Orange, VA · Orange County
★★★★☆CMS 4/5164 bedsGovernmentMedicaid
- Nurse hours
- 4.03 /day
- Staff turnover
- n/a
- Serious cites
- 0
Dogwood Village is county-owned, which matters for how it's run. Total nurse staffing sits at 4.03 hours per resident day, just above the national average of 3.86, but weekends drop about 10% below its own weekday level, and CMS gives the staffing domain only 2 of 5 stars despite that overall number. The current record shows 19 health deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in March 2025. Quality measures score 5 of 5, a real strength, while the 3 of 5 inspection rating reflects a longer-than-ideal deficiency list even without serious harm. Families should ask how weekend coverage actually looks on the floor.
Roanoke, VA · Roanoke City County
★★★☆☆CMS 3/598 bedsFor-profitMedicaid
- Nurse hours
- 3.23 /day
- Staff turnover
- 38%
- Serious cites
- 0
South Roanoke Nursing and Rehabilitation runs on thinner nurse staffing than most homes, 3.23 hours per resident day, roughly 16 percent under the national average, and weekends drop about 13 percent below its own weekday coverage. Turnover sits at 38.2 percent, better than the 45.8 percent national figure, so the crew that is there tends to stay. Inspections are current, with a visit in April 2025, and the 39 deficiencies on record include none tied to harm or abuse. The quality measures look strong on paper, but a two-star inspection history suggests rule-following has been uneven, and the staffing gap is the number a family should weigh hardest.
Manassas, VA · Manassas City County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.48 /day
- Staff turnover
- 35%
- Serious cites
- 0
Manassas Health And Rehab Center runs 120 certified beds under corporate ownership, and its nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, so if you're planning visits, that gap matters. Turnover is 35.2%, which is actually better than the 45.8% national figure, and the staffing star rating reflects that relative stability. The inspection record is where the caution sits: 27 deficiencies, including two at the harm or jeopardy level and one abuse-related, plus $16,376 in fines across two penalties. The most recent inspection was January 22, 2026, so the picture is current.
Bristol, VA · Bristol City County
★★★★★CMS 5/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.74 /day
- Staff turnover
- 53%
- Serious cites
- 0
Nhc Healthcare, Bristol runs 120 certified beds under corporate for-profit ownership, and its inspection record is decent, a 4-out-of-5 federal rating, with the most recent survey done in December 2023. But look at the staffing underneath that. Nurses provide 3.74 hours per resident per day, slightly under the national figure, and weekends drop about 12% below what the home itself staffs on weekdays. Annual turnover sits at 53.4%, well above the 45.8% national average, so caregivers are cycling through steadily. The 16 deficiencies on record include one at the harm level and one abuse-related, plus a $12,735 fine. Quality measures score well; the hands-on care numbers don't match.
Williamsburg, VA · James City County
★★★★☆CMS 4/590 bedsFor-profitMedicaid
- Nurse hours
- 3.37 /day
- Staff turnover
- 44%
- Serious cites
- 0
Jamestown Health and Rehabilitation runs 90 certified beds under for-profit LLC ownership, and its staffing is the weak spot: 3.37 nurse hours per resident day against a national average of 3.86, with weekends about 8% thinner than weekdays. Turnover sits at 44.3%, roughly in line with the national 45.8%, so the problem isn't retention so much as how few hours are budgeted per resident in the first place. The current inspection record carries 29 deficiencies, one of them at the harm or jeopardy level, though none abuse-related, and the most recent inspection was April 2024. Its quality measure scores are strong; the staffing score is not.
Alexandria, VA · Fairfax County
★☆☆☆☆CMS 1/5130 bedsFor-profitMedicaid
- Nurse hours
- 3.51 /day
- Staff turnover
- 17%
- Serious cites
- 0
Mount Vernon Healthcare Center runs 130 beds under corporate ownership, and its biggest strength is retention: staff turnover sits at 16.5%, well under the 45.8% national average, which means familiar faces are more likely to be there when you visit. But the nursing hours tell a thinner story, 3.51 per resident day, about 9% under the national average, and weekends drop roughly 12% below the home's own weekday coverage. The inspection record is the real concern: 76 deficiencies on file, nine of them involving harm or jeopardy and seven tied to abuse. A recent April 2026 inspection keeps that record current, not stale.
East Lexington, VA · Lexington City County
★★★★☆CMS 4/560 bedsFor-profitMedicaid
- Nurse hours
- 3.05 /day
- Staff turnover
- 44%
- Serious cites
- 0
Heritage Hall Lexington runs 60 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly 21% under the national average of 3.86. Weekend coverage drops about 11% below what the home staffs on weekdays. Annual turnover lands at 44.2%, just under the national figure of 45.8%, so retention here isn't the problem.
The inspection record is where you'll want to focus: 19 deficiencies on file, including 2 at the harm or jeopardy level and 1 abuse-related, though the most recent inspection came recently, in August 2025. Quality measure scores look strong, but those come largely from resident assessment data the home reports itself, worth weighing against what surveyors actually found.
Smithfield, VA · Isle Of Wight County
★★★★☆CMS 4/534 bedsNon-profit
- Nurse hours
- 4.47 /day
- Staff turnover
- 60%
- Serious cites
- 0
Riverside Lifelong Health & Rehab Smithfield runs a small house, 34 certified beds, under nonprofit ownership, and the staffing numbers are its strongest card. At 4.47 nurse hours per resident day, it sits about 16% above the national average, and weekend coverage dips only slightly below weekdays, which matters because short-staffed weekends are where problems often start. The tradeoff is retention: turnover is 59.6%, well above the 45.8% national figure, so plenty of faces change year to year. Seventeen deficiencies sit on the current record, but none at harm level and none abuse-related, and the last inspection was April 2024. Inspection and staffing ratings both come in at 4 of 5; quality measures lag slightly at 3.
Charlottesville, VA · Albemarle County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.92 /day
- Staff turnover
- 44%
- Serious cites
- 0
The Laurels of Charlottesville runs 120 beds under corporate ownership, and its staffing sits just barely above the national average, 3.92 nurse hours per resident day against 3.86 nationally, roughly a 1% edge. That margin shrinks on weekends, when coverage drops about 13% below the home's own weekday level. Turnover lands at 44.3%, slightly better than the 45.8% national figure. What stands out more is the inspection record: 57 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, with the most recent inspection in July 2025. One fine totaling $8,824 is on file. The quality measure rating is strong, but the inspection history is where the real questions live.
Roanoke, VA · Roanoke County
★★★☆☆CMS 3/5120 bedsNon-profitMedicaid
- Nurse hours
- 4.24 /day
- Staff turnover
- 48%
- Serious cites
- 0
Friendship Health And Rehab Center - South runs a nonprofit home of 120 beds in Roanoke, and its nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average. That's a real cushion, though weekends dip about 16% below the home's own weekday level, so coverage isn't evenly spread across the week. Staff turnover lands at 48.4%, a bit above the national 45.8%. The current record shows 19 deficiencies, one serious enough to involve harm or jeopardy, plus one fine of $8,281; the last inspection was April 2024. Quality measures rate well, but that inspection history and turnover are what pull the overall picture down.
Charlottesville, VA · Charlottesville City County
★★☆☆☆CMS 2/5141 bedsFor-profitMedicaid
- Nurse hours
- 3.34 /day
- Staff turnover
- 52%
- Serious cites
- 0
Cedars Healthcare Center runs 141 certified beds in Charlottesville under corporate for-profit ownership, and its staffing sits at 3.34 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends dip about 14% below the home's own weekday coverage, and annual turnover hits 51.8% against a national 45.8%. The inspection record shows 54 deficiencies, including four tied to abuse, though none rose to harm or jeopardy level; the last survey was November 22, 2024. Quality measures score well, but staffing and inspection results are where the weaker numbers live.
Altavista, VA · Campbell County
★★★★☆CMS 4/5111 bedsFor-profitMedicaid
- Nurse hours
- 3.22 /day
- Staff turnover
- 39%
- Serious cites
- 0
Autumn Care of Altavista runs lean on nursing hours, 3.22 per resident day against a national average of 3.86, and weekends are thinner still, roughly 13% below its own weekday coverage. That's the tradeoff behind its middle-of-the-road staffing rating. The inspection record is cleaner than the staffing number suggests: 19 deficiencies, none at the harm level and none tied to abuse, with the last full survey in May 2023. Turnover sits at 38.6%, better than the 45.8% national figure, which matters for whether aides and nurses actually stick around long enough to know your relative. It's a for-profit limited liability company with 111 beds. Solid survey results, lighter hands-on coverage.
Roanoke, VA · Roanoke City County
★★★★★CMS 5/570 bedsNon-profitMedicaid
- Nurse hours
- 3.84 /day
- Staff turnover
- 45%
- Serious cites
- 0
Our Lady of the Valley runs about 3.84 nurse hours per resident day, a hair under the national average of 3.86, and weekends dip roughly 6% below its own weekday coverage. Turnover sits at 45.3%, essentially matching the national rate. The record shows 14 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in August 2023. Inspection and quality measures both rate 4 out of 5, staffing 3 out of 5. As a church-affiliated nonprofit with 70 beds, it's a smaller operation where staffing is adequate rather than generous, worth asking how weekend coverage holds up on the shift you'd actually visit.
Clifton Forge, VA · Alleghany County
★★★★★CMS 5/560 bedsFor-profitMedicaid
- Nurse hours
- 3.39 /day
- Staff turnover
- 52%
- Serious cites
- 0
The Woodlands runs about 3.39 nurse hours per resident each day, roughly 12% under the national average, and weekend coverage dips another 11% below its own weekday level. Staff turnover sits at 51.9%, well above the 45.8% national figure, so consistent caregivers are harder to keep. What balances that out: a clean inspection record, 12 deficiencies, none involving harm or abuse, and a strong 4/5 on health inspections with a 5/5 on quality measures, last surveyed in April 2023. For a 60-bed for-profit partnership home, the clinical care looks solid; the question is whether thin weekend staffing and steady turnover wear on day-to-day consistency.
Newport News, VA · Newport News City County
★★★☆☆CMS 3/552 bedsNon-profitMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- 48%
- Serious cites
- 0
The Chesapeake runs on 4.94 nurse hours per resident day, roughly 28% above the national average of 3.86, which is the main reason it holds a 5/5 staffing rating. That said, weekends dip about 18% below its own weekday coverage, and turnover sits at 47.8%, slightly worse than the 45.8% national figure. Its inspection record shows 28 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the last survey was in December 2025. Quality measures come in at 5/5. As a nonprofit with 52 beds, the numbers point to strong day-to-day care with some staff-retention and weekend-coverage softness worth asking about directly.
Fredericksburg, VA · Stafford County
★★★★☆CMS 4/590 bedsFor-profitMedicaid
- Nurse hours
- 3.73 /day
- Staff turnover
- 49%
- Serious cites
- 0
Falls Run sits in Fredericksburg with 90 certified beds, run by a for-profit corporation. The numbers tell a mixed story. Nurse staffing runs 3.73 hours per resident day, a bit under the national average of 3.86, and weekends drop about 11% below what the home staffs on weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover is 48.6%, slightly above the 45.8% national figure, so caregivers cycle through faster than average. On the positive side, its quality measure rating is strong at 5 out of 5, there are no abuse-related deficiencies, and the 28 deficiencies on record include none at the harm level. The last inspection was March 2023.
Salem, VA · Salem City County
★★★☆☆CMS 3/5112 bedsNon-profitMedicaid
- Nurse hours
- 4.34 /day
- Staff turnover
- 52%
- Serious cites
- 0
Richfield Health Center runs a nonprofit operation with 112 certified beds, and its nurse staffing sits at 4.34 hours per resident day, about 12% above the national average of 3.86. That's a real strength. The catch is weekends, when coverage drops roughly 20% below what the home staffs on weekdays. Turnover is 51.5%, higher than the 45.8% national figure, so the people providing that care change often. On inspections, the record shows 31 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $15,465 fine. The last inspection was in May 2024.
Alexandria, VA · Alexandria City County
★★★☆☆CMS 3/5111 bedsFor-profitMedicaid
- Nurse hours
- 3.47 /day
- Staff turnover
- 26%
- Serious cites
- 0
Alexandria Rehabilitation and Healthcare Center runs 3.47 nursing hours per resident day, about 10% under the national average, and weekends drop roughly 17% below its own weekday staffing. Turnover sits at 25.6%, well under the national 45.8%, so the aides and nurses who are there tend to stay. The inspection record is the harder part: 40 deficiencies, two at harm or jeopardy level and four abuse-related, with the most recent inspection in April 2024. Quality measures score well, but staffing and health inspection stars both come in at 2 out of 5. Limited liability ownership, 111 beds. Ask about weekend coverage and how the abuse-related citations were resolved before deciding.
Fishersville, VA · Augusta County
★★★★★CMS 5/584 bedsFor-profitMedicaid
- Nurse hours
- 3.43 /day
- Staff turnover
- 37%
- Serious cites
- 0
Shenandoah Nursing Home in Fishersville runs on thinner nurse staffing than most homes nationally, 3.43 hours per resident day against an average of 3.86, with weekends dropping about 15% below its own weekday levels. That pattern matters most on Saturdays and Sundays, when care needs don't take the weekend off. The tradeoff is a relatively stable workforce: 37% turnover beats the 45.8% national figure, and a 4/5 inspection rating with no harm-level or abuse deficiencies on a recent May 2024 survey suggests the care is consistent even when staffing is lean. Family members should ask how weekend coverage is handled on the specific unit their relative would live on.
Parksley, VA · Accomack County
★★★★☆CMS 4/5136 bedsFor-profitMedicaid
- Nurse hours
- 3.28 /day
- Staff turnover
- 28%
- Serious cites
- 0
Shore Health & Rehab runs lean on nursing hours, 3.28 per resident day, roughly 15% under the national average, and weekends dip about 9% below its own weekday coverage. That thin staffing is the main thing pulling its profile down. The flip side: turnover sits at 28.1% against a national 45.8%, so the aides and nurses who are there tend to stay, which matters for residents who need consistent faces. Its inspection record shows 34 deficiencies but none at harm or jeopardy level and nothing abuse-related, with the last survey in July 2024. Quality measures score well; staffing is where it lags.