The Culpeper
12425 Village Loop, Culpeper, VA 22701 · Culpeper County · (540) 825-2411
47 certified beds, about 40 residents a day · Non profit - Corporation · Medicare and Medicaid since 2010
Last standard inspection more than 2 years ago Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495400 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 18, 2023, inspectors cited 10 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 19 health citations since February 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.69 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 1.33 of those hours.
20.0% of nursing staff left within the year CMS measured (Virginia average 48.1%).
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.
402/21
504/22
1010/23
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 19 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
13D
3E
1F
Potential for minimal harm
0A
1B
0C
October 18, 2023Standard inspection · 10 citations
- E Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to complete quarterly MDS (minimum data set) assessments in a timely manner for four of 26 residents in the survey sample, Residents #1, #48, #36 and #51.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and facility documentation review, the facility failed to prepare and store food in a sanitary manner in one of two nourishment refrigerators, the rehab to home unit refrigerator, and in one of two facility kitchens, the main kitchen.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to implement the comprehensive care plan for three of 26 residents in the survey sample, Residents #34, #12, and #51.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to review and revise the comprehensive care plan for one of 26 residents in the survey sample, Resident #47.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to provide care and services to promote a resident's highest level of well-being for one of 26 residents in the survey sample, Resident #51.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to implement a fall intervention for one of 26 residents in the survey sample, Resident #47.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to apply an adaptive device to prevent pain for one of 26 residents in the survey sample, Resident #12.
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to use an adaptive feeding device for one of 26 residents in the survey sample, Resident #34.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to maintain a complete and accurate clinical record for one of 26 residents in the survey sample, Resident #51.
- B Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to transmit MDS (minimum data set) assessments in a timely manner for six of 26 residents in the survey sample, Residents #1, #48, #36, #51, #56 and #55.
April 7, 2022Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview and facility document review, it was determined the facility staff failed to maintain clean kitchen equipment in one of two kitchens, the main kitchen.
- E Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined the facility staff failed to have a complete pain management program for one of 21 residents in the survey sample, Resident # 24 (R24). The facility staff failed to clarify the physician orders, document the location of pain and document the level of pain for R24.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to notify the ombudsman for a transfer to the emergency room for one of 21 residents in the survey sample, Resident #8 (R8).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to clarify two physician orders for the treatment of pain for one of 21 residents in the survey smaple, Resident # 194 (R194).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, resident interview, facility document review and clinical record review, it was determined the facility staff failed to store respiratory equipment in a sanitary manner for two of 21 residents in the survey sample, Residents # 193 (R193) and # 194 (R194).
February 18, 2021Standard inspection · 4 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide the necessary care and services, consistent with professional standards of practice, to promote healing and prevent infection of a pressure injury for one of 20 residents in the survey sample, Resident #16. Resident #16 was readmitted to the facility on [DATE], with a stage two pressure injury on the sacrum/buttocks. The facility staff failed to complete ongoing thorough wound assessments including measurements and staging of the pressure injury from 10/30/20 thorough 11/19/20, and from 11/27/20 through 12/10/20, and failed to provide treatment to the pressure injury from 11/7/20 through 11/17/20, with the exception of 11/14/20. [...]
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, it was determined that facility staff failed to develop and implement the comprehensive care plan for two of 20 residents in the survey sample, Residents # 18 and # 12. The facility staff failed to develop a care plan to address the care required for Resident #18's bowel incontinence and failed to implement Resident # 12's comprehensive care plan for the administration of physician ordered oxygen.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to review and revise the comprehensive care plan for one of 20 residents in the survey sample, Resident #21. The facility staff failed to review and revise Resident #21's comprehensive care plan for oxygen therapy/respiratory care.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide respiratory care and services for two of 20 residents in the survey sample, Residents #21 and #12. The facility staff failed to administer oxygen to Residents #21 and #12 per the physician prescribed rate and failed to store Resident #12's nasal cannula in a sanitary manner when not in use. Resident #12's nasal cannula was observed uncovered and coiled over the rear handles on the wheelchair when not in use.
Fire safety inspections
1 fire safety citation on file: 1 on April 7, 2022.
Every fire safety citation1 citation
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.69 | 3.76 | 3.86 |
| Registered nurses | 1.33 | 0.69 | 0.69 |
| All nursing staff on weekends | 4.83 | 3.29 | 3.42 |
| Nurse aides | 3.04 | ||
| Licensed practical nurses | 1.33 | ||
| Nursing staff turnover (share who left in a year) | 20.0% | 48.1% | 45.8% |
| Registered nurse turnover | 9.1% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.48 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 6.04 on weekdays and 4.83 on weekends, 20% 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 5.51 in April to June 2025 to 5.69 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.69 | 1.33 | 6.04 | 4.83 | 0.0% | 0 of 90 | 40 |
| Oct to Dec 2025 | 5.32 | 1.12 | 5.70 | 4.35 | 0.0% | 0 of 92 | 43 |
| Jul to Sep 2025 | 5.21 | 1.08 | 5.61 | 4.19 | 0.0% | 0 of 92 | 44 |
| Apr to Jun 2025 | 5.51 | 1.13 | 5.97 | 4.36 | 0.0% | 0 of 91 | 41 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.0 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.1 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.2 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.8 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.0 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.2 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.8 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 27.4 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.5 | 1.8 |
Owners and operators
Legal business name: CULPEPER BAPTIST RETIREMENT COMMUNITY.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Jacobsen, James | W-2 managing employee | Individual | 02/01/2018 | |
| Bales, James | Corporate director | Individual | 01/01/2019 | |
| Brooks, Sharon | Corporate director | Individual | 01/01/2021 | |
| Browning, Herbert | Corporate director | Individual | 08/01/2009 | |
| Carter, Valerie | Corporate director | Individual | 02/01/2018 | |
| Cave, R | Corporate director | Individual | 12/31/2021 | |
| Franks, Tiffany | Corporate director | Individual | 01/01/2020 | |
| Harris, Charles | Corporate director | Individual | 08/01/2009 | |
| Jung, John | Corporate director | Individual | 01/01/2021 | |
| Keck, Michael | Corporate director | Individual | 08/01/2009 | |
| Marchello, Sallie | Corporate director | Individual | 01/01/2018 | |
| Oakey, Samuel | Corporate director | Individual | 08/01/2009 | |
| Owens, Arne | Corporate director | Individual | 01/01/2020 | |
| Poats, Jim | Corporate director | Individual | 01/01/2022 | |
| Poma, John | Corporate director | Individual | 01/01/2021 | |
| Scott, Matthew | Corporate director | Individual | 02/01/2018 | |
| Thomson, Gary | Corporate director | Individual | 01/01/2022 | |
| Albritton, Tracey | Corporate officer | Individual | 12/01/2021 | |
| Carlton, Daniel | Corporate officer | Individual | 12/31/2021 | |
| Cook, Jonathan | Corporate officer | Individual | 01/01/2015 | |
| Hawthorne, Lisa | Corporate officer | Individual | 06/14/2021 | |
| Markwith, Christopher | Corporate officer | Individual | 01/31/2018 | |
| Moran, Christine | Corporate officer | Individual | 03/31/2021 | |
| Robinson, John | Corporate officer | Individual | 02/01/2018 | |
| Virginia Baptist Homes Inc | Operational/managerial control | Organization | 08/01/2009 | |
| Cliftonlarsonallen LLP | Adp of the SNF | Organization | 01/01/2012 | |
| Functional Pathways of Tennessee LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Remedi Seniorcare of Virginia LLC | Adp of the SNF | Organization | 01/26/2009 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on October 18, 2023: "Assure that each resident’s assessment is updated at least once every 3 months."
- 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 October 18, 2023: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on October 18, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on April 7, 2022: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Culpeper Health & Rehabilitation Center Culpeper, 1.1 mi · 2 of 5 stars · 52 citations
- Mountain View Nursing Home Aroda, 12.4 mi · 5 of 5 stars · 14 citations
- Dogwood Village of Orange County Health and Rehab Orange, 14.1 mi · 4 of 5 stars · 19 citations
- Autumn Care of Madison Madison, 17.1 mi · 2 of 5 stars · 32 citations
- Poplar Hill Health and Rehab Warrenton, 21.9 mi · 2 of 5 stars · 38 citations
- Brookside Rehab & Nursing Center Warrenton, 23.2 mi · 1 of 5 stars · 80 citations
- Greene Acres Rehabilitation and Nursing Stanardsville, 25 mi · 3 of 5 stars · 19 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is The Culpeper's Medicare star rating?
- CMS rates The Culpeper 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Culpeper get at its last inspection?
- 10 health deficiencies at the standard inspection on October 18, 2023. The Virginia average is 14.3.
- Has The Culpeper been fined?
- CMS lists no fines in the last three years.
- Does The Culpeper 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 The Culpeper?
- CMS lists 28 owners and managers. Legal business name: CULPEPER BAPTIST RETIREMENT COMMUNITY.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.