110 Lauck Dr, Winchester, VA 22603 · Frederick County · (540) 667-7830
60 certified beds, about 56 residents a day · For profit - Corporation · Medicare and Medicaid since 2006
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495389 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 12, 2023, inspectors cited 27 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 71 health citations since January 2020 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.35 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.
64.0% 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.
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.
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 71 health citations on file.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to notify the physician of medications that were unavailable for administration for three of 17 residents in the survey sample, Residents #1, #3, and #12.
Inspectors wroteBased on clinical record review, staff interview and facility document review, facility staff failed to provide medications as ordered for four of 17 residents in the survey sample, Residents #3 (R3), R11, R1 and R12.
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 call bell in a position that was accessible to the resident for one of 17 residents in the survey sample, Resident #5.
Inspectors wroteBased on clinical record review, staff interview and facility document review, facility staff failed to provide care and services to promote the resident's highest level of wellbeing for two of 17 residents in the survey sample, Residents #3 (R3) and R1.
Inspectors wroteBased on staff interview, and clinical record review, it was determined the facility staff failed to notify the responsible party and/or the physician when medications were not available for administration for three of 32 residents in the survey sample, Residents #37, #14 and #262.
Inspectors wroteBased on staff interview, facility document review and employee record review, it was determined the facility staff failed to implement their policies for screening potential employees for 13 of 25 employee record reviews.
Inspectors wroteBased on observation, staff interview and clinical record review, it was determined the facility staff failed to implement the comprehensive care plan for five of 32 residents in the survey sample, Residents # 110, #14, #37, #3 and #61.
Inspectors wrote2. For Resident #37, the facility staff failed to follow the physician orders for the administration of Midodrine (used to treat orthostatic hypotension. Midodrine works by causing blood vessels to tighten, which increases blood pressure) (1). On the most recent MDS (minimum data set) assessment, a quarterly assessment, with an assessment reference date of 1/16/2023, the resident scored a 12 out of 15 on the BIMS (brief interview for mental status) score, indicating the resident was moderately cognitively impaired for making daily decisions. The physician order dated, 10/7/2022, documented, Midodrine 10 mg (milligrams); 1 tablet by mouth every 8 hours for hypotension. Hold if above SBP (systolic blood pressure) 120. The March 2023 MAR (medication administration record) documented the above order. [...]
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to provide respiratory care and services per plan of care and/or in a sanitary manner for four of 32 residents in the survey sample; Residents #61, #14, #3, and #7.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to provide complete dialysis care and services for one of 32 residents in the survey sample, Resident #32.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to provide RN (registered nurse) coverage on three of 30 days reviewed.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to ensure that medications were available for administration for three of 32 residents in the survey sample, Residents #262, #14, and #37.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to complete a monthly medication regimen review for three of 32 residents in the survey sample, Residents #25, #29, and #20.
Inspectors wroteBased on staff interview and facility document review it was determined the facility staff failed to evidence infection tracking for 9 of 12 months reviewed.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to evidence clinical documentation was sent to the receiving facility at the time of resident discharge for three of 32 residents in the survey sample, Residents #23, #25, and #44.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to evidence written notification to the resident representative (RR), the resident and/or the Office of the State Long-Term Care Ombudsman of a resident's discharge for three of 32 residents in the survey sample, Residents #23, #25, and #44.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to evidence that a bed hold notice was provided to the resident and/or resident representative at the time of transfer to the hospital, for two of 32 residents in the survey sample, Residents #23 and #25.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to provide a resident or the resident representative with a summary of the baseline care plan for one of 32 residents in the survey sample, Resident #210.
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to review and revise the comprehensive care plan for two of 32 residents in the survey sample, Residents #34 and #44.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to provide smoking supervision for one of 32 residents in the survey sample, Resident #33.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to provide care and services for pain management in a timely manner for one of 32 residents in the survey sample; Resident #10.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed implement bed rail requirements for two of 32 residents in the survey sample, Residents #29 and #34.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to provide sufficient staffing for one of 32 residents in the survey sample, Resident #34.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to follow the published menu for one of 32 residents in the survey sample, Resident #23.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to serve food at the physician-ordered consistency for one of 32 residents in the survey sample, Resident #23.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to serve food according to a resident's preference for one of 32 residents in the survey sample, Resident #23.
Inspectors wroteBased on observation, staff interview, and facility document review, it was determined that the facility staff failed to serve food in a sanitary manner in one of one facility kitchen.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to provide abuse training for one of one CNA (certified nursing assistant) records reviewed.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to provide infection control training for one of one CNA (certified nursing assistant) records reviewed.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to provide 12 hours of annual training for one of one CNA (certified nursing assistant) records reviewed.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to encode and transmit MDS (minimum data set) assessments to the CMS (Centers for Medicare and Medicaid Services) system for seven of 32 residents in the survey sample, Residents #17, #16, #48, #47, #6, #49 and #46.
Inspectors wroteBased on staff interview and clinical record review it was determined that the facility staff failed ensure the required documentation and information was provided to the receiving provider, upon facility-initiated transfers for five of 35 residents in the survey sample. Residents #39, #18, #26, #13 and #32. The facility staff failed to evidence what if any required documentation was provided to the receiving facility for a facility-initiated transfers of Resident #39 on 8/2/2021, and Resident #18 on 6/18/2021. The staff failed to evidence the comprehensive care plan goals were provided to the receiving facility for a facility-initiated transfers of Resident #26 on 7/22/21, Resident #13 on 5/10/2021 and 5/26/2021, and Resident #32 on 7/14/21.
Inspectors wrote10. The facility staff failed to develop a comprehensive care plan for Resident #25, who was admitted to the facility on [DATE]. Resident #25 was admitted to the facility with diagnoses that included but were not limited to cerebral infarction (1), diabetes (2) and heart failure (3). Resident #25's most recent MDS (minimum data set), an admission assessment with an ARD (assessment reference date) of 8/4/2021, coded Resident #25 as scoring a 15 on the staff assessment for mental status (BIMS) of a score of 0 - 15, 15- being cognitively intact for making daily decisions. Section G coded Resident #25 requiring extensive assistance of two or more staff for bed mobility and transfers and total assistance of two or more persons for toileting. Section H coded Resident #25 having an indwelling catheter and always incontinent of bowel. Section J coded Resident #25 having pain occasionally. [...]
Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to implement a complete pain management program for three of 35 residents in the survey sample, Residents # 201, # 3, and # 16. The facility staff failed to assess and document the location of pain and failed to attempt and or provide non-pharmacological interventions prior to the administration of a prn [as needed] pain medications to Resident #201, #3 and Resident #16, on multiple occasions during August and September 2021.
Inspectors wroteBased on staff interview and facility document review, it was determined that the facility staff failed to have a complete infection control program as evidenced by missing infection control surveillance for April, May and June 2021.
Inspectors wroteBased on observation, staff interview, resident interview and facility document review it was determined that the facility staff failed to provide privacy for three of 35 residents in the survey sample, Resident #301, #33 and #47. Resident #301's urinary catheter bag was visible with urine in the bag from the hallway while the resident was in bed and was not covered with a privacy cover; Resident #33's protected health information was left open on the medication cart in the hallway and was visible to staff and or others passing by, during the medication administration observation; and facility staff failed to provide personal privacy for Resident #47 while she was receiving personal care on 9/7/21.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to provide a clean and homelike environment for 2 of 35 residents in the survey sample; Residents #9 and #37. Resident #9's right and Resident #37's wheelchairs were not maintained in a condition of good repair. Resident #9's right wheelchair arm was observed with cracks in the vinyl material, and exposed foam in the cracks.
Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to ensure written notification was provided to the ombudsman, the resident and the resident's representative (RP) for a facility/resident-initiated transfer for one of 35 residents in the survey sample, Residents #32. The facility staff failed to evidence that the ombudsman was notified and Resident # 14 and resident's representative were provided written notification of a resident-initiated transfer on 07/14/2021 for Resident # 32.
Inspectors wroteBased on resident interview, staff interview, facility document review, and clinical record review, it was determined that facility staff failed to provide a bed hold policy to the resident or the resident's representative upon a transfer to the hospital for one of 35 residents in the survey sample, Residents # 32. The facility staff failed to provide Resident #32 and or the resident's representative with a copy of the bed hold policy prior to and or at the time of transfer to the hospital on [DATE].
Inspectors wroteBased on staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to ensure an accurate MDS (minimum data set) assessment for two of 35 residents in the survey sample; Residents #37 and #52. 1. The 8/10/21 quarterly MDS assessment for Resident #37 was not completed accurately regarding the coding of Section J1800 falls. The clinical record documented Resident #37 was found on the floor by staff on 6/8/21, and Section J1800 of the 8/10/21, quarterly MDS assessment coded the resident as having 0 falls, since admission/entry or reentry or the prior assessment. 2. The facility staff failed to accurately code Resident # 52's discharge status to community on the discharge MDS (minimum data set) assessment with an ARD (assessment reference date) of 07/22/2021. Instead, the resident's discharge was coded as Acute hospital.
Inspectors wroteBased on observation, clinical record review, staff interview, and facility document review, it was determined that the facility staff failed to review and revise the comprehensive care plan for one of 35 residents in the survey sample; Resident #9. The facility staff failed to review and revise Resident #9's comprehensive care plan was to include and address the use of side rails.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to ensure professional standards for the administration of pain medications for one of 35 residents in the survey sample, Resident # 3. The facility staff failed to clarify physician orders for two prescribed as needed pain medications, Percocet and acetaminophen, to determine when and which medication should be administered.
Inspectors wroteBased on observation, staff interview and facility document review, it was determined the facility staff failed to ensure physician ordered fluid restrictions were implemented and monitored per physicians orders for one of 35 residents in the survey sample, Resident # 44. The facility staff failed to ensure the amount of fluid Resident #44 received was monitored and within the physician prescribed fluid restriction amount of 1500 ml (milliliters).
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide care and services consistent with professional standards of practice, to promote healing of a pressure injury for one of 35 residents in the survey sample, Resident #40. The facility staff failed to conduct a thorough initial assessment to include measurements of Resident #40's pressure injury upon discovery on 1/2/21, and failed to ensure ongoing assessments including measurements and staging until 2/1/2021.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined the facility staff failed to provide appropriate services, and equipment, to maintain or improve mobility per the physicians order for one of 35 residents in the survey sample, Resident #15. The staff failed to apply Resident #15's physician ordered resting left hand splint on 9/7/21 and 9/8/21.
Inspectors wroteBased on observation, staff interview, clinical record review, it was determined that facility staff failed to the implement assistive device safety measures to ensure an environment free of accident hazards for one of 35 residents in the survey sample, Resident #32. The facility staff failed to implement Resident #32's fall mat on 9/07/21, 9/08/21, and the morning of 9/09/21, per the comprehensive plan of care.
Inspectors wroteBased on observation, staff interview, resident interview and facility document review it was determined facility staff failed to obtain informed consent for the use of bed rails for one of 35 residents in the survey sample, Resident #301. The facility staff failed to obtain an informed consent prior to the use of bed rails for Resident #301.
Inspectors wroteBased on staff interview and facility document review, it was determined that the facility staff failed to ensure that two of 2 nurse aid records reviewed had received required annual competencies, (CNA [certified nursing assistant] #1 and CNA #2). CNA #1 was hired 9/12/1988 and CNA #2 hired 7/16/2019, and neither CNA had annual training and competency evaluations completed.
Inspectors wroteBased on observation, staff interview, facility document review and in the course of a complaint investigation, it was determined facility staff failed to remove and discard of expired medications in one of one facility medications rooms and failed to provide pharmacy services for one of 35 residents in the survey sample, Resident # 101. 1. Expired Preservision eye vitamin mineral supplement soft gels with an expiration date of July 2021 were available for resident administration in the one facility medication room. 2. The facility staff failed to ensure Resident #101's physician ordered medication, Meropenem 500 mg (milligrams) every 8 hours for pneumonia for 10 days, was available and administered intravenously as prescribed on 1/11/2021 at 10:00 p.m.
Inspectors wroteBased on observation, staff interview and facility document review it was determined that the facility staff failed to secure medications properly on one of three facility medication carts, the medication cart on the Blue unit. The facility staff failed to lock the medication cart on the Blue unit when the cart was out of the line of sight of the nurse.
Inspectors wroteBased on observation, staff interview, facility document review and in the course of a complaint investigation, it was determined the facility staff failed to serve food at temperatures that were palatable for meal enjoyment during the evening meal.
Inspectors wroteBased on staff interview and clinical record review, and during the course of a complaint investigation, it was determined the facility staff failed to maintain a complete and accurate clinical record for one of 35 residents in the survey sample, Resident # 101. Resident #101's January MAR (medication administration record) documented see nurses note on 1/27/21 and 1/28/21, beside the physician ordered medication Flovent. Review of the January 2021, nurses notes for Resident #101 failed to evidence any documentation related to the use of the Flovent.
Inspectors wroteBased on staff interview and facility document review, it was determined that the facility staff failed to maintain an effective Quality Assurance program.
Inspectors wroteBased on staff interview and facility document review, it was determined that the facility staff failed to ensure 8 consecutive hours of RN (Registered Nurse) coverage for the facility on August 13, 14, and 15, 2021.
Inspectors wroteBased on observation, staff interview, and facility document review, it was determined that the facility staff failed to post a daily nurse staff posting that was complete and accurate from 8/7/12 through 9/8/21.
Inspectors wroteBased on observation, staff interview, and facility document review, it was determined the facility staff failed to maintain the dumpster area in a sanitary manner.
Inspectors wrote2. Resident # 3 was admitted to the facility on [DATE] with a readmission of 07/22/2019 with diagnoses that included but were not limited to respiratory failure, shortness of breath and chronic obstructive pulmonary disease [1]. Resident # 3's most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 09/26/19, coded Resident # 3 as scoring a 12 on the staff assessment for mental status (BIMS) of a score of 0 - 15, 12- being moderately impaired of cognition for making daily decisions. Resident # 3 was coded as requiring extensive assistance of one staff member for activities of daily living. Section O Special Treatments, Procedures and Programs coded Resident # 3 for the use of oxygen. [...]
Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to ensure the drug regimen must be free from unnecessary drugs for two of 32 residents in the survey sample, Resident # 3 and # 25. The facility staff failed to attempt non-pharmacological interventions prior to the administration of prn (as needed) pain medications [Oxycodone (1) and Acetaminophen] (2)] to Resident #3 on multiple dates in November and December 2019. The facility staff failed to attempt non-pharmacological interventions prior to the administration of a prn (as needed) pain medication [Hydrocodone- Acetaminophen (2)] to Resident #25 on multiple dates during November, December 2019 and January 2020.
Inspectors wroteBased on observation staff interview and review of facility documents it was determined the facility staff failed to store and prepare food in accordance with professional standards for food service safety.
Inspectors wroteBased on observation, staff interview, resident interview, clinical record review, and facility document review, it was determined that the facility staff failed to follow infection control practices for four of 32 residents in the survey sample; Residents #41, #37, #47, #163, and #25. The facility staff failed to store Resident #41's nebulizer and Incentive spirometer in a manner to prevent infections. Resident #41's nebulizer mask and Incentive spirometer were observed uncovered on the residents over the bed table. The facility staff failed to prepare and administer medications to Resident #37, in a manner to prevent the spread of infection. RN (registered nurse) #1 was observed touching medications in a plastic medication cup with her ungloved finger. [...]
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, it was determined that facility staff failed to maintain a resident's dignity for one of 32 residents in the survey sample, Resident # 6. The facility staff failed to provide privacy for Resident # 6's catheter, collection bag and urine inside the collection bag was visible from the hallway.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to provide the resident representative and Ombudsman with the required written notification of a hospital transfer for one of 36 residents in the survey sample; Resident #65. The facility staff failed to evidence that a written notification of a hospital transfer for Resident #65 on 12/10/19, was provided to the resident representative and Ombudsman.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to provide a written bed hold notice upon a hospital transfer for 1 of 36 residents in the survey sample; Resident #65. The facility staff failed to evidence that a bed hold notice was provided upon Resident #65's hospital transfer on 12/10/19.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to develop a baseline care plan for the use of an incentive spirometer [1] for one of 32 residents in the survey sample, Resident # 163.
Inspectors wroteBased on observation, record review, resident interview, staff interview, clinical record review and facility document review it was determined that the facility staff failed to develop and/or implement the comprehensive care plan for six of 32 residents in the survey sample, Residents #47, 41, 61, 37, 3, and 25. The comprehensive care plan for Resident #47, failed to evidence documentation for as needed use of oxygen. The facility staff failed to include the use of an incentive spirometer when they developed Resident #41's comprehensive care plan for altered respiratory status, dated 1/7/20, and failed to develop the comprehensive care plan for care and services of the resident's disease process of diabetes. [...]
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to review and revise the comprehensive care plan, for two of 32 residents in the survey sample, Resident #6 and Resident #25. The facility staff failed to review and revise Resident #6's comprehensive care plan to include hospice care and services and care of an indwelling catheter. The facility staff failed to review and revise the comprehensive care plan for Resident #25 to include the use of an incentive spirometer [1].
Inspectors wroteBased on clinical record review, staff interview and review of facility documentation it was determined the facility staff failed to provide treatment and care in accordance with professional standards of practice for one of 32 residents in the survey sample, Resident #3. The facility staff failed to administer sliding scale insulin per the physician orders to Resident # 3. On 01/07/2020 at 7:30 a.m., 11:30 a.m. and 4:30 p.m., and 01/08/2020 at 7:30 a.m., 11:30 a.m. there was no documentation of the amount of insulin administered or the location of the injections.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to ensure environment free of accident hazards and assistance devices to prevent accidents for one of 32 residents in the survey sample; Resident #61. The facility staff failed to implement fall interventions for Resident #61 after a fall on 12/29/19, fall mats and a scoop mattress were determined by the facility to be required interventions. Neither intervention had been implemented as of the survey date of 1/9/20.
Inspectors wroteThe facility staff failed to ensure that two of four residents in the Medication Administration task (Residents #41 and #37) were free of medication errors of less than 5%. Out of 32 opportunities, five errors were observed, resulting in a medication error rate of 15.63%. The facility staff failed to ensure that Resident #41 was free of medication errors. Resident #41 was administered a medication that was not ordered for him and staff failed to administer ordered medications. The facility staff failed to ensure that Resident #37 was free of medication errors. Resident #37 was administered a partial dose of the blood pressure medication, Atenolol, and not the full dose that was ordered.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to ensure that one of 32 residents in the survey sample, Resident #37 was free significant medication errors. Resident #37 was not administered the correct dose of the blood pressure medication Atenolol (2).
Inspectors wroteBased on resident interview, staff interview, and clinical record review it was determined that the facility staff failed to maintain a complete and accurate medical record for one of 32 residents in the survey sample, Resident #43. The facility staff failed to maintain an accurate record documenting treatments performed for applying Nystatin (medication used to treat infection) powder topically twice daily and changing the wound vac (The vacuum assisted closure (VAC) therapy (also known as negative pressure wound therapy to assist with wound healing) dressing three times a week.
16 fire safety citations on file: 5 on April 12, 2023, 7 on September 9, 2021, 4 on January 9, 2020.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.35 | 3.76 | 3.86 |
| Registered nurses | 0.74 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.92 | 3.29 | 3.42 |
| Nurse aides | 1.58 | ||
| Licensed practical nurses | 1.03 | ||
| Nursing staff turnover (share who left in a year) | 64.0% | 48.1% | 45.8% |
| Registered nurse turnover | 54.5% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.73 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.53 on weekdays and 2.92 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.83 in April to June 2025 to 3.35 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.35 | 0.74 | 3.53 | 2.92 | 3.1% | 0 of 90 | 56 |
| Oct to Dec 2025 | 3.30 | 0.85 | 3.45 | 2.92 | 11.7% | 0 of 92 | 56 |
| Jul to Sep 2025 | 2.98 | 0.68 | 3.14 | 2.57 | 6.4% | 0 of 92 | 56 |
| Apr to Jun 2025 | 2.83 | 0.70 | 2.98 | 2.43 | 9.0% | 0 of 91 | 56 |
| 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.
Staff pay reports
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 10.4 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.6 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.2 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.4 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.3 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.4 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.7 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.4 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Winchester Health & Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (56.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
56.3% 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. 272 eligible stays.
11.9% 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. 286 eligible stays.
7.6% 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. 181 eligible stays.
68.2% 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. 135 residents counted.
0.6% 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. 175 residents counted.
2.2% 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. 175 residents counted.
97.0% 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. 101 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.
Legal business name: WINCHESTER 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 |
|---|---|---|---|---|
| Idels, Shimon | Corporate officer | Individual | 12/01/2022 | |
| Idels, Shimon | Operational/managerial control | Individual | 12/01/2025 |
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.
Chosen from this home's own inspection record.
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