Home / Virginia / Williamsburg
Williamsburg Post Acute & Rehabilitation
1235 S Mount Vernon Avenue, Williamsburg, VA 23185 · James City County · (757) 229-4121
130 certified beds, about 95 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495235 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 28, 2024, inspectors cited 1 health deficiency (the Virginia average is 14.3, the national average 9.2).
None of its 31 health citations since October 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.82 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
63.1% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Hill Valley Healthcare, an affiliated group of 43 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.
2310/23
304/24
110/24
411/25
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 31 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
23D
6E
1F
Potential for minimal harm
0A
0B
1C
November 14, 2025Complaint inspection · 4 citations
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview clinical record review and facility documentation the facility staff failed to ensure routine medications were available to be administered to 3 residents (#'s 1, 2, and 3) in a survey sample of 3 residents.1, For Resident #1 the facility staff failed to ensure that routine medications were available for administration to the resident. Resident #1 was admitted to the facility on [DATE] with diagnoses that included but not limited to hemiplegia and hemiparesis following cerebral infarction (stroke), heart failure, atrial fibrillation, dysphagia, hypertension, pneumonia, history of repeated falls, major depressive disorder, and insomnia. Resident #1's most recent BIMS (Brief Interview of Mental Status) scored the Resident 15 out of a possible 15, indicating no cognitive impairment. [...]
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview clinical record review and facility documentation the facility staff failed to ensure that residents were free from significant medication errors for 3 residents (Resident #'s 1, 2 and 3) of 3 Residents in the survey sample. 1. For Resident #1 the facility staff failed to ensure the resident received Levoquin (an antibiotic), Umeclidinium-Vilanterol (an inhaler for COPD) and dexamethasone (a steroid) per physician orders. Resident #1 was admitted to the facility on [DATE] with diagnoses that included but not limited to hemiplegia and hemiparesis following cerebral infarction (stroke), heart failure, atrial fibrillation, dysphagia, hypertension, pneumonia, history of repeated falls, major depressive disorder, and insomnia. Resident #1's most recent BIMS (Brief Interview of Mental Status) scored the Resident 15 out of a possible 15, indicating no cognitive impairment. [...]
- E Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on interviews and facility document review, the facility failed to designate an individual as the infection preventionist (IP) who was responsible for the facility's Infection Prevention and Control Program (IPCP) for the facility.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, interview, clinical record review, and facility documentation, the facility staff failed to notify the physician and resident representative of changes in the residents' condition for 2 of 3 (Residents #1 and # 2) residents in a survey sample of 3 Residents.
October 28, 2024Standard inspection · 1 citation
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation and staff interview, the facility staff failed to ensure adherance to the expiration dates for over-the counter (OTC) medications in bulk containers.
April 19, 2024Standard inspection, Complaint inspection · 3 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on staff interview, resident interview, facility documentation review, and clinical record review, the facility staff failed to maintain the professional standards of medication and treatment administration in nursing practice for one Resident (Residents #63) in a survey sample of 27 Residents. For Resident #63, the facility staff failed to administer treatments and pain medications for a dependent Resident with wounds and pain.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to store medication in a secure location for 1 resident, Resident #61, out of a survey sample of 27 residents.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and facility policy review, the facility staff failed to properly store, label and date food items, and clean the floors in 2 out of 4 refrigerators/freezers located within the facility's main kitchen.
October 20, 2023Standard inspection · 23 citations
- F Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to maintain an effective Quality Assurance and Performance Improvement (QAPI) program, having the potential to affect all 72 residents residing in the facility.
- E Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to transmit resident assessments/Minimum Data Set (MDS) in a timely manner to Centers for Medicare & Medicaid Services (CMS) for 8 residents (Residents #1, #2, #33, #36, #39, #61, #63, and #68) in a survey sample of 39 residents.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to provide influenza and pneumococcal vaccines for 5 residents (Residents #124, #125, #274, #275, and #276), in a survey sample of 5 residents reviewed for immunizations.
- E Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to provide education and offer COVID-19 vaccines for 4 residents (Residents #125, #274, #275, and #276) in a survey sample of 5 residents reviewed for immunizations and 5 staff (Staff #1, #2, #3, #4 and #5).
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, resident interview, staff interviews, facility documentation review, and clinical record review, the facility staff failed to assess and determine if a resident was safe to self-administer medications, for one resident (Resident #14) in a survey sample of 39 residents.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, resident interview, facility staff interview, clinical record review, and facility documentation review, the facility staff failed to accommodate the needs of 2 residents (Residents #274 and #70) in a survey sample of 39 residents.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to notify the physician and family of a resident's change in medications and change in condition for one resident (Resident #14) in a survey sample of 39 residents.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to provide a proper Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) to 2 residents (Residents #43 and #70) in a survey sample of 3 residents reviewed for such notices.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview, clinical record review, and facility documentation, the facility staff failed to ensure freedom from abuse and neglect for 1 resident (Resident #54) in a sample of 39 residents.
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on resident interview, facility staff interview, clinical record review, and facility documentation review, the facility staff failed to protect one resident (Resident #14) from misappropriation of property in a survey sample of 39 residents.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on resident interview, facility staff interview, clinical record review, and facility documentation, the facility staff failed to implement the abuse, neglect, and exploitation policy for 2 residents (Residents #54 and #14) in a survey sample of 39 residents.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview, clinical record review, and facility documentation, the facility staff failed to report an allegation of abuse/neglect within 24 hours, if the events do not result in serious bodily injury, for 1 resident (Resident #54) in a survey sample of 39 residents.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview, clinical record review, and facility documentation, the facility staff failed to investigate an allegation of abuse for 1 resident (Resident #54) in a survey sample of 39 residents.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to complete resident assessments/Minimum Data Set (MDS) in a timely manner for 6 Residents (Residents #1, #33, #36, #39, #68 and #274) in a survey sample of 39 residents.
- 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, clinical record review, and facility documentation review, the facility staff failed to develop and implement a comprehensive care plan for three residents (Residents #125, #70, and #21) in a survey sample of 39 Residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to follow standards of practice affecting one resident (Resident #14) in a survey sample of 39 residents.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, resident interview, facility staff interview, clinical record review, and facility documentation review, the facility staff failed to provide assistance to one resident (Resident #274), who was dependent upon staff for activities of daily living, in a survey sample of 39 residents.
- D Provide appropriate foot care.
Inspectors wroteBased on observation, interview, clinical record review, and facility documentation, the facility staff failed to provide proper foot care to 1 resident (Resident #67) in a survey sample of 39 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interviews, and facility documentation review, the facility staff failed to ensure 1 of 2 nursing units was safe and free of accident hazards.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview, clinical record review, and facility documentation, the facility staff failed to provide medications as ordered by the physician to 1 resident (Resident #53) in a survey sample of 39 residents.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and facility documentation, the facility staff failed to appropriately label medication with accepted professional principals in 1 of 2 medication refrigerators.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, resident interview, facility staff interview, and facility documentation review, the facility staff failed to ensure a functioning call bell was present for one resident (Resident #59) in a survey sample of 39 residents.
- C Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation and staff interviews, the facility staff failed to post in a readily accessible place, inspection reports with a plan of corrections in effect, with respect to any surveys conducted during the past 3 years for all 72 residents residing in the facility. The facility's non-compliance has the potential to impact all residents and their family's ability to make informed decisions regarding knowledge of the facility's regulatory compliance history.
Fire safety inspections
4 fire safety citations on file: 4 on October 20, 2023.
Every fire safety citation4 citations
- F Have an externally vented heating system.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have a battery powered remote alarm panel in a location accessible by operating personnel.
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) | 2.82 | 3.76 | 3.86 |
| Registered nurses | 0.47 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.47 | 3.29 | 3.42 |
| Nurse aides | 1.55 | ||
| Licensed practical nurses | 0.81 | ||
| Nursing staff turnover (share who left in a year) | 63.1% | 48.1% | 45.8% |
| Registered nurse turnover | 75.0% | 48.2% | 42.9% |
| Administrators who left | 2 |
CMS expects 4.33 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 2.97 on weekdays and 2.47 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.96 in April to June 2025 to 2.82 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 | 2.82 | 0.47 | 2.97 | 2.47 | 12.4% | 1 of 90 | 95 |
| Oct to Dec 2025 | 3.08 | 0.46 | 3.24 | 2.68 | 18.5% | 0 of 92 | 95 |
| Jul to Sep 2025 | 3.05 | 0.56 | 3.22 | 2.62 | 26.4% | 0 of 92 | 90 |
| Apr to Jun 2025 | 2.96 | 0.36 | 3.10 | 2.60 | 17.2% | 1 of 91 | 82 |
| 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 | 9.8 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.0 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.8 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.1 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.0 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.2 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 24.7 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.5 | 1.8 |
Owners and operators
Legal business name: WILLIAMSBURG SNF OPERATIONS LLC. CMS links this home to Hill Valley Healthcare, a group of 43 nursing homes averaging 1.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| VA 6 SNF Operations Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 12/01/2022 |
| Phillips, Charles | W-2 managing employee | Individual | 12/01/2022 | |
| Idels, Shimon | Corporate officer | Individual | 12/01/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on November 14, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on November 14, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on April 19, 2024: "Ensure services provided by the nursing facility meet professional standards of quality."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on October 20, 2023: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.47 hours per resident per day, below the Virginia average of 3.29.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Woodhaven Hall at Williamsburg Landing Williamsburg, 2.3 mi · 3 of 5 stars · 32 citations
- Jamestown Health and Rehabilitation Williamsburg, 3.6 mi · 4 of 5 stars · 29 citations
- Windsormeade of Williamsburg Williamsburg, 3.9 mi · 5 of 5 stars · 12 citations
- Riverside Lifelong Health & Rehabilitation Patri Williamsburg, 4.9 mi · 4 of 5 stars · 13 citations
- Walter Reed Post Acute Gloucester, 13.9 mi · 4 of 5 stars · 18 citations
- York Post Acute Yorktown, 14.1 mi · 2 of 5 stars · 26 citations
- Riverside Lifelong Health & Rehabilitation Sanders Gloucester, 14.2 mi · 5 of 5 stars · 23 citations
- Old Dominion Rehabilitation and Nursing Newport News, 14.9 mi · 1 of 5 stars · 62 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 Williamsburg Post Acute & Rehabilitation's Medicare star rating?
- CMS rates Williamsburg Post Acute & Rehabilitation 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Williamsburg Post Acute & Rehabilitation get at its last inspection?
- 1 health deficiency at the standard inspection on October 28, 2024. The Virginia average is 14.3.
- Has Williamsburg Post Acute & Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Williamsburg Post Acute & Rehabilitation 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 Williamsburg Post Acute & Rehabilitation?
- CMS lists 3 owners and managers, and links the home to Hill Valley Healthcare. Legal business name: WILLIAMSBURG SNF OPERATIONS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.