ElderGrade
D

43/100

Below average

Brookside Rehab & Nursing Center

614 Hastings Lane, Warrenton, VA 20186

CMS 1/5 stars #2 of 2 in Fauquier County (540) 347-4770
Certified beds
130
Occupancy
90%
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.

  • 2 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.

  • $146,073 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 64%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

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

12/30

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

  • -8 for 2 actual-harm citation(s) in the last 3 years
  • -10 for 58 total citations against a national median of 17

Staffing

15/30

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

  • 3.38 total nurse hours per resident per day (national median 3.77)
  • 0.67 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

5/15

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

  • 64% of nursing staff left in the last year

Resident outcomes

9/15

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

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

Enforcement history

2/10

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

  • $146,073 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record

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 3.09 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.67 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 2.68 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 63.60%
National average 45.80% Below average

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

Recent inspection findings

All 80 citations

Last standard health inspection: August 8, 2024 (2 years ago).

E Oct 21, 2025 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.

No actual harm, potential for more than minimal harm

E Oct 21, 2025 F0725 From a complaint

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

No actual harm, potential for more than minimal harm

D Oct 21, 2025 F0580 From a complaint

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

No actual harm, potential for more than minimal harm

D Oct 21, 2025 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D Oct 21, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

G Aug 8, 2024 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm to a resident

F Aug 8, 2024 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

E Aug 8, 2024 F0552 From a complaint

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of HILL VALLEY HEALTHCARE, which operates 43 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
COONS, AMANDA Individual W-2 MANAGING EMPLOYEE
GUTNICKI, ABRAHAM Individual CORPORATE OFFICER
KUSHNER, JUDY Individual CORPORATE OFFICER
DERKO 2, LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
REG 2018 IRREVOCABLE TRUST U/A/D 1/1/18 Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
KUSHNER, JUDY Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Brookside Rehab & Nursing Center

What is the ElderGrade for Brookside Rehab & Nursing Center? +

Brookside Rehab & Nursing Center holds an ElderGrade of D (43 out of 100), which we describe as "below average". 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 Brookside Rehab & Nursing Center? +

Residents receive an average of 3.09 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Brookside Rehab & Nursing Center been cited for harming residents? +

Yes. 2 of the 80 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 Brookside Rehab & Nursing Center accept Medicaid? +

Yes, Brookside Rehab & Nursing Center 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.