Gainesville Health and Rehab Center
7501 Heritage Village Plaza, Gainesville, VA 20155 · Prince William County · (571) 248-6100
120 certified beds, about 113 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2006
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495388 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 1, 2023, inspectors cited 14 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 46 health citations since January 2020 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 3.57 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.
36.4% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Commonwealth Care of Roanoke, an affiliated group of 12 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1401/20
1809/21
1403/23
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
32D
12E
0F
Potential for minimal harm
0A
1B
1C
March 1, 2023Standard inspection · 14 citations
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, staff interview, clinical record review, it was determined that the facility staff failed to develop and/or implement the comprehensive care plan for four of 46 residents in the survey sample, Resident #15, Resident #11, Resident #80 and Resident #67.
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on staff interview, resident interview, clinical record review and facility document review, it was determined the facility staff failed to provide complete dialysis care and services per the comprehensive plan of care for two of 46 residents in the survey sample, Resident #67 and Resident #71.
- E Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to provide rehabilitation services for one of 46 residents in the survey sample, Resident #261.
- E 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.
Inspectors wroteBased on staff interview and facility document review, it was determined the facility staff failed to have a written dialysis agreement for the facility for two of two residents who utilized the dialysis center, Resident #67 and Resident #71.
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview, facility document review and clinical record review it was determined the facility staff failed to maintain an complete and accurate clinical record for three of 46 residents in the survey sample, Residents #105, #162, and #261.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to conduct a periodic review of an advance directive for one of 46 residents in the survey sample, Resident # 80 (R80).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, it was determined the facility staff failed to conduct an accurate MDS (minimum data set) assessment for two out of 46 residents in the survey sample, Residents #67 and #110.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined the facility staff failed to revise the comprehensive care plan for one of 46 residents on the survey sample, Resident #165 (R165).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined the facility staff failed to follow professional standards of practice for medication administration and monitoring, for one of 46 residents in the survey sample, Resident #163.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, staff interview, clinical record review, it was determined that the facility staff failed to implement fall interventions for one of 46 residents in the survey sample, Resident #15.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that facility staff failed to provide respiratory care and services for one of 46 residents in the survey sample, Resident #11.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on resident interview, clinical record review, staff interview and facility document review it was determined that the facility staff failed to provide a complete pain management program including implementation of non-pharmacological interventions prior to the administration of as needed pain medications for one of 46 residents in the survey sample, Resident #58.
- 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.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined the facility staff failed to follow the assessment for the use of side rails for one of 46 residents in the survey sample, Resident #165.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on resident interview, clinical record review, staff interview and facility document review, it was determined the facility staff failed to store medications in a secure manner for one of 46 residents in the survey sample, Resident #71.
September 16, 2021Standard inspection · 18 citations
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to develop and/or implement the comprehensive care plan for three of 31 residents in the survey sample, Resident's # 35, #10, and #32. The facility staff failed to develop Resident # 35's comprehensive care plan to address the care needs and diagnosis of epilepsy; failed to implement the comprehensive care plan for Resident # 10's physician ordered fluid restriction and failed to implement Resident #2's comprehensive care plan, for the use of non-pharmacological interventions prior to the administration of as needed pain medication.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to review and revise the care plan for three of 31 residents in the survey sample, Residents #64, #297, and #63. 1. The facility staff failed to revise the comprehensive care plans for Residents #64 and #297 following a resident to resident incident between them on 5/8/21. 2. The facility staff failed to revise Resident #63's care plan when he began taking an antidepressant medication.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 to promote a safe environment for three of 31 residents in the survey sample, Residents #64, #297, and #35. 1. Resident #64 was repeatedly allowed to leave the facility unsupervised without being assessed for safety to do so, and without being educated by the facility regarding the risks of suffering a serious injury while out of the facility without supervision. On 5/8/21, Resident #64 rammed his wheelchair into Resident #297's wheelchair multiple times while Resident #297 was seated in her wheelchair. The facility failed to assess Resident #297 for injury, and failed to implement interventions to ensure a safe environment and the safety of Resident #297. [...]
- E Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to have a complete pain management program for two of 31 residents in the survey sample, Resident #32 and Resident #63. 1. The facility staff failed to offer non-pharmacological interventions prior to the administration of an as needed pain medication and failed to document the location of Resident #32's pain. 2. The facility staff failed to document the location of Resident #63's pain on multiple occasions in September 2021 when administering an as-needed pain medication to him.
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide care and service for a complete dialysis [1] program for two of 31 residents in the survey sample, Residents # 10 and Resident #33. The facility staff failed to ensure ongoing communication regarding Resident #10 and Resident #33's care with the residents' dialysis centers.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, staff interview, resident interview and clinical record review, it was determined that the facility staff failed to provide accommodations of resident needs by ensuring the call bell [a device with a button that can be pushed to alert staff when assistance is needed] was within reach for one of 31 current residents in the survey sample, Resident # 70. The facility staff failed to maintain Resident # 70's call bell within reach for use.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on staff interview, facility document review and clinical record review it was determined the facility staff failed to issue a notice of discharge from Medicare services for three of 31 residents in the survey sample, Residents # 91, #145, #146.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to ensure a witnessed allegation of abuse was reported immediately and or within 2 hours to the state agency for one of 31 residents in the survey sample, Resident #297. On 5/8/21, a staff member observed Resident #64 repeatedly slamming his wheelchair into Resident #297's wheelchair. The facility did not report this incident to the state agency.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to ensure written notification of a hospital transfer was provided to the Ombudsman for one of 31 residents in the survey sample, Resident #58. The facility staff failed to provide notice to the ombudsman of Resident #58's transfer to the hospital on 8/22/21.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, staff interview and facility document review, it was determined the facility staff failed to ensure physician ordered fluid restrictions were implemented and monitored per physicians orders for two of 31 residents in the survey sample, Resident # 10 and #33. The facility staff failed to ensure physician ordered fluid restrictions for Resident #10 and #33 were implemented and monitored to ensure the physician amount of fluids were provided.
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on staff interview and facility document review, it was determined that the facility staff failed to ensure that two of five CNA [certified nursing assistant] records reviewed had received required annual competencies, CNA #1 and #2. The facility failed to evidence completed competencies for CNA [certified nursing assistants] # 1 with a hire date of 06/26/2018 and CNA # 2 with a hire date of 05/16/2017.
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to provide behavioral health services for one of 31 residents in the survey sample, Resident #64. The facility staff failed to evidence that behavioral health services were offered to Resident #64 between 5/14/21 and 8/15/21.
- 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.
Inspectors wroteBased on observation, staff interview, and facility document review, it was determined the facility staff failed to ensure proper labeling and storage of drugs in one of three medication carts observed, medication cart on the Fairview unit. An unlabeled Ventolin inhaler without the box packaging was observed stored, available for resident use in the middle drawer of the Fairview unit.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, staff interview, resident interview, facility document review, and in the course of a complaint investigation, it was determined that the facility staff failed to ensure food was served at temperatures palatable for meal enjoyment during the lunch meal on 9/15/21.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and facility document review, it was determined that the facility staff failed to prepare and serve food in a sanitary manner. During observation of trayline services on 9/15/21, OSM #2 (Other Staff Member), a dietary aide picked up a sandwich off the floor and continued preparing meal trays without changing gloves and washing her hands.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and facility document review, it was determined that the facility staff failed to provide care and services in a manner to prevent the spread of infection on two of three hallways on the Fairview Unit, the warm hallway , and the combination hallway containing both warm and cold residents. Two CNAs (certified nursing assistants), CNA #6 and CNA #7 were observed distributing meal trays, setting up resident meal trays, and removing meal trays from resident rooms on the warm hallway and the combination hallway of the Fairview Unit during lunch on 9/14/21. They were not wearing gloves or gowns when coming into contact with personal items and linens in the warm rooms, were not wearing gloves when handling trays from the hot rooms, and were not consistently sanitizing their hands between residents.
- C Post nurse staffing information every day.
Inspectors wroteBased on observation and staff interview, it was determined that the facility staff failed to post daily nurse staffing information on 09/14/2021 and 09/15/2021. On 9/14/21 the staff posting in the front lobby was dated August 23, 2021 and on 9/15/21 the staff posting in the front lobby was dated 9/14/21.
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to complete an accurate MDS (minimum data set) assessment for one of 31 residents in the survey sample, Resident # 96. The discharge MDS assessment, with an assessment reference date of 8/12/2021, coded Resident #96, in Section A2100 - Discharge Status, as 03 indicating the resident was discharged to an acute care hospital. The clinical record documented the resident was discharged and picked up by private transport.
January 24, 2020Standard inspection · 14 citations
- E Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on staff interview, and employee record review, the facility staff failed to ensure six of eight CNA (certified nursing assistant) records reviewed, received the required twelve-hours, of annual training, (CNA [certified nursing assistant] # 1, 2, 3 4, 5 and 6); and failed to ensure that the training included the required dementia, abuse and neglect or infection control training for four of the eight CNA's reviewed, (CNA #1, 2, 3 and 6).
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and facility document review it was determined that the facility staff failed to store and prepare food in a sanitary manner. In the dry storage area, a five-pound bag of pasta open and undated, and one-pound-eight-ounce package of dry drink mix was observed opened and undated. Food debris were observed on the inside of each of 18 dessert bowls that were stacked upside down on the second shelf of the dry dish rack in the facility, and OSM (other staff member) #5, a cook was observed with a uncovered mustache preparing resident food.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, staff interview and clinical record review, it was determined that facility staff failed to provide care in a manner to promote dignity for one of 40 residents in the survey sample, Residents # 29. The facility staff failed to ensure Resident #29's urinary catheter bag was place in a privacy bag. Observation of Resident #29's catheter collection bag revealed the bag was hanging on the lower part of the bed and was not in a privacy bag, and urine was visible in catheter bag from the hallway.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to meet advanced directive requirements for one of 40 residents in the survey sample, Resident # 99. The facility staff failed to obtain and place completed copy of Resident #99's advance directive in the clinical record.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to ensure two of 40 residents in the survey sample, Residents # 65 and # 87, were free from abuse. On 10/04/20 9, Resident # 38 hit Resident # 65's right arm and Resident #87, was hit on the upper left arm by Resident #90 causing a pre-existing blood blister to open and bleed on 2/18/19.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to develop or implement a comprehensive care plan for two of 40 residents in the survey sample, Resident #20 and #87. The facility staff failed to develop a comprehensive care plan, to include the use of an incentive spirometer (1) for Resident #20 and #87.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, staff interview, resident interview, facility document review, and clinical record review, it was determined that the facility staff failed to review and revise the comprehensive care plan for one of 40 residents in the survey sample, Resident # 82. The facility staff failed revise Resident #82's comprehensive care plan to address the resident's forgetfulness, of placing the nasal cannula [1] back on for continuous oxygen therapy according to the physician's order.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to follow professional standards of practice for two of 40 residents in the survey sample; Residents #67 and #94. The facility staff failed to administer medications in accordance to professional standards for Resident #67. The facility staff crushed the resident's Aspirin EC (1) (enteric coated) Delayed Release 81 mg (milligrams) tablet; and crushed the resident's Potassium Chloride ER (2) (extended release) 10 meq (milliequivalent) tablet. The facility staff failed to clarify a physician's order for Resident #94's prn [as needed] pain medications to determine when and which as needed pain medication to administer based on pain level rating parameters.
- D Provide appropriate foot care.
Inspectors wroteBased on observation, staff interview, resident interview and clinical record review, it was determined that the facility staff failed to provide podiatry (foot) services for one of 40 residents in the survey sample, Resident #3. The facility staff failed to ensure foot care was provided to Resident #3 a diabetic.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, it was determined facility staff failed to provide respiratory services consistent with professional standards of practice, for two of 40 residents in the survey sample, Resident #20, and #99. The facility staff failed to obtain a physician order for the use of an incentive spirometer for Resident #20 and Resident #99 and failed to store incentive spirometers for both residents in a sanitary manner.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, it was determined facility staff failed to provide a complete dialysis (1) communication plan for one of 40 residents in the survey sample, Resident #20.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to ensure that one of 40 residents in the survey sample; Resident #67, was free of a medication error rate of less than 5%. The facility staff made two medication errors out of 25 opportunities, resulting in a medication error rate of 8%. The facility staff failed to administer medications correctly, resulting in medication errors for Resident #67. The facility staff crushed the resident's Aspirin EC (1) (enteric coated) Delayed Release 81 mg (milligrams) tablet; and crushed the resident's Potassium Chloride ER (2) (extended release) 10 meq (milliequivalent) tablet.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to ensure that one of 40 residents in the survey sample; Resident #67, was free of a significant medication error. The facility staff crushed the Resident #67's Potassium Chloride ER (2) (extended release) 10 meq (milliequivalent) tablet, resulting in a medication error that could cause adverse effects, including death.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to obtain consent and/or provide education regarding the pneumococcal vaccine for one of five residents in the immunization record review, Residents # 89.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.57 | 3.76 | 3.86 |
| Registered nurses | 0.54 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.24 | 3.29 | 3.42 |
| Nurse aides | 2.10 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | 36.4% | 48.1% | 45.8% |
| Registered nurse turnover | 57.9% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.80 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 3.70 on weekdays and 3.24 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.58 in April to June 2025 to 3.57 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.57 | 0.54 | 3.70 | 3.24 | 0.0% | 0 of 90 | 113 |
| Oct to Dec 2025 | 3.55 | 0.60 | 3.68 | 3.23 | 0.0% | 0 of 92 | 115 |
| Jul to Sep 2025 | 3.45 | 0.63 | 3.64 | 2.95 | 0.0% | 0 of 92 | 114 |
| Apr to Jun 2025 | 3.58 | 0.61 | 3.75 | 3.17 | 0.0% | 0 of 91 | 108 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.2 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.5 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.3 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.5 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.6 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.0 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.8 |
Owners and operators
Legal business name: HERITAGE HUNT LLC. CMS links this home to Commonwealth Care of Roanoke, a group of 12 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Coons, Amanda | W-2 managing employee | Individual | 03/06/2018 | |
| Alesantrino, Joe | Corporate officer | Individual | 06/01/2019 | |
| Petrine, Deborah | Corporate officer | Individual | 10/05/2005 | |
| Tucker, David | Corporate officer | Individual | 07/01/2007 | |
| Commonwealth Care of Roanoke Inc | Operational/managerial control | Organization | 06/26/2006 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 14 problems in this area, most recently on March 1, 2023: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
- When is the care plan meeting, and can family attend it?Inspectors cited 11 problems in this area, most recently on March 1, 2023: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on March 1, 2023: "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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on March 1, 2023: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.24 hours per resident per day, below the Virginia average of 3.29.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Lake Manassas Health & Rehabilitation Center Gainesville, 3 mi · 3 of 5 stars · 48 citations
- Manassas Health and Rehab Center Manassas, 5.9 mi · 3 of 5 stars · 27 citations
- Birmingham Green Manassas, 8.4 mi · 5 of 5 stars · 15 citations
- Brookside Rehab & Nursing Center Warrenton, 11.6 mi · 1 of 5 stars · 80 citations
- Poplar Hill Health and Rehab Warrenton, 12.6 mi · 2 of 5 stars · 38 citations
- Dulles Health & Rehab Center Herndon, 13.1 mi · 4 of 5 stars · 42 citations
- Fair Oaks Health & Rehabilitation Fairfax, 13.1 mi · 1 of 5 stars · 65 citations
- Fairfax Rehabilitation and Nursing Center Fairfax, 15.9 mi · 2 of 5 stars · 60 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Gainesville Health and Rehab Center's Medicare star rating?
- CMS rates Gainesville Health and Rehab Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Gainesville Health and Rehab Center get at its last inspection?
- 14 health deficiencies at the standard inspection on March 1, 2023. The Virginia average is 14.3.
- Has Gainesville Health and Rehab Center been fined?
- CMS lists no fines in the last three years.
- Does Gainesville Health and Rehab Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Gainesville Health and Rehab Center?
- CMS lists 5 owners and managers, and links the home to Commonwealth Care of Roanoke. Legal business name: HERITAGE HUNT LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.