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Harrisonburg Hlth & Rehab Cntr

1225 Reservoir Street, Harrisonburg, VA 22801 · Harrisonburg City County · (540) 433-2623

180 certified beds, about 174 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1975

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495093 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 13, 2026, inspectors cited 23 health deficiencies (the Virginia average is 14.3, the national average 9.2).

Of 80 health citations since April 2021, 5 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists 2 fines totaling $192,533 in the last three years; the largest was $119,223, and the latest is dated February 13, 2026.

Nurses and nurse aides worked 3.17 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.28 of those hours.

60.0% 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 80 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
1K
1L
Actual harm
2G
0H
0I
Potential for more than minimal harm
42D
29E
2F
Potential for minimal harm
0A
1B
1C
July 15, 2026Complaint inspection · 1 citation
  1. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteAn unannounced Medicare/Medicaid third revisit to the 2/13/2026 standard certification survey was conducted on 7/2/26. The first revisit survey was conducted 4/13/26 through 4/15/26. The second revisit was conducted 6/8/2026 through 6/10/2026. Corrections are required for compliance with the following 42 CFR Part 483 Federal Long Term Care requirements. Two complaints were investigated during the survey (3076062 -Compliant; 3072965 - Non-Compliant with deficiency). Corrected deficiencies are identified on the CMS-2567B. The census in this 180 certified bed facility was 141 at the time of the survey. The survey sample consisted eight current resident reviews and one closed record review. On 7/15/26 at 8:55 a.m., an observation of the facility was conducted. [...]
June 10, 2026Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) July 7, 2026
    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 clean and homelike environment for three of 37 residents, Residents #227, #228 and #237; in one of six shower rooms; and in four of 89 resident rooms, room [ROOM NUMBER], #42, #45, and #5.
April 15, 2026Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) July 7, 2026
    Inspectors wroteBased on observations, staff interview, and facility document review, the facility staff failed to maintain a clean, comfortable, homelike environment for 3 of 3 nursing units, public congregate spaces, and the building as a whole.
February 13, 2026Standard inspection, Complaint inspection · 23 citations
  1. L
    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, widespread · Corrected (the home has a date of correction) July 7, 2026
    Inspectors wroteBased on observations, staff and resident interviews and facility document review, the facility staff failed to maintain a safe environment for two of forty-three residents in the survey sample (Resident #108 and Resident #142). One oxygen cylinder was observed free-standing, unsecured constituting the identification of immediate jeopardy (IJ) at Level Four, Isolated scope and severity resulting in substandard quality of care. Upon verification of the removal of the IJ, the scope and severity were lowered to Level Two, Isolated. The facility also failed to ensure an electric space heater was not used as a primary source of heat for one of forty-three residents (Resident #80).
  2. F
    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, widespread · Corrected (the home has a date of correction) March 19, 2026
    Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, the facility staff failed to ensure proper fitting of a mattress and bed frame for one of forty-three residents in the survey sample (Resident #130) and failed to conduct regular inspections of all bed frames, mattresses and bed rails for identification of possible entrapment risks as part of the facility's maintenance program.
  3. 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) June 10, 2026
    Inspectors wroteBased on information obtained during the Resident Group interview, observations, staff interviews, and Resident Group meeting minutes, the facility staff failed to demonstrate their response, action and/or rationale regarding Resident Group concerns and requests.
  4. E
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 19, 2026
    Inspectors wroteBased on observations, interviews, record review and facility policy review, the facility failed to provide detailed and accurate notification regarding the ending of Medicare covered services for 3 out of 3 residents (Residents 93,155 and 200) reviewed.
  5. 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 · found on a complaint visit · Corrected (the home has a date of correction) July 7, 2026
    Inspectors wroteBased on observation, resident interview, family interview, staff interview, facility document review and clinical record review, the facility staff failed to provide a clean, homelike room environment for two of forty-three residents in the survey sample (Residents #130 and #165), failed to provide protections to prevent loss/theft of personal property for two of forty-three residents in the survey sample (Residents #6 and #69) and failed to process laundry timely for multiple residents on three of three units.
  6. 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 · Corrected (the home has a date of correction) March 19, 2026
    Inspectors wroteBased on resident interviews, staff interviews, facility document review and clinical record review, the facility staff failed to make prompt efforts to resolve grievances for two of forty-three residents in the survey sample (Residents #6 and #69) and make information of how to file a grievance available to seven out of seven residents in the resident council group meeting.
  7. 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) March 19, 2026
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure dialysis communication logs were completed for one of 43 residents in a survey sample. The Findings Include: Resident #198 (R198) did not have dialysis communication logs completed over a ten-week period. R198 diagnoses include osteomyelitis, renal dialysis related to end stage renal failure, polyneuropathy, and dementia. The most recent MDS (minimum data set) was a discharge date d 11/17/25 and indicated R198 was cognitively intact. Review of R198's clinical record indicated dialysis was being provided three times a week (Tuesday, Thursday, and Saturday). Review of R198's dialysis communication logs indicated the log was last completed on 11/25/25 consecutively. After 11/25/25 there were two other communication entries dated 12/1/25/and 12/27/25. On 2/12/2026 at 840 a.m. [...]
  8. E
    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, pattern · Corrected (the home has a date of correction) March 19, 2026
    Inspectors wroteBased on observation, staff interviews and facility document review, the facility staff failed to ensure medications used in the facility were labeled in accordance with currently accepted professional principles to include prescription labels and used within expiration dates for 2 of 3 medication storage rooms (West and South Units) and 4 of 9 medication carts (West, East and South Units).
  9. 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) June 10, 2026
    Inspectors wroteBased on observations, staff interviews, and facility document review, it was determined that the facility staff failed to maintain the main kitchen and one of the three unit pantries (West Unit) in a sanitary manner.
  10. E
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 10, 2026
    Inspectors wroteBased on observation, resident interview, staff interview, and facility documentation review, the facility staff failed to maintain a performance improvement program that corrected previously identified concern regarding a clean, comfortable, homelike environment and ensure the availability of linen sufficient to provide daily care of residents. The facility's quality assurance and performance improvement program failed to ensure thd implementation of actions to improve and sustain regulatory compliance, which affected residents on three of three units.
  11. E
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 10, 2026
    Inspectors wroteBased on observation, resident interviews, and staff interviews, the facility failed to ensure a heater was functioning for one of forty-three residents and failed to maintain essential equipment for one of four washers and one of four dryers in the laundry area.
  12. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on observation, and staff interview, the facility staff failed to maintain a clean and sanitary environment for nine of 89 resident rooms (rooms #86, #26, #19, #12, #6, #5, #3, #41, and #34), six of 89 resident room bathrooms (resident room bathrooms #84, #27, #8, #5, and #35, and #34), and two of three units (the South unit and East unit).
  13. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 10, 2026
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, the facility staff failed to assess one of forty-three residents for safe self-administration of medication (Resident #44).
  14. 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, the facility staff failed to protect the resident's right to be free from verbal abuse by a staff member for one of forty-three residents in the survey sample (Resident #44).
  15. 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) July 7, 2026
    Inspectors wroteBased on observations, resident/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 of 37 residents in the survey sample, Resident #233.
  16. 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) July 7, 2026
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, the facility staff to develop a comprehensive care plan for two of forty-three residents in the survey sample (Residents #44 and #198).
  17. 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) July 7, 2026
    Inspectors wroteBased on clinical record review, staff interview, and facility document review, it was determined that the facility staff failed to revise the comprehensive care plan for one of 37 residents in the survey sample, Resident #215.
  18. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2026
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined the facility staff failed to meet professional standards for two of 37, Resident #205 and Resident #216.
  19. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 19, 2026
    Inspectors wroteBased on observation, staff interviews, and clinical record review, the facility staff failed to ensure enteral nutritional feeding was administered according to physician's order for one of forty-three residents in survey sample (Resident #2).
  20. D
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 19, 2026
    Inspectors wroteBased on observations and staff interview, it was determined that the facility staff failed to dispose of refuse properly. The facility staff failed to maintain a clean dumpster area during the facility task- kitchen observation on 2/10/26 at 11:40AM.
  21. D
    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
    F941 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 19, 2026
    Inspectors wroteBased on staff interview, facility document review and employee record review, the facility staff failed to provide required training in communication for one of ten employee records reviewed, RN (Registered nurse) #1.
  22. 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) March 19, 2026
    Inspectors wroteBased on staff interview, facility document review and employee record review, the facility staff failed to provide required training in quality assurance performance improvement (QAPI) for one of ten employee records reviewed, RN (Registered nurse) #1.
  23. D
    Provide training in compliance and ethics.
    F946 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 19, 2026
    Inspectors wroteBased on staff interview, facility document review and employee record review, the facility staff failed to provide required training in ethics and corporate compliance for one of ten employee records reviewed, RN (Registered nurse) #1.
September 24, 2025Complaint inspection · 5 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 31, 2025
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, the facility staff failed to follow physician orders for two of eleven residents in the survey sample (Residents #1 and #7).
  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 · found on a complaint visit · Corrected (the home has a date of correction) December 31, 2025
    Inspectors wroteBased on staff interviews and clinical record review, the facility staff failed to develop a care plan for one of eleven residents in a survey sample. Resident #4 (R4) did not have a care plan for bowel incontinence.
  3. 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) December 31, 2025
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, the facility staff failed to provide timely incontinence care for two of eleven residents in the survey sample (Residents #2 and #5).
  4. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 31, 2025
    Inspectors wroteBased on observation, resident interview, staff interview, and facility documentation the facility staff failed to serve a palatable meal to two residents, Resident #7 (R7) and Resident #10 (R10) out of a survey sample of eleven residents.
  5. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 31, 2025
    Inspectors wroteBased on observation, resident interview, staff interview and facility documentation the facility staff failed to provide the residents preference with the meals for three residents, Resident #9 (R9), Resident #10 (R10), and Resident #11 (R11) out of a survey sample of eleven residents.
June 5, 2025Complaint inspection · 2 citations
  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) June 30, 2025
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to have medications available for administration for one resident (resident #102-R102) in a survey sample of twenty-three residents.
  2. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2025
    Inspectors wroteBased on observation, resident interview, staff interview, and facility documentation review, the facility staff failed to provide a safe, functional and comfortable environment for one resident (Resident #123- R123), in a survey sample of twenty-three residents.
April 11, 2025Complaint inspection · 19 citations
  1. K
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on observation, staff interview, clinical record review and facility documentation review, the facility staff failed to provide adequate supervision and an environment free of accident hazards to prevent injury to residents, that resulted in two instances of injury/harm to Resident #12 (R12) and one occurrence of harm for Resident #18 (R18). Having the potential to affect multiple residents residing on three of three nursing units, the noncompliance resulted in the identification of immediate jeopardy (IJ) and substandard quality of care.
  2. J
    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 · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on observation, resident and staff interviews, clinical record review and facility documentation review, the facility failed to protect the residents' right to be free from neglect for three residents (Resident #17-R17, Resident #23-R23, and Resident #10- R10) in a survey sample of 26 residents, which resulted in harm for two residents (Resident #10- R10 and Resident #23-R23) and the identification of Immediate Jeopardy (IJ) and substandard Quality of Care.
  3. G
    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 · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on observation, resident interviews, staff interviews, facility documentation, clinical record review the facility staff failed to provide timely incontinence care to three residents (Resident #17, Resident #23 and Resident #10) out of a survey sample of 26 residents, resulting in harm.
  4. G
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to ensure residents maintain acceptable parameters of nutritional status for one resident (Resident #5) in a survey sample of 26 residents.
  5. F
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on observation, staff interviews and facility documents, the facility staff failed to maintain an effective pest control program that affected three of three units.
  6. 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 · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, resident and staff interview and facility documentation review, the facility staff failed to provide a comfortable environment with internal temperatures affecting two of three units.
  7. 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 · deficient, provider has June 30, 2025
    Inspectors wroteBased on resident interview, clinical record review and facility documentation review, the facility staff failed to ensure medications were available for administration in accordance with physician orders for one resident (Resident #8-R8) in a survey sample of 26 residents.
  8. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on observation and staff interviews, the facility staff failed to follow infection control standards on three of three units.
  9. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · deficient, provider has May 21, 2025
    Inspectors wroteBased on observation, resident interview, staff interview and facility document the facility staff failed to maintain a sanitary environment for rooms on three of three units.
  10. E
    Provide behavior health training consistent with the requirements and as determined by a facility assessment.
    F949 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on staff interviews, staff record review and facility documentation review, the facility staff failed to provide behavioral health training to five of eight employees.
  11. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on the facility documentation and staff interview the facility staff failed to implement abuse policy regarding reporting to the Department of Health Professionals (DHP) for two residents (Resident #17 and Resident #23) out of a survey sample of 26 residents.
  12. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on the facility documentation and staff interviews, the facility staff failed to report an allegation of abuse and neglect timely for two residents (Resident #17 and Resident #23) out of a survey sample of 26 residents.
  13. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on facility documents and staff interviews, the facility staff failed to complete a thorough investigation regarding abuse and neglect for two residents (Resident #17, R17 and Resident #12, R12) out of a survey sample of 26 residents.
  14. 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 · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on observation, staff interview, clinical record review and facility documentation review, the facility staff failed to review and revise care plan with fall interventions for one resident (Resident #11, R11) out of a survey sample of 26 residents.
  15. 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) May 21, 2025
    Inspectors wroteBased on staff interviews, clinical reviews and facility documents, the facility staff failed to provide activity of daily living (ADL) care for one resident (Resident #17, R17) out of a survey sample of 26 residents.
  16. 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 · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on resident interview, clinical record review, and facility documentation review, the facility staff failed to administer medications as ordered by the physician for one resident (Resident #8-R8) in a survey sample of 26 residents.
  17. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on facility documentation, staff interviews and clinical record review, the facility staff failed to maintain an accurate clinical record for two residents Resident #17 (R17) and Resident #12 (R12) in a survey sample of 26 residents.
  18. D
    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
    F943 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on staff interviews and facility documentation the facility staff failed to ensure staff had abuse training for two certified nursing assistants, CNA#11 (CNA11) and CNA#12 (CNA12) out of eight employee records reviewed.
  19. D
    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
    F945 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on staff interviews and facility documentation the facility staff failed to provide infection control training for two certified nursing assistants, CNA#11 (CNA11) and CNA#12 (CNA12) out of eight employee records reviewed.
July 2, 2024Complaint inspection · 2 citations
  1. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 6, 2024
    Inspectors wroteBased on observations, staff interviews, resident interviews, and facility documents, the facility staff failed to ensure a sanitary, clean, and comfortable environment for 3 of 3 nursing units in the facility and in the dining room.
  2. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · 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) August 6, 2024
    Inspectors wroteBased on observation, resident interviews, and staff interviews, the facility staff failed to provide appetizing food with palatable temperatures and appearance to residents on one of three units (West unit).
January 17, 2024Complaint inspection · 2 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) February 16, 2024
    Inspectors wroteBased on staff interview and clinical record review, the facility failed to develop a care plan for one of two residents. Resident #1 (R1) had an admitting diagnoses of PTSD (Post Traumatic Stress Disorder) and a care plan was not developed. The Findings Include: Diagnoses for R1 included: PTSD, anxiety, and depression. The most current MDS (minimum data set) was an admission assessment with an ARD (assessment reference date) of 10/9/23, which assessed R1 with a cognitive score of 15 out of 15, indicating cognitively intact. R1 was admitted to the facility from a hospital to receive post surgical care and therapy. R1's hospital record documented R1 had a diagnoses of PTSD and did not include any other information regarding PTSD. [...]
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) February 16, 2024
    Inspectors wroteBased on staff interview and clinical record review, the facility failed initiate trauma informed care for one of two residents. Resident #1 (R1) had an admitting diagnoses of PTSD (Post Traumatic Stress Disorder) and the facility did not identify past history of trauma, and /or triggers which may cause re-traumatization. The Findings Include: Diagnoses for R1 included: PTSD, anxiety, and depression. The most current MDS (minimum data set) was an admission assessment with an ARD (assessment reference date) of 10/9/23. R1 was assessed with a cognitive score of 15 indicating cognitively intact. A review of the Trauma Informed Screen assessment dated [DATE] revealed abuse to drugs and/or alcohol and did not reveal any other information related to PTSD. No other social service assessments or notes revealed information related to PTSD. [...]
May 26, 2022Standard inspection · 16 citations
  1. E
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 28, 2022
    Inspectors wroteBased on group interview, staff interview, and facility document review, the facility staff failed to ensure residents had unlimited access to petty cash funds during the week and on weekends for four of 38 residents in the survey sample, Resident # 107, # 71, #17, and # 106.
  2. E
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 28, 2022
    Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to incorporate and follow Level II PASARR recommendations for one of 38 residents, Resident #38.
  3. 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) June 28, 2022
    Inspectors wroteBased on resident interview, staff interview, clinical record review and complaint investigation, the facility staff failed to follow physician orders for four of 38 residents in the survey sample, Resident #158, #166, #322, and #110. Resident #158 did not have medications administered as ordered. Resident #166 did not have a physician ordered dressing applied. Resident #322 did not have insulin administered and fluid intake monitored as ordered. Resident #110 did not have ace wraps applied as ordered.
  4. E
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 28, 2022
    Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to ensure behavioral health services were provided to maintain his highest practicable level of well being for one of 38 residents, Resident #38.
  5. 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 · Corrected (the home has a date of correction) June 28, 2022
    Inspectors wroteBased on resident interview, staff interview, clinical record review and complaint investigation, the facility staff failed to ensure medications were available for administration for three of 38 residents in the survey sample, Resident #158, #121, and #30. Resident #158 had multiple medications for treatment of nausea, heart failure, pain, vitamin/electrolyte supplement, muscle spasms and constipation not available for administration. Resident #121 did not have the medication pravastatin available for administration. Resident #30 did not have prescribed nasal spray available for administration.
  6. 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) June 28, 2022
    Inspectors wroteBased on resident interview, clinical record review, and staff interview, the facility staff failed to ensure one of 38 residents in the survey sample was free from a significant medication error, Resident # 322. Resident # 322 did not receive her thyroid medication for eleven days.
  7. E
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    F800 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 28, 2022
    Inspectors wroteBased on observation, staff interview, and group interview, the facility staff failed to provide condiments, menu items, and honor dietary preferences for two of 38 residents in the survey sample, Resident # 322 and # 158; and also in the main kitchen.
  8. 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 · Corrected (the home has a date of correction) June 28, 2022
    Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to ensure a complete and accurate clinical record for one of 38 residents in the survey sample, Resident #52 Resident #52's treatment administration record had incomplete documentation regarding gastrostomy care orders.
  9. 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) June 28, 2022
    Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to ensure one of 38 residents had privacy while in his room, Resident #38. Resident #38 who resided in a private room on the east wing did not have a door separating his room from the hallway.
  10. 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) June 28, 2022
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure an accurate assessment for two of 38 residents, Resident #90 and #53. Resident #90's current MDS section O was not triggered for dialysis; and Resident #53's current MDS sections C and D were not accurately completed for cognition and mood. The Findings Include: 1. Diagnosis for Resident #90 included: Parkinson's disease, End stage renal disease on dialysis, bipolar disease, and diabetes. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 4/13/22. Resident #90's cognitive score was 15 indicating cognitively intact. On 5/24/22 review of Resident #90's current MDS dated [DATE] section O did not trigger for dialysis. Review of Resident #90's physician orders included an order for dialysis weekly on Tuesday, Thursday, and Saturday. [...]
  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 · Corrected (the home has a date of correction) June 28, 2022
    Inspectors wroteBased on clinical record review and staff interview, the facility staff failed to ensure one of 38 residents were free from accidents, Resident #3. Resident #3 eloped through one of the facility's fire doors and fell.
  12. 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) June 28, 2022
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to respond to pharmacy recommendations for one of 38 residents in the survey sample, Resident #158. A provider failed to respond to two pharmacy recommendations for Resident #158 regarding risks with continued use of an antimicrobial agent and an anticholinergic medication.
  13. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2022
    Inspectors wroteBased on medication pass and pour observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure a medication error rate less than 5 percent. There were three errors out of 34 opportunities resulting in a medication error rate of 8.82 percent. The Findings Include: 1. On 05/25/22 at 7:44 AM, a medication pass and pour observation was conducted. Resident #121's Pravastatin Sodium 10 milligrams was ordered to be given at 8:00 AM. License practical nurse (LPN #4) could not find Resident #121's Pravastatin in the medication cart. LPN #4 then went to the medication storage room and did not find any Pravastatin. LPN #4 then called pharmacy and asked for the medication to be sent. LPN #4 stated that pharmacy was going to send the medication later in the day. On 5/25/22 at 9:00 AM, LPN #4 was asked about reordering medications. [...]
  14. 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) June 28, 2022
    Inspectors wroteBased on observation and staff interview, the facility staff failed to ensure expired medication was not available for administration on the east wing. Two opened vials of Aspart insulin dated [DATE] were available for administration.
  15. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2022
  16. C
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    F576 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) June 28, 2022
    Inspectors wroteBased on group interview and staff interview, the facility staff failed to ensure resident mail was delivered on weekends. This facility census was 159 residents.
April 22, 2021Standard inspection · 8 citations
  1. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 1, 2021
    Inspectors wroteBased on resident interview, resident council interview and staff interview, the facility staff failed to respond to call bells in a timely manner on one of three units. Residents on the East unit reported frequent call bell wait times from 30 minutes to one hour.
  2. 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) June 1, 2021
    Inspectors wroteBased on staff interview, clinical record review, facility document review, and in the course of a complaint investigation, the facility staff failed to ensure one of 36 residents, Resident #400, was free from physical abuse.
  3. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2021
    Inspectors wroteBased on staff interview, clinical record review, facility document review and in the course of a complaint investigation, the facility staff failed to report an allegation of abuse to the State Agency for one of 36 residents, Resident #400.
  4. 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) June 1, 2021
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to develop a baseline care plan for one of 36 residents in the survey sample. Resident #147's baseline care plan failed to include problems, goals and/or interventions for anticoagulant medication.
  5. 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) June 1, 2021
    Inspectors wroteBased on observation, staff interview, clinical record review and in the course of a complaint investigation, the facility staff failed to review and revise a comprehensive care plan for 3 of 36 residents in the survey sample, Resident #132, Resident #74, and Resident #400. Resident #132's care plan was not revised for the discontinuation of psychotropic medications. Resident #74's care plan was not revised regarding a meatus/urethral tear from a chronic indwelling foley catheter. Resident #400's care plan was not revised to include behaviors.
  6. 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 1, 2021
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to follow professional standards of practice for two of 36 residents in the survey sample, Residents #46 and #84. License practical nurse (LPN #1) did not follow physician's orders when giving Ferocon (a hematopoietic agent given for anemia) to Resident #46. Facility staff failed to assess and monitor Resident #84 for correct inhalation technique and nebulizer operation to ensure proper dose administration of prescribed respiratory medications.
  7. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2021
    Inspectors wroteBased on observation, staff interview and clinical record review the facility staff failed to provide a complete and accurate clinical record for 1 of 36 residents in the survey sample, Resident #143. Resident #143's clinical record did not document weights per physician orders.
  8. B
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) June 1, 2021
    Inspectors wroteBased on observation, staff interview, and facility document review, the facility failed to ensure thermometers used for checking facility water temperatures were calibrated and accurate on two or three units.

Fire safety inspections

9 fire safety citations on file: 6 on February 13, 2026, 3 on April 22, 2021.

Every fire safety citation9 citations
  1. E
    Meet other general requirements.
    K 100 · February 13, 2026 · Corrected (the home has a date of correction)
  2. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · February 13, 2026 · Corrected (the home has a date of correction)
  3. E
    Meet other general requirements.
    K 932 · February 13, 2026 · Corrected (the home has a date of correction)
  4. D
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · February 13, 2026 · Corrected (the home has a date of correction)
  5. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · February 13, 2026 · Corrected (the home has a date of correction)
  6. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 13, 2026 · Corrected (the home has a date of correction)
  7. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 22, 2021 · Corrected (the home has a date of correction)
  8. D
    Install corridor and hallway doors that block smoke.
    K 363 · April 22, 2021 · Corrected (the home has a date of correction)
  9. D
    Have proper power supply for life support equipment.
    K 915 · April 22, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 13, 2026Fine $73,310
February 13, 2026Payment Denial 55 days from May 23, 2026
April 11, 2025Fine $119,223

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)3.173.763.86
Registered nurses0.280.690.69
All nursing staff on weekends2.733.293.42
Nurse aides1.83
Licensed practical nurses1.06
Nursing staff turnover (share who left in a year)60.0%48.1%45.8%
Registered nurse turnover56.3%48.2%42.9%
Administrators who left1

CMS expects 4.40 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 3.35 on weekdays and 2.73 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 43.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.10 in April to June 2025 to 3.17 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.170.283.352.73 43.8%0 of 90174
Oct to Dec 20253.110.303.282.66 50.1%0 of 92169
Jul to Sep 20253.310.293.542.71 51.2%0 of 92157
Apr to Jun 20253.100.273.362.46 46.5%0 of 91156
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 Harrisonburg Hlth & Rehab Cntr. 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
4.414.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.71.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.53.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.31.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.215.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.14.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.214.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
19.822.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.111.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.31.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.11.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Harrisonburg Hlth & Rehab Cntr's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.1% 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

52.1% 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

13.2% 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. 247 eligible stays.

Infections that led to a hospital stay

6.9% 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. 174 eligible stays.

Self-care and mobility at discharge

53.8% 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. 80 residents counted.

Falls with major injury

1.9% 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. 107 residents counted.

New or worsened pressure ulcers

5.9% 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. 107 residents counted.

Medication list given at discharge

92.1% this home

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. 38 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: HARRISONBURG OPERATIONS LLC. CMS links this home to Lifeworks Rehab, a group of 64 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Harrisonburg Holdings I LLC5% or greater direct ownership interestOrganization100%05/28/2021
America West LLC5% or greater indirect ownership interestOrganization05/28/2021
Charles 1994 & Family LLC5% or greater indirect ownership interestOrganization05/28/2021
Charles 1994 Family Grantor Trust5% or greater indirect ownership interestOrganization05/28/2021
Charles 1994 LLC5% or greater indirect ownership interestOrganization05/28/2021
Edward 1998 Family Grantor Trust5% or greater indirect ownership interestOrganization05/28/2021
Kss 2000 Family Trust5% or greater indirect ownership interestOrganization05/28/2021
Ml 2000 Family Trust5% or greater indirect ownership interestOrganization05/28/2021
Mrv West LLC5% or greater indirect ownership interestOrganization05/28/2021
Redrock West LLC5% or greater indirect ownership interestOrganization05/28/2021
Saul 2012 Family Grantor Trust5% or greater indirect ownership interestOrganization05/28/2021
Saul 2012 LLC5% or greater indirect ownership interestOrganization05/28/2021
Brooks, MatthewW-2 managing employeeIndividual09/11/2023
Rczbm West 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. When is the care plan meeting, and can family attend it?Inspectors cited 15 problems in this area, most recently on February 13, 2026: "Ensure each resident receives an accurate assessment."
  2. 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 February 13, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 12 problems in this area, most recently on June 10, 2026: "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."
  4. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 9 problems in this area, most recently on July 15, 2026: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.73 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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Common questions

What is Harrisonburg Hlth & Rehab Cntr's Medicare star rating?
CMS rates Harrisonburg Hlth & Rehab Cntr 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Harrisonburg Hlth & Rehab Cntr get at its last inspection?
23 health deficiencies at the standard inspection on February 13, 2026. The Virginia average is 14.3.
Has Harrisonburg Hlth & Rehab Cntr been fined?
Yes. CMS lists 2 fines totaling $192,533 in the last three years.
Does Harrisonburg Hlth & Rehab Cntr 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 Harrisonburg Hlth & Rehab Cntr?
CMS lists 14 owners and managers, and links the home to Lifeworks Rehab. Legal business name: HARRISONBURG OPERATIONS LLC.

Sources

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