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.
Woodmont Center runs about 25% leaner on nurse staffing than the national average, 2.90 hours per resident day against 3.86, and weekends drop roughly 14% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover sits at 54.8%, well above the 45.8% national figure, which means the aides and nurses your relative sees are changing often. The inspection record backs that up: a 1-out-of-5 health inspection rating, 75 deficiencies still on the books, including one at the harm level and four tied to abuse, plus a $75,712 fine. The last inspection was January 2023, so that record has had time to age without much sign of a turnaround.
Old Dominion Rehabilitation And Nursing runs 115 certified beds in Newport News under for-profit LLC ownership, and the staffing numbers are where the trouble shows. At 3.24 nurse hours per resident day, it sits roughly 16 percent under the national average of 3.86, and weekends drop another 16 percent below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 66.7 percent, against a national 45.8 percent, means the people providing that care are constantly changing. The record backs it up: 62 deficiencies, including two at harm or jeopardy level and five tied to abuse, plus a $305,340 fine. A recent inspection date doesn't offset a staffing star of 1 out of 5.
Canterbury Rehabilitation and Healthcare Center is a 183-bed for-profit home in Henrico County where the staffing numbers are the story. At 3.34 nurse hours per resident day, it runs about 14 percent under the national average, and weekends drop roughly 16 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 58.1 percent against a national 45.8 percent, meaning more than half the nursing team leaves each year. The inspection record is heavy: 132 deficiencies, including 5 at harm or jeopardy level and 9 abuse-related, with three fines totaling $436,524 and a July 2024 inspection. Quality measures score well, but that's a narrow bright spot against staffing and oversight.
Newport News Nursing & Rehab runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average, and weekend coverage drops about 22% below its own weekday level. Staff turnover sits at 61.9%, well above the 45.8% national figure, and CMS rates staffing at 1 out of 5 stars. The inspection record is the bigger concern: 58 deficiencies, including 5 at the harm or jeopardy level and 2 tied to abuse, with a $51,916 fine and no inspection since September 2022. Corporate for-profit ownership, 102 beds. A 3-star quality measure score doesn't offset any of that.
Oakhurst runs on about 3 hours of nursing care per resident per day, roughly a quarter below the national average, and it gets thinner on weekends. That shows up in the staffing star rating, which sits at the lowest tier. The bigger red flag is turnover: more than eight in ten staff left over the past year, against a national rate nearer 46%. Inspections produced 60 deficiencies, including nine tied to abuse and four serious enough to put residents in harm's way. State regulators fined the home once, for $18,590. The last inspection was in February 2024. If you're considering this one, ask how they're keeping consistent caregivers on the floor.
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.