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Potomac Falls Health & Rehab Center

46531 Harry Byrd Highway, Sterling, VA 20164 · Loudoun County · (703) 834-5800

150 certified beds, about 147 residents a day · For profit - Corporation · Medicare and Medicaid since 1988

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495179 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 2, 2021, inspectors cited 14 health deficiencies (the Virginia average is 14.3, the national average 9.2).

Of 37 health citations since March 2017, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

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

Nurses and nurse aides worked 3.81 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.

27.0% 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.

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 37 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
27D
7E
1F
Potential for minimal harm
0A
0B
0C
December 2, 2021Standard inspection · 14 citations
  1. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 11, 2022
    Inspectors wroteBased on resident interview, staff interviews, and clinical record review, the facility staff failed to develop and implement a comprehensive person-centered care plan to address the preference of the resident for staff not to pull on her arms/shoulders which introduced pain during bed mobility and transfers for 1 of 45 residents (Resident #39), in the survey sample.
  2. 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) January 11, 2022
    Inspectors wroteBased on staff interviews, clinical record review and facility document review, the facility staff failed to ensure 1 of 45 residents (Resident #74) in the survey sample were free of significant medication error.
  3. 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) January 11, 2022
    Inspectors wroteBased on observation and staff interviews the facility staff failed to ensure medications were labeled and stored in accordance with currently accepted professional principles in 1 out of 4 facility medication carts and 1 out of 2 medication refrigerators. The facility staff failed to ensure one Lantus insulin pen and antibiotic eye drop (Neo/poly ointment) were dated once opened. The facility staff failed to ensure a multi-dose vial of PPD vaccine was dated once opened.
  4. D
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    F553 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 11, 2022
    Inspectors wroteBased on resident interviews, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide evidence that two out of 45 residents were invited to attend a care plan meeting, Resident #47 and Resident #120, in the survey sample.
  5. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 11, 2022
    Inspectors wroteBased on resident interview, staff interviews, and clinical record review, the facility staff failed to accommodate the preference of the resident to have showers prior to 6:00 p.m., for 1 of 45 residents (Resident #39), in the survey sample.
  6. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 11, 2022
    Inspectors wrote3. The facility staff failed to provide Resident #61 the opportunity to formulate an Advance Directive. Resident #61 was re- admitted to the facility on [DATE]. Diagnoses for this resident included kidney failure, epilepsy and idiopathic neuropathy. Resident #61 was assessed as having a BIMS score of 13. A Care Plan dated 10/05/21 indicated this resident Focus- was at risk for unresolved pain and multiple medical problems. Goals- Interventions- Assess for side effects of pain medication. observe for constipation: new onset or increased agitation, restlessness, confusion, hallucinations, dysphoria, nausea, vomiting, dizziness and falls. During an interview on 12/02/21 at 12:36 PM with the Assistant Director of Nursing (ADON) she was asked if Resident #61 or his Representative had been offered the opportunity to formulate an Advance Directive. The ADON stated, not to her knowledge. 4. [...]
  7. D
    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, isolated · Corrected (the home has a date of correction) January 11, 2022
    Inspectors wroteBased on clinical record review, staff interview and facility documentation, the facility staff failed to ensure Medicare Beneficiary Notices in accordance with applicable Federal regulations, were issued to 2 of 3 residents (Resident #7 and Resident #98) in the survey sample.
  8. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 11, 2022
    Inspectors wroteBased on resident record review, staff interviews and facility document review, the facility failed to notify the Office of the State Long-Term Care Ombudsman in writing of hospital discharges for 2 of 45 residents (Resident #45 and 106) in the survey sample.
  9. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 11, 2022
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to offer a bed hold for 1 of 45 Residents, Resident #45.
  10. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 11, 2022
    Inspectors wroteBased on clinical record review and staff interview, the facility staff failed to complete the required discharge Minimum Data Set (MDS) assessment within the required timeframe after a planned discharge from the facility for 1of 45 residents (Resident #2), in the survey sample.
  11. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 11, 2022
    Inspectors wroteThe facility staff failed to ensure the one resident (Resident #93's) Dialysis communication book was updated timely during Dialysis treatments in a survey sample of 43 residents.
  12. D
    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, isolated · Corrected (the home has a date of correction) January 11, 2022
    Inspectors wroteBased on observation, staff interviews, and review of the facility's policy, the facility staff failed to store food under sanitary conditions.
  13. 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) January 11, 2022
    Inspectors wroteBased on observation, staff interview and facility documentation review, the facility staff failed to maintain a complete and accurate clinical record for 1 of 45 residents (Resident #74) in the survey sample.
  14. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 11, 2022
    Inspectors wroteBased on observation, resident interview, staff interview and review of facility documents, the facility's staff failed to have the call bell accessible and functional for resident's use. For 1 of 45 residents (Resident #47), in the survey sample.
October 11, 2018Standard inspection · 12 citations
  1. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2018
    Inspectors wroteBased on observations, staff interviews, medical record review and facility documents the facility staff failed to provide for the accommodation of needs to maintain independence and to ensure the safety for 1 of 40 residents in the survey sample, Resident #154. For Resident #154, he facility staff failed to ensure the call bell was placed within reach.
  2. D
    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
    F559 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2018
    Inspectors wroteBased on observations, staff and resident interviews, clinical record review and facility documentation review, the facility staff failed to notify one of 40 residents (Resident #19) of a change in roommate. The facility staff failed to inform Resident #19 in advance, of a roommate change of a resident that was transferred to his room from another unit in the facility.
  3. D
    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, isolated · Corrected (the home has a date of correction) November 23, 2018
    Inspectors wroteBased on a complaint investigation, record review, family interviews, staff interviews, and facility document review the facility failed to issue a Notice of Medicare Non-Coverage (NOMNC) prior to discharge for 1 of 40 residents in the survey sample, Resident #148. The facility staff failed to issue a Medicare Notice of Non-Coverage prior to Resident #148's discharge that was facility planned on 8/8/17 however occurred on 8/9/17.
  4. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2018
    Inspectors wroteBased on resident record review, staff interviews and facility document review, the facility failed to notify the Office of the State Long-Term Care Ombudsman in writing of a hospital discharge for 1 of 40 residents (Resident #63) in the survey sample. 1. The facility staff failed to notify the Office of the State Long-Term Care Ombudsman of Resident #63's transfer to the emergency room (ER) from dialysis on 07/18/18.
  5. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2018
    Inspectors wroteBased on clinical record review, staff interview, and facility documentation review, the facility staff failed to ensure one (Resident #146) of 40 residents in the survey sample had an accurate Minimum Data Set (MDS) assessment. Resident #146's discharge MDS, dated [DATE], was coded that she was discharged to the hospital rather than discharged home.
  6. 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) November 23, 2018
    Inspectors wroteBased on a complaint investigation, record review, family interviews, staff interviews, and facility documentation review, the facility failed to develop a Comprehensive Care Plan to include discharge goals and interventions for 1 of 40 residents in the survey sample, Resident #148. The facility staff failed to develop a Comprehensive Care Plan to include discharge goals and interventions for Resident #148
  7. D
    Plan the resident's discharge to meet the resident's goals and needs.
    F660 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2018
    Inspectors wroteBased on a complaint investigation, record review, family interviews, staff interviews, and facility document review the facility failed to involve the resident and resident representative in the final discharge plan for 1 of 40 residents in the survey sample, Resident #148. The facility staff failed to ensure that Resident #148's son was involved in the final discharge plan scheduled on 8/8/17.
  8. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2018
    Inspectors wroteBased on resident interviews, staff interviews and clinical record review the facility staff failed to provide personal care to include showers for two resident in the survey sample of 40 (Resident #61 and 63) who were unable to independently carry out activities of daily living (ADL's). 1. The facility staff failed to ensure Resident #61 received showers according to resident plan and preference. 2. The facility staff failed to ensure Resident #63 received showers according to resident plan and preference.
  9. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2018
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and review of the facility's policy the facility staff failed to receives the appropriate care and services to prevent potential indwelling catheter complications for 1 of 40 residents (Resident #48), in the survey sample. The facility staff failed to anchor Resident #48's indwelling urinary catheter to prevent tension on the catheter and avoid potential kinking of the tubing.
  10. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2018
    Inspectors wroteBased on observations, clinical record review, staff interviews and facility documentation, the facility staff failed to ensure 2 of 40 residents (Resident #53 and #63) received the care and services consistent with the standards of practice and comprehensive person-centered care plan. 1. The facility staff failed to ensure hemodialysis care was provided for Resident #53 to include consistent and accurate assessments of *bruit and *thrill by the licensed nurses. 2. The facility staff failed to ensure hemodialysis care was provided to Resident #63 to include consistent assessments of bruit and thrill, as well as communication between the facility and dialysis center.
  11. 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.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2018
    Inspectors wroteBased on observations, clinical record review, staff interviews and facility documentation, the facility staff failed to ensure the licensed nursing staff were competent with the appropriate skills to provide assessments of Arterio-Venous (AV) dialysis shunts for 2 of 40 residents (#53 and #63) in the survey sample. 1. The facility staff failed to ensure the licensed nursing staff were competent in the provision of hemodialysis care for Resident #53 to include accurate assessments of *bruit and *thrill. 2. The facility staff failed to ensure the licensed nursing staff were competent in the provision of hemodialysis care for Resident #63 to include accurate assessments of bruit and thrill.
  12. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2018
    Inspectors wroteBased on observations, staff interviews, clinical record review and review of facility documentation, the facility staff failed to ensure hand washing after removal of gloves during accuchecks (a fingerstick for blood glucose testing) for 2 of 40 residents (Resident #53 and #13) in the survey sample. 1. The facility staff failed to ensure hand washing after the removal of gloves during the accucheck procedure for Resident #53. 2. The facility staff failed to ensure hand washing after the removal of gloves during the accucheck procedure for Resident #13.
March 23, 2017Standard inspection · 11 citations
  1. K
    Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
    F323 · Environmental · Immediate jeopardy to resident health or safety, pattern · Corrected (the home has a date of correction) May 11, 2017
    Inspectors wroteBased on observations, staff interviews, clinical record review, and facility document review the facility staff failed to provide an environment that was free of hazards to prevent accidents for 13 of 47 residents in the survey sample, Resident's #12, #18, #19, #20, #21, #25, #26, #27, #28, #29, #30, #31, and #32 resulting in the identification of Immediate Jeopardy. The facility staff failed to ensure safe coffee temperatures on 6/23/16 to prevent an avoidable accident for Resident #18 resulting in second degree abdominal burns after spilling hot coffee on self, and on 3/22/17 during this survey coffee served to Resident's #12, #19, #20, #21, #25, #26, #27, #28, #29, #30, #31, and #32 during the lunchtime meal in all four dining rooms was identified at temperatures sufficient to cause tissue injury and third degree burns resulting in the identification of Immediate Jeopardy.
  2. G
    Provide necessary care and services to maintain or improve the highest well being of each resident .
    F309 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) May 11, 2017
    Inspectors wroteBased on observations, staff interviews, clinical record review, and facility document review the facility staff failed to provide the necessary care and services for a 2nd degree abdominal burn in a timely manner to maintain the highest practicable physical wellbeing for 1 of 47 resident in the survey sample, Resident #18. The facility staff failed to properly assess, and follow Physician orders to obtain a Wound Consult following a 2nd degree abdominal burn from a hot coffee spill on 6/23/16 resulting in a 7 day delay in treatment for Resident #18, which constitutes harm.
  3. F
    Store, cook, and serve food in a safe and clean way.
    F371 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 11, 2017
    Inspectors wroteBased on observations, staff interviews, and facility document review, the facility staff failed to store and prepare foods in a sanitary manner. The facility staff failed to ensure an open 25 pound bag of panko (bread crumbs) was stored in a sealed container to prevent physical contaminants from inadvertently entering the food, failed to ensure an open date and use by dated was placed on a 35 ounce open bag of toasted oats, and failed to ensure two deep fryer baskets were free from cross-contamination that were in contact with a trash can.
  4. E
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F250 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 12, 2017
    Inspectors wroteThe facility failed to provide medically related social services for 1 out of 15 residents as evidenced by the facility choosing not to follow the wishes of the legal power of attorney (POA) but following the wishes of the non-POA for her mother's diet.
  5. E
    Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
    F252 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 11, 2017
    Inspectors wroteBased on observation, resident interviews, staff interview, facility documentation review, the facility staff failed to maintain a clean comfortable homelike environment in 3 of 8 resident shower rooms. On 3/22/17 at approximately 10:00 to 11:00 a.m. during the General Observation tour of the facility the surveyor observed the following items: Soiled Shower rooms (3B, 2B, 2A) On 3/22/17 during the General Observation tour of the facility from 10:00 to 11:00 a.m. 3B Resident Shower Room was observed soiled. Used towels were observed lying in the shower room. The Shower room bench was observed with torn rough edges on the padded seat. On 3/22/17 during the General Observation tour of the facility from 10:00 to 11:00 a.m. 2B shower room was observed to be soiled. A used towel was observed lying in the shower room. The shower room bench was observed with torn rough edges. [...]
  6. E
    Have a program that investigates, controls and keeps infection from spreading.
    F441 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 11, 2017
    Inspectors wroteBased on observation, staff interviews, and facility document review the facility staff failed to ensure that a single use wound care product was discarded after resident use for 1 of 47 residents in the survey sample, Resident #3, and failed to prevent the potential for the transmission of infection with the storage of clean supplies. 1. The facility staff failed to ensure that a single use Calcium Alginate Wound care product was discarded after wound care was completed on Resident #3. 2. The facility staff failed to ensure the storage of clean supplies in a manner to prevent the potential for transmission of infection.
  7. E
    Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
    F498 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 11, 2017
    Inspectors wroteBased on staff interviews and facility documentation review, the facility staff failed to ensure continuing competency of nursing aides with training hours no less than 12 hours a year. Specifically, the facility staff failed to ensure that five out of 46 CNAs (Certified Nursing Assistants) had completed at least 12 hours of training per year per hire anniversary date for each CNA.
  8. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F157 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 12, 2017
    Inspectors wroteThe facility staff failed to notify the physician and or designee and the Power of Attorney of a change in physical, mental, or psychosocial status for 1 of 15 residents in the survey sample, Resident #115. The facility staff failed to notify the physician and or designee and the Power of Attorney that Resident #115 was not receiving the dietary supplement (Pure Aloe Force) as ordered by the physician and the resident was refusing the anti-platelet medication Aggrenox. Aggrenox is used to reduce the risk of stroke in people who have had blood clots or a mini-stroke.
  9. D
    Reasonably accommodate the needs and preferences of each resident.
    F246 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 11, 2017
    Inspectors wroteBased on observations, resident, staff and group interviews, the facility staff failed to provide laundry services with reasonable accommodations for one resident, Resident #17, in the survey sample of 47 residents.
  10. D
    Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
    F328 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 11, 2017
    Inspectors wroteBased on observation, resident interview, staff interview, facility documentation review, clinical record review, and in the course of a complaint investigation, the facility staff failed to ensure the safe storage and transportation of oxygen cylinders. On 3/22/17 at approximately 10:10 a.m., during the General Observation Tour with the Assistant Administrator and the Director of Maintenance one full small oxygen cylinder was observed in the oxygen storage room, stored standing on boxes of supplies and not secured in a rack to prevent the cylinder from the potential of becoming airborne if it were to fall. The Oxygen Storage Room was observed not being directly beside or across from a resident room. During the observation of the oxygen cylinder, the Maintenance Director placed the one cylinder into the storage rack for oxygen cylinders. [...]
  11. D
    Train all employees on what to do in an emergency, and carry out unannounced staff drills.
    F518 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 11, 2017
    Inspectors wroteBased on observation, staff interview, facility documentation review, the facility staff failed to ensure that all staff were trained in emergency procedures, specifically use of a fire extinguisher. On 3/22/17 at approximately 11:20 a.m. a Certified Nursing Assistant (CNA) was questioned on use of a fire extinguisher. The CNA #1 stated that to use a fire extinguisher she would take the extinguisher out of the wall unit, then squeeze the handle and aim at the bottom of the fire. When CNA #1 was asked what she would do if nothing came out of the nozzle when she squeezed the handle, she had no response. When CNA #1 was asked what she would do if she was not able to squeeze that handle, CNA had no response. The CNA and surveyor were standing in front of an extinguisher while questions were asked. Answers to PULL THE PIN were written on the extinguisher. [...]

Fire safety inspections

10 fire safety citations on file: 2 on December 2, 2021, 4 on October 11, 2018, 4 on March 23, 2017.

Every fire safety citation10 citations
  1. D
    Have an enclosure around a vertical opening shaft.
    K 311 · December 2, 2021 · Corrected (the home has a date of correction)
  2. D
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · December 2, 2021 · Corrected (the home has a date of correction)
  3. F
    Provide a written emergency evacuation plan.
    K 711 · October 11, 2018 · Corrected (the home has a date of correction)
  4. D
    Meet other general requirements that are deficient.
    K 300 · October 11, 2018 · Corrected (the home has a date of correction)
  5. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · October 11, 2018 · Corrected (the home has a date of correction)
  6. D
    Ensure proper usage of power strips and extension cords.
    K 920 · October 11, 2018 · Corrected (the home has a date of correction)
  7. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 23, 2017 · Corrected (the home has a date of correction)
  8. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 23, 2017 · Corrected (the home has a date of correction)
  9. D
    Install corridor and hallway doors that block smoke.
    K 363 · March 23, 2017 · Corrected (the home has a date of correction)
  10. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · March 23, 2017 · Corrected (the home has a date of correction)

Fines and payment denials

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

Staffing

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

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)3.813.763.86
Registered nurses0.640.690.69
All nursing staff on weekends3.433.293.42
Nurse aides2.00
Licensed practical nurses1.17
Nursing staff turnover (share who left in a year)27.0%48.1%45.8%
Registered nurse turnover46.4%48.2%42.9%
Administrators who left0

CMS expects 3.89 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 3.96 on weekdays and 3.43 on weekends, 13% 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 3.68 in April to June 2025 to 3.81 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.810.643.963.43 0.0%0 of 90147
Oct to Dec 20253.760.603.923.35 0.2%0 of 92145
Jul to Sep 20253.700.663.853.32 0.7%0 of 92147
Apr to Jun 20253.680.673.823.33 0.9%0 of 91147
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Virginia, Jan to Mar 20263.580.563.763.125.7%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Virginia

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

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

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

MeasureThis homeVirginiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
17.914.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.70.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.01.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.23.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.01.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
23.815.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.94.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.314.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.022.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.311.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Potomac Falls Health & Rehab Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (60.3% 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

60.3% this home

Better than 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. 399 eligible stays.

Potentially preventable readmissions

11.0% 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. 402 eligible stays.

Infections that led to a hospital stay

7.1% 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. 282 eligible stays.

Self-care and mobility at discharge

34.2% 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. 202 residents counted.

Falls with major injury

0.3% 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. 291 residents counted.

New or worsened pressure ulcers

1.4% 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. 290 residents counted.

Medication list given at discharge

93.3% 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. 30 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: CCSP NOVA LLC. CMS links this home to Commonwealth Care of Roanoke, a group of 12 nursing homes averaging 3.6 stars overall.

NameRoleTypeShareSince
Nova Care LLC5% or greater direct ownership interestOrganization100%09/30/2010
Bdsheffer LLC5% or greater indirect ownership interestOrganization20%09/30/2010
Dj Petrine LLC5% or greater indirect ownership interestOrganization48%09/30/2010
Goodall, Lury5% or greater indirect ownership interestIndividual15%09/30/2010
Stallard, Patricia5% or greater indirect ownership interestIndividual10%09/30/2010
Tucker, David5% or greater indirect ownership interestIndividual7%09/30/2010
White, BrendaW-2 managing employeeIndividual10/16/2020
Alesantrino, JoeCorporate officerIndividual06/01/2019
Petrine, DeborahCorporate officerIndividual09/09/2010
Tucker, DavidCorporate officerIndividual10/01/2010
Commonwealth Care of Roanoke IncOperational/managerial controlOrganization09/30/2010

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

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 12 problems in this area, most recently on December 2, 2021: "Allow resident to participate in the development and implementation of his or her person-centered plan of care."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on December 2, 2021: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on December 2, 2021: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 4 problems in this area, most recently on December 2, 2021: "Make sure that a working call system is available in each resident's bathroom and bathing area."

Other nursing homes nearby

Virginia contacts for a concern about a nursing home

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

Common questions

What is Potomac Falls Health & Rehab Center's Medicare star rating?
CMS rates Potomac Falls Health & Rehab Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Potomac Falls Health & Rehab Center get at its last inspection?
14 health deficiencies at the standard inspection on December 2, 2021. The Virginia average is 14.3.
Has Potomac Falls Health & Rehab Center been fined?
CMS lists no fines in the last three years.
Does Potomac Falls Health & 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 Potomac Falls Health & Rehab Center?
CMS lists 11 owners and managers, and links the home to Commonwealth Care of Roanoke. Legal business name: CCSP NOVA LLC.

Sources

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