Legal business name: GL VIRGINIA FREDERICKSBURG LLC.

Sources

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