ElderGrade
F

23/100

Poor

Augusta Nursing And Rehabilitation

83 Crossroad Lane, Fishersville, VA 22939

CMS 1/5 stars #3 of 3 in Augusta County (540) 885-8424
Certified beds
112
Occupancy
79%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 7 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $203,292 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Last inspection was more than 2 years ago

    Ratings here are based on older survey data than at most facilities.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 6 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -9.2 for 43 total citations against a national median of 17

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.12 total nurse hours per resident per day (national median 3.77)
  • 0.38 RN hours per resident per day
  • Weekend staffing drops 14% against weekdays

Staff stability

3/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 58% of nursing staff left in the last year
  • -2 for 4 administrator departures

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $203,292 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.96 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.38 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.54 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 58.10%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 81 citations

Last standard health inspection: February 28, 2023 (3 years ago).

F May 7, 2026 F0809 From a complaint

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or out...

No actual harm, potential for more than minimal harm

E May 7, 2026 F0656 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

E May 7, 2026 F0676 From a complaint

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

No actual harm, potential for more than minimal harm

E May 7, 2026 F0677 From a complaint

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

E May 7, 2026 F0812 From a complaint

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

K Oct 18, 2024 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy to resident health or safety

E Oct 18, 2024 F0550 From a complaint

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

E Oct 18, 2024 F0561 From a complaint

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of AVARDIS HEALTH, which operates 38 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CLARK, ALYSSA Individual MANAGING CONTROL - GOVERNING BODY
HOBACK, TIFFANY Individual MANAGING CONTROL - GOVERNING BODY
SNF MGR LLC Organization OPERATIONAL/MANAGERIAL CONTROL
BAROCO, PATRICK Individual OPERATIONAL/MANAGERIAL CONTROL
CLARK, ALYSSA Individual OPERATIONAL/MANAGERIAL CONTROL
HOBACK, TIFFANY Individual OPERATIONAL/MANAGERIAL CONTROL
JACKSON, KAREN Individual OPERATIONAL/MANAGERIAL CONTROL
JONES, TEQUILLA Individual OPERATIONAL/MANAGERIAL CONTROL
MAUGHAN, WENDY Individual OPERATIONAL/MANAGERIAL CONTROL
SNF MGR LLC Organization ADP OF THE SNF
BAROCO, PATRICK Individual ADP OF THE SNF
CLARK, ALYSSA Individual ADP OF THE SNF

What families say

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Common questions about Augusta Nursing And Rehabilitation

What is the ElderGrade for Augusta Nursing And Rehabilitation? +

Augusta Nursing And Rehabilitation holds an ElderGrade of F (23 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Augusta Nursing And Rehabilitation? +

Residents receive an average of 2.96 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Augusta Nursing And Rehabilitation been cited for harming residents? +

Yes. 7 of the 81 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Augusta Nursing And Rehabilitation accept Medicaid? +

Yes, Augusta Nursing And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.