Every Medicare-certified nursing home in Virginia, graded on inspections, staffing, turnover
and enforcement history.
6 homes in the state sit in the federal Special Focus programme.
Waterview runs on thinner staffing than most homes nationally, 3.48 nurse hours per resident day against a 3.86 average, and weekends drop another 11% below its own weekday levels, which is when gaps tend to matter most. The bigger concern is turnover: 70.5% of staff leaving annually, well above the 45.8% national figure, meaning the people providing care keep changing. A 1/5 inspection rating with 54 deficiencies on record, including one at the harm level and three tied to abuse, points to problems that have persisted. The last full inspection was August 2023, so that record is growing dated, and one fine totaling $14,888 has been levied.
Deep Creek runs lean on nursing hours, 3.05 per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday coverage. That thin schedule sits alongside a 65.9% annual turnover rate, well above the 45.8% national figure, which means the aides and nurses at the bedside keep changing. The inspection record is heavy, 57 deficiencies with none rising to harm or jeopardy and nothing abuse-related, but the last on-site survey was July 2021, so that picture is dated. For-profit partnership ownership, 120 beds. Ask how they cover weekends and how long their current staff have actually been there.
Albemarle Health & Rehabilitation Center runs 120 certified beds in Charlottesville under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.65 nurse hours per resident day, about 6% under the national average, thinning further on weekends. More telling is the 61.5% annual turnover, well above the 45.8% national figure, which means the aides and nurses caring for residents are constantly changing.
That instability shows up in the inspection record: 61 deficiencies, three serious enough to involve harm or jeopardy, one tied to abuse, and $197,490 in federal fines. The most recent inspection was October 2025. A five-star quality measure score sits alongside one-star ratings for staffing and health inspections, which is worth understanding before you visit.
Old Southwest Health and Rehabilitation runs 130 beds in Roanoke under for-profit LLC ownership, and its last full inspection was in March 2024. Nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average, and weekends run about 12% lighter than the home's own weekdays. Staff turnover is the number that should concern you most: 69.5% a year against a national average of 45.8%. On the current record there are 129 deficiencies, including four at the harm or jeopardy level and eight tied to abuse; two fines total $143,823. Ask about weekend coverage and how they keep consistent aides before you visit.
Waverly Rehabilitation and Healthcare Center runs about 3.03 nursing hours per resident day, roughly 22% under the national average, and weekend coverage drops another 14% below its own weekday level. Staff turnover sits at 71.6% against a national figure of 45.8%, so the aides and nurses in the building change over faster than at most homes. On paper the inspection history looks better, a 2023 visit, 25 deficiencies with none flagged at harm or jeopardy level, but eight of those are abuse-related, and a for-profit partnership structure tends to explain where the staffing money goes. The quality measure rating holds at 3 out of 5; the staffing rating does not.
Star City Rehabilitation and Nursing runs 116 certified beds in Roanoke under corporate for-profit ownership, and its staffing numbers are the main thing to know before you tour. Total nurse coverage sits at 3.72 hours per resident day, a bit under the national average, and weekend staffing drops roughly 12 percent below what the home provides on weekdays. Annual turnover hits 68.3 percent, well above the 45.8 percent national figure, meaning the aides and nurses caring for your relative are likely to change often. The inspection record shows 31 deficiencies, none rising to harm or jeopardy and none abuse-related, with the last inspection in February 2024.
Chesapeake Health and Rehabilitation Center runs 180 certified beds as a for-profit, individually owned home, and the staffing numbers are the first thing you'd notice. At 2.92 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop roughly 19% below its own weekday coverage. That thinness shows up over time: annual turnover is 63.3% against a 45.8% national figure, meaning most of the people caring for residents are relatively new. Inspectors rated health inspections 1 out of 5 and staffing 1 out of 5, with 53 deficiencies on the current record, five serious enough to involve harm or jeopardy. The last inspection was December 2021, so the record you're reading is years old.
Norview Heights runs on thin staffing. At 3.24 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 19% below what the home itself manages on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is the bigger tell: 69.6% of nursing staff leave each year, against a national 45.8%, which means the people caring for residents are often new and still learning the building. The inspection record shows 46 deficiencies, one serious enough to involve harm or jeopardy, and the last full inspection was in October 2021, nearly three years stale. Corporate-owned, 60 beds, and a staffing star of 1 out of 5.
Glenburnie Rehab & Nursing Center runs a 125-bed for-profit partnership in Henrico County, and its numbers pull in opposite directions. The quality measure score is perfect, but everything else tells a harder story: nurse staffing sits at 3.20 hours per resident day against a national average of 3.86, weekend coverage drops roughly 22% below its own weekday levels, and annual turnover hits 69.4% while the country averages 45.8%. On inspections, CMS gives it 1 out of 5 stars, with 127 deficiencies on the current record, four tied to abuse and one at the harm or jeopardy level, plus a $54,211 fine. A January 2024 inspection is the most recent on file.
Bayside runs 3.38 nursing hours per resident day, roughly 12 percent under the national average of 3.86, and weekends drop about 14 percent below its own weekday coverage. Staff turnover sits at 77.9 percent against a national figure of 45.8 percent, so the people caring for residents keep changing. The inspection record shows 66 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $113,068 fine and a one-star health inspection rating. Quality measures score well at four stars, but that number reflects resident assessments, not how the place is run day to day.
Amelia Rehabilitation and Healthcare Center runs on about 2.93 nurse hours per resident per day, roughly a quarter below the national average, and weekend coverage drops another 14% below its own weekday pace. That thin margin shows up in the workforce itself: 61.6% of staff leave each year, well above the 45.8% national figure, so residents see a rotating cast rather than familiar faces. The inspection record is harder to explain away, 60 deficiencies on file, including three at the harm level and seven tied to abuse, with the most recent state visit back in November 2023. A limited liability company operates the 100-bed home for profit. Good quality scores can't offset that.
Regency Health and Rehabilitation Center runs 60 beds in Yorktown under for-profit LLC ownership, and its staffing is the number that stands out. At 3.17 nurse hours per resident day, it sits roughly 18% under the national average of 3.86, and weekends drop about 21% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 68.7% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are frequently new. The current record shows 31 deficiencies, none at harm or jeopardy level, but one tied to abuse. Its last inspection was February 2024.
Mountain Laurel runs leaner on nursing hours than most homes in the country, 3.14 per resident day against a national average of 3.86, and weekends are thinner still, roughly 17 percent below what the building staffs Monday through Friday. That gap matters when a resident needs help on a Sunday. Turnover sits at 62.6 percent, well above the 45.8 percent national figure, so the people providing care change often. The inspection record is where this home stands out: 87 deficiencies, eight of them serious enough to put residents in harm's way and three tied to abuse, plus $204,839 in fines across ten penalties. CMS placed it in the Special Focus Facility program, which is reserved for the small share of homes with persistent problems.
Lynchburg Health & Rehabilitation Center is a 180-bed for-profit run by a limited liability company, and the numbers that stand out most are on the staffing side. Total nurse coverage sits at 3.82 hours per resident day, just under the national average of 3.86, and weekends run about 8% thinner than weekdays, so the quietest shifts are also the leanest. Annual turnover of 68% against a national 45.8% means the aides and nurses showing up are often new to the building. The inspection record is the harder read: 61 deficiencies currently on file, including one at the harm level and one abuse-related, with a 1-out-of-5 health inspection rating. Past problems, and a workforce that keeps churning.
River Edge runs on thinner staffing than most homes you'll compare it to, 2.96 nurse hours per resident per day against a national average of 3.86, and weekends drop about another 10% below its own weekday level. That matters, because the inspection record here is the real story: 41 deficiencies on file, three of them serious enough to put residents in harm's way, four tied to abuse. The last full inspection was in November 2022, so you're looking at a stale snapshot of a home that hasn't been re-verified in a while. Staff turnover sits at 50%, above the 45.8% national figure, and corporate ownership means decisions get made at a distance. Go visit unannounced, ideally on a weekend.
Heritage Hall Tazewell runs about 2.92 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home. Staffing thins out further on weekends, and with 180 beds to cover, that gap shows up where it matters. The inspection record carries 21 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $78,553 from a March 2024 visit. Turnover at 39.1% is actually better than the 45.8% national figure, so the problem isn't retention, it's how few staff each resident gets. For-profit LLC ownership rounds out the picture.
Northern Cardinal runs a 120-bed for-profit home, and the staffing numbers are where the trouble starts: 3.20 nurse hours per resident day, roughly 17 percent under the national average, with weekends dipping about 15 percent below its own weekday levels. That thin coverage has been unstable too, annual turnover hits 75.7 percent against a national average of 45.8 percent, meaning most of the people caring for residents are new and still learning the building. Inspectors handed down 45 deficiencies on the current record, including one at the harm level and two related to abuse, and the last full inspection was in April 2023, so that record has had time to age without a fresh look.
Westport Rehabilitation and Nursing Center runs 225 beds in Henrico County under for-profit LLC ownership, and its staffing sits at 3.19 nurse hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about another 10% below its own weekday levels, and more than half the staff turned over in the past year, against a national rate nearer 46%. The inspection record is the harder read: 126 deficiencies, seven tied to abuse, and two serious enough to reach harm or jeopardy, with $63,670 in fines. CMS scored it one out of five on both health inspections and staffing. The last survey was November 2024, so the picture is current, not stale.
Shalom Gardens runs 101 beds in Henrico County under corporate ownership, and the staffing numbers are the first thing worth knowing. At 3.72 nurse hours per resident day, it sits just under the national average, but weekends drop roughly 14% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. A 65.8% annual turnover rate means most of the people caring for your relative are new, still learning the building, or already halfway out the door. The inspection record is heavier than that: 49 deficiencies, three involving harm or jeopardy, five tied to abuse, and a 2-out-of-5 health inspection rating. One fine on record, $12,177.
Heritage Hall Dillwyn runs on thin staffing. At 2.95 nurse hours per resident per day, it sits about 24 percent under the national average of 3.86, and weekends dip roughly 17 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 55.2 percent outpaces the national 45.8 percent, meaning aides and nurses cycle through often. The current record shows 25 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the last inspection was March 2024. A four-star inspection rating and a two-star quality measure score sit alongside that one-star staffing picture; the state surveyors have generally been satisfied, but the day-to-day floor coverage is where the concern lives.