222 of the 289 Medicare-certified nursing homes in Virginia (77%) are for-profit, and all are listed below. They average 3.47 nursing hours per resident per day, 0.29 hours below the 3.76 for every home in Virginia. 10 of the 222 graded homes earn an A and 21 earn a D or F. Westminster Canterbury Blue Ri in Charlottesville grades highest at A (94 out of 100).
How for-profit homes in Virginia compare
This group set against every nursing home in Virginia, from the current CMS release.
Kings Daughters Community Health & Rehab runs on 2.67 nurse hours per resident day, roughly 31 percent under the national average, and weekend coverage drops another 12 percent below its own weekday level. Staff turnover sits at 59.6 percent, well above the 45.8 percent national figure, so the people caring for residents are often new and still learning the building. The inspection record shows 81 deficiencies, 12 serious enough to involve harm or jeopardy and 8 tied to abuse. The last full inspection was February 2023, meaning the record is old but not resolved. For-profit LLC ownership, 117 beds, and a staffing rating at the bottom of the CMS scale make this a difficult placement to recommend without a very close in-person visit.
Colonial Health & Rehab Center runs 90 beds in Virginia Beach under corporate ownership, and the staffing numbers are the first thing I'd want you to see. Nurses provide 3.52 hours per resident per day against a national average of 3.86, and weekends drop roughly 20% below the home's own weekday levels. Annual turnover sits at 66.7%, well above the 45.8% national figure, so the people caring for your family member are likelier than not to change within the year.
The inspection record is harder to explain away: 61 deficiencies, four at harm or jeopardy level, five tied to abuse. One fine totaling $78,455 is on file. Quality measures score well, but that's self-reported data. The last full inspection was September 2024, so the record is current.
Guggenheimer Health and Rehab Center runs 130 beds in Lynchburg under for-profit LLC ownership, and the numbers split sharply depending on where you look. The quality measure score is strong, but nurse staffing sits at 3.38 hours per resident day against a national average of 3.86, and weekends drop about 9% below the home's own weekday level. Turnover tells the harder story: 65.6% of staff leave annually, well above the 45.8% national figure. Inspections back that up, a 1-out-of-5 health inspection rating and 54 deficiencies on the current record, one serious enough to involve harm or jeopardy, plus a $76,681 fine. The most recent inspection was October 2024. Strong clinical metrics on paper don't offset thin, unstable staffing.
Seven Hills runs lean on nursing staff, 3.30 hours per resident day against a national average of 3.86, and weekends drop about 12 percent below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. The inspection record is the harder read: 83 deficiencies, including 11 tied to abuse and 6 serious enough to put residents in immediate harm, with $235,850 in fines and nothing inspected since August 2023. Annual turnover of 50.6 percent means roughly half the nursing staff leaves each year, so the people caring for your family member are often new and still learning the building. The quality measure score looks decent, but that's self-reported data, and it sits on top of a staffing and oversight picture that is not.
Henrico Health & Rehabilitation Center carries 77 deficiencies on its current record, including 10 at the harm or jeopardy level and 8 tied to abuse. That combination is what put it in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious, repeated problems. Staffing sits right at the national average of 3.86 nurse hours per resident day, but weekends run about 14% thinner than weekdays, and turnover is 49.5% against a national 45.8%. Three fines total $260,247. The last inspection was January 15, 2026, so the record is recent. For-profit, limited liability ownership. The numbers describe a home with persistent quality and safety concerns, not a one-time lapse.
Forest Hill runs on 3.04 nurse hours per resident per day, about a fifth less than the national average of 3.86, and weekends drop roughly 9 percent below its own weekday staffing. Turnover sits at 69.6 percent against a national 45.8 percent, meaning most of the aides and nurses who know your family member may not be there in a year. The current record carries 95 deficiencies, including 3 at the harm or jeopardy level and 9 tied to abuse, with one fine of $80,132 and an inspection from February 2025. Resident outcome measures look strong here, but the staffing and inspection numbers are where the risk lives.
Ashland Nursing and Rehabilitation carries a staffing level of 3.02 nurse hours per resident day, roughly 22% under the national average, and weekends run about 12% thinner than its own weekdays. Turnover sits at 57.6% against a national 45.8%, so the aides and nurses who do show up are often new. On its current record: 169 deficiencies, including 2 at the harm level and 14 tied to abuse, plus placement in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. The last inspection was February 2024. For a 190-bed for-profit building, that combination of thin coverage, churning staff, and that many citations is the whole story.
Augusta Nursing and Rehabilitation runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average, and weekends dip about 14% below its own weekday level. That thin coverage has produced a citation record of 81 deficiencies, including 7 at harm or jeopardy level and 9 tied to abuse, plus one fine of $203,292. Staff turnover sits at 58.1% against a 45.8% national average, and the last inspection was February 2023. The quality measure score looks strong, but it reflects charted care processes rather than the staffing and compliance problems stacked against them.
Harrisonburg Health & Rehab Center runs on thin staffing. At 3.17 nurse hours per resident day, it sits about 18 percent below the national average, and weekends drop roughly another 14 percent beneath its own weekday level. That shortfall shows in the numbers: 60 percent annual turnover, well above the 45.8 percent national figure, and a one-out-of-five CMS staffing rating.
The inspection record is heavier still, 75 deficiencies, four at harm or jeopardy level, 10 abuse-related, plus two fines totaling $128,943. The last inspection was May 2022, so the record is old. Federal ownership doesn't change any of this. If you're considering it, ask what's changed since that inspection and how they cover weekends.
The numbers here are hard to dress up. Nurse staffing sits at 3.23 hours per resident day, well under the national average of 3.86, and it thins out further on weekends, not the pattern you want when families visit less and oversight is lighter. Staff turnover is the bigger tell: 62.2% against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago.
Then there's the inspection record, 59 deficiencies, four of them at harm or jeopardy level, twelve tied to abuse, and two fines totaling $108,698. That last inspection was April 2023, so this record has had time to stand.
Westwood Center runs 60 certified beds in Bluefield under corporate for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.80 hours per resident day, a bit under the national average, but weekends drop roughly 13% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is 61.7% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current inspection record carries 46 deficiencies, six at harm or jeopardy level and one abuse-related, plus three fines totaling $159,612. Its last inspection was August 2024.
Rosedale runs on thin nursing coverage: 3.10 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below its own weekday level. Turnover compounds it, nearly two-thirds of staff leave each year against a national rate of about 46%, so the people at the bedside keep changing. The inspection record is where the real weight sits: 101 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a $73,788 fine. The last full inspection was September 2023, so that record is getting old, which isn't the same as getting better.
Woodstock Valley runs on 2.98 nurse hours per resident per day, about a quarter below the national average, and weekends drop another 14% below its own weekday staffing. The current inspection record carries 115 deficiencies, including five at the level where residents were actually harmed or put in immediate jeopardy, plus eight tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for the homes with the longest-running patterns of poor care, and the two fines on record total $174,324. Staff turnover at 43.6% is roughly in line with the national average, so the problem isn't churn alone. It's thin coverage layered on repeated, serious inspection failures.
Blue Ridge Rehabilitation and Nursing runs on leaner staffing than most homes in the country, 3.13 nurse hours per resident day against a national average of 3.86, and it gets thinner on weekends, when hours drop about 16% below the home's own weekday levels. That's a real gap when you're counting on someone to answer a call light on a Saturday. The inspection record is heavier than you'd want: 58 deficiencies, two of them serious enough to put residents at risk of harm, two tied to abuse, and $50,436 in fines across seven penalties. Staff turnover sits at 56.8%, well above the 45.8% national figure, so the faces change often. Corporate-owned and for-profit, this one last saw a health inspection in August 2024.
Parham Health Care & Rehab Center runs a 180-bed for-profit operation in Henrico County, and the staffing numbers are the first thing that stand out. At 2.93 nurse hours per resident day, it's about a quarter below the national average, and weekends drop another 14% under its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 62.2%, well above the 45.8% national figure, which means the people providing care are often new. The inspection record backs that up: 126 deficiencies, ten at harm or jeopardy level, plus 11 abuse-related findings and two fines totaling $266,181. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems.
Wonder City Rehabilitation and Nursing Center is a 130-bed for-profit home in Hopewell, and the numbers behind its record deserve a hard look. Nurse staffing sits at 2.75 hours per resident per day, roughly 29% below the national average, and it dips about 12% further on weekends, while annual turnover runs 68.4% against a national 45.8%. Its inspection record carries 93 deficiencies, eight at the harm or jeopardy level and ten abuse-related, plus a $26,060 fine, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. One inspection star and one staffing star out of five round out a record that hasn't been updated since July 2023.
Portsmouth Health and Rehab runs on 3.24 nursing hours per resident per day, about 16 percent under the national average, and weekends dip roughly 14 percent below its own weekday coverage. Staff turnover sits at 61.5 percent against a national figure near 46 percent, so the people caring for residents are cycling out faster than at a typical home. The inspection record backs up those numbers: 64 deficiencies, six serious enough to cause harm or jeopardy, three tied to abuse, and $134,401 in fines. The last full inspection was in May 2021, which means families are relying on a picture that's several years old. For-profit corporate ownership.
Colonial Heights, VA · Colonial Heights City County
★☆☆☆☆CMS 1/5196 bedsFor-profitMedicaid
Nurse hours
3.00 /day
Staff turnover
69%
Serious cites
0
Abuse icon on record
Colonial Heights Rehabilitation and Nursing Center runs on 3.00 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends drop another 15% below what the home staffs on weekdays. Turnover sits at 69.3% against a national 45.8%, so nearly seven in ten caregivers left within a year. The current record shows 89 deficiencies, including 4 at the harm or jeopardy level and 11 tied to abuse, with one fine of $105,289. The last inspection was October 2022. For-profit, LLC-owned, 196 beds. Ask what staffing looks like on a Saturday night before you decide anything.
Holston Health & Rehabilitation runs 137 beds in Wytheville under corporate ownership, and the staffing numbers are the first thing a family should sit with. At 3.11 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 78% against a national 45.8%, meaning most of the people caring for your relative are likely new. The inspection record backs that up: 68 deficiencies, two at harm or jeopardy level, and a $111,911 fine. No abuse citations. The most recent inspection was May 2025.
Virginia Beach Healthcare and Rehab Center runs on thinner nurse staffing than most homes, 3.42 hours per resident day against a national average of 3.86, and weekends drop about 19% below its own weekday levels, which matters when families visit and needs don't pause. Staff turnover sits at 65.9%, well above the 45.8% national figure, so the people caring for residents are cycling through quickly. Its inspection record shows 96 deficiencies, including four at the harm or jeopardy level and seven tied to abuse, with one fine of $131,313 on file and a fresh inspection in October 2024. The quality measure score looks strong on paper, but that number sits on top of a for-profit LLC structure with a one-star inspection and staffing rating.
Frequently asked questions
How many for-profit nursing homes are there in Virginia?
There are 222 for-profit Medicare-certified nursing homes in Virginia, 77% of the 289 nursing homes there.
Are for-profit nursing homes better staffed?
In Virginia they average 3.47 total nursing hours per resident per day, against 3.76 for all nursing homes in Virginia, a difference of -0.29 hours. Staff turnover averages 50.4% against 48.1%.
Which for-profit nursing home grades best in Virginia?