Woodbridge, VA · Prince William County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.42 /day
- Staff turnover
- 25%
- Serious cites
- 0
Belmont Bay runs lean on nursing hours, 3.42 per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday coverage, which is worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 54 deficiencies, including one at the harm level and two tied to abuse, with a single fine of $12,834; the last inspection was June 2024. Staff turnover of 25.3% is well below the national 45.8%, so the people caring for residents tend to stay. The quality measures look strong on paper while the inspection and staffing ratings sit at two stars each.
Roanoke, VA · Roanoke City County
★★★★☆CMS 4/5253 bedsNon-profitMedicaid
- Nurse hours
- 3.93 /day
- Staff turnover
- 48%
- Serious cites
- 0
Friendship Health and Rehab Center is a 253-bed nonprofit in Roanoke, and its inspection record is genuinely solid, a four-star health inspection rating, with the most recent survey in October 2024 and no deficiencies at the harm or jeopardy level. What's under the surface: 17 total deficiencies on the current record, two of them abuse-related, plus staff turnover at 48.1%, running a bit above the national average of 45.8%. Nurse staffing sits at 3.93 hours per resident day, just above the 3.86 national figure, but weekends run about 18% leaner than weekdays, so coverage can feel different depending on when you visit.
Lebanon, VA · Russell County
★★★☆☆CMS 3/560 bedsFor-profitMedicaid
- Nurse hours
- 3.96 /day
- Staff turnover
- 31%
- Serious cites
- 0
Maple Grove runs on 3.96 nurse hours per resident day, a bit above the national average, and its 30.8% turnover is well below the typical 45.8%, that kind of retention usually means the people caring for your family member have been there a while. The catch is weekends, when staffing drops roughly 15% below its own weekday level, so ask how coverage looks on a Saturday. The inspection record shows 14 deficiencies, including one at the harm level and one tied to abuse, with an $8,278 fine and a survey completed in October 2024.
Manassas, VA · Manassas City County
★★★★★CMS 5/5180 bedsGovernmentMedicaid
- Nurse hours
- 3.76 /day
- Staff turnover
- n/a
- Serious cites
- 0
Birmingham Green is county-owned, which usually means steadier funding but also slower movement on staffing. And staffing is where this place shows its soft spot: 3.76 nurse hours per resident day, a bit under the national average, with weekends running about 13% leaner than weekdays. The inspection record is genuinely strong, a 5-out-of-5 health inspection rating, last surveyed in January 2024, though it carries 15 deficiencies, including one at the harm level and one abuse-related, so the history isn't spotless. Quality measures score well at 4 out of 5. The takeaway: excellent survey performance and good clinical metrics, but ask directly about weekend nurse coverage before you decide.
Mathews, VA · Mathews County
★★★★☆CMS 4/560 bedsNon-profitMedicaid
- Nurse hours
- 3.08 /day
- Staff turnover
- 43%
- Serious cites
- 0
Riverside Lifelong Health in Mathews runs lean on nursing hours, 3.08 per resident day against a national average of 3.86, roughly a fifth less hands-on time. Weekends dip about 16% below the home's own weekday staffing, so coverage thins exactly when families tend to visit. Turnover sits at 43.2%, a touch better than the 45.8% national figure, and inspections look solid on paper: four out of five stars, last full survey in August 2023. The record isn't spotless, though, twelve deficiencies, four serious enough to reach harm or jeopardy level, and four tied to abuse. A nonprofit corporation owns the 60-bed home. Strong survey scores and below-average staffing can both be true at once.
Danville, VA · Danville City County
★★★★☆CMS 4/5312 bedsNon-profitMedicaid
- Nurse hours
- 4.15 /day
- Staff turnover
- 42%
- Serious cites
- 0
Roman Eagle runs on better-than-average nurse coverage, 4.15 hours per resident day against a national average of 3.86, and its staff turnover sits slightly below the national figure, which matters for consistency of care. The trade-off shows up on weekends, when staffing dips about 7% below its own weekday level. On inspections, the home was last surveyed in March 2023 and carries 29 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its quality measure rating of 2 out of 5 is the weakest signal in the data, and it's the piece worth asking about directly, since staffing and inspection scores both look stronger by comparison.
Chesterfield, VA · Chesterfield County
★★☆☆☆CMS 2/5216 bedsNon-profitMedicaid
- Nurse hours
- 4.08 /day
- Staff turnover
- 58%
- Serious cites
- 0
Health Care Center Lucy Corr runs 216 beds as a nonprofit, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average. But weekends drop about 10% below its own weekday levels, and annual turnover hits 58.3% against a national 45.8%, so the coverage that looks solid on paper is carried by a workforce that keeps changing. The record shows 48 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dating to February 2023. Quality measures score well and inspections score poorly; the staffing number is decent but not deep enough to settle the question.
Richmond, VA · Henrico County
★★☆☆☆CMS 2/5145 bedsFor-profitMedicaid
- Nurse hours
- 3.49 /day
- Staff turnover
- 44%
- Serious cites
- 0
The Laurels of University Park runs 145 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86. Weekends dip about 12% below its own weekday coverage, so the thinnest shifts are predictable. Turnover of 44.4% lands close to the national 45.8%, meaning this isn't an unusual churn problem, just steady replacement of caregivers. What stands out is the inspection record: 65 deficiencies on file, one tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was April 2024. Quality measures score well; staffing and health inspections don't.
Warrenton, VA · Fauquier County
★★☆☆☆CMS 2/5113 bedsFor-profitMedicaid
- Nurse hours
- 3.35 /day
- Staff turnover
- 51%
- Serious cites
- 0
Poplar Hill runs 3.35 nurse hours per resident day, roughly 13 percent under the national average, and weekends drop another 9 percent below its own weekday levels. Staff turnover sits at 51 percent, above the 45.8 percent national figure, which means a lot of the people doing the daily work are still new. The health inspection rating is 2 out of 5, with 38 deficiencies on record, none at harm or jeopardy level, none abuse-related, and the last full inspection was August 2023. Quality measures score 5 out of 5, so charted outcomes look strong, but staffing lands at 1 out of 5. Ask how they hold weekend coverage steady.
Front Royal, VA · Warren County
★★★★★CMS 5/560 bedsFor-profitMedicaid
- Nurse hours
- 3.69 /day
- Staff turnover
- 47%
- Serious cites
- 0
Heritage Hall Front Royal sits in Warren County with 60 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, six deficiencies on file, none at the harm level, none abuse-related, and the most recent inspection was May 2024. The quality measures also score well. Where it slips is staffing: 3.69 nurse hours per resident day falls about 4% under the national average, weekends run roughly 12% thinner than weekdays, and turnover hits 47.4%. That combination, careful care on paper, thinner coverage on the floor, is what pulls an otherwise solid record down to a B.
Lynchburg, VA · Lynchburg City County
★★★★☆CMS 4/589 bedsFor-profitMedicaid
- Nurse hours
- 3.59 /day
- Staff turnover
- 44%
- Serious cites
- 0
Forest Health & Rehab Center runs 89 certified beds in Lynchburg under for-profit LLC ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86. Weekends are thinner still, roughly 13% below the home's own weekday coverage, which matters most when families visit and aides are stretched.
The inspection record shows 34 deficiencies, none at harm or jeopardy level, but one tied to abuse, worth asking about directly. Staff turnover is 43.9%, slightly better than the 45.8% national rate, though still meaning familiar faces cycle out. The last inspection was June 2022, so that record is aging.
South Boston, VA · Halifax County
★★☆☆☆CMS 2/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.52 /day
- Staff turnover
- 59%
- Serious cites
- 0
Berry Hill runs on thinner staffing than most homes its size. At 3.52 nurse hours per resident day, it sits about 9 percent under the national average, and weekends drop roughly another 8 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 58.5 percent is well above the 45.8 percent norm, meaning aides and nurses cycle through faster than residents can get used to them. The record shows 43 deficiencies, one tied to abuse, though none reached actual harm or jeopardy, and the last full inspection was in August 2024. Corporate ownership and a two-star health inspection round out a picture worth asking about directly.
Laurel Fork, VA · Carroll County
★★★★★CMS 5/560 bedsFor-profitMedicaid
- Nurse hours
- 3.34 /day
- Staff turnover
- 20%
- Serious cites
- 0
Heritage Hall in Laurel Fork runs 3.34 nurse hours per resident per day, about 14% under the national average, and weekends dip roughly 14% below its own weekday staffing. Turnover is the bright spot: 19.6% against a national average of 45.8%, so the aides and nurses you meet are more likely to still be there next year. Inspectors gave the place a perfect health inspection record, with 12 deficiencies on file but none involving harm or abuse, and the most recent visit was December 2023. The trade-off is real, though: thinner daily coverage than most homes, especially on Saturdays and Sundays, even as the care itself has held up under scrutiny.
Chase City, VA · Mecklenburg County
★★★★★CMS 5/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.41 /day
- Staff turnover
- 53%
- Serious cites
- 0
Chase City Health and Rehab runs about 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends dip about 8% below its own weekday levels. Turnover sits at 52.5%, well above the 45.8% national figure, so the people caring for your relative are changing often. The inspection record shows 19 deficiencies, including one at the harm level and three tied to abuse, though the last full inspection was in February 2023. The strong quality measure score reflects how well the home manages resident conditions day to day, but that's separate from whether enough hands are on the floor. Ask about weekend coverage and how they screen and supervise staff.
Lynchburg, VA · Lynchburg City County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.59 /day
- Staff turnover
- 54%
- Serious cites
- 0
Summit Health and Rehab Center is a 120-bed for-profit home in Lynchburg, and its numbers pull in opposite directions. The clinical quality measures earn top marks from CMS, but staffing sits below the national average at 3.59 nurse hours per resident day, and weekends run about 13 percent thinner than weekdays, a pattern that matters most when families visit and needs go up. Staff turnover of 54 percent tops the national average by a wide margin, and the inspection record shows 43 deficiencies, two tied to abuse, with the most recent inspection in May 2025. The quality scores look strong on paper; whether the floor is consistently covered is the fairer question.
Gainesville, VA · Prince William County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.57 /day
- Staff turnover
- 36%
- Serious cites
- 0
Gainesville Health And Rehab Center runs 120 beds under for-profit LLC ownership, and its staffing sits at 3.57 nurse hours per resident day, about 8% under the national average of 3.86. Weekends dip roughly 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 36.4% against a national 45.8%, meaning aides and nurses stick around longer than is typical. The current record carries 46 deficiencies, none at harm or jeopardy level, but two tied to abuse, worth asking about directly. The last full inspection was March 2023, so that record is getting stale.
Saluda, VA · Middlesex County
★★☆☆☆CMS 2/560 bedsNon-profitMedicaid
- Nurse hours
- 3.21 /day
- Staff turnover
- 33%
- Serious cites
- 0
Riverside Lifelong Health in Saluda runs 60 certified beds under nonprofit ownership, and its staffing sits about 17% below the national average at 3.21 nurse hours per resident day, with weekends running roughly 14% thinner than weekdays. Turnover is the bright spot: 33.3% against a national 45.8%, which suggests people stay. But the inspection record is the real story, 31 deficiencies, one at harm or jeopardy level, and a $71,915 fine, with the last inspection on March 6, 2026. A 2/5 inspection rating against a 4/5 quality measure score is a wide gap worth asking about directly.
Portsmouth, VA · Portsmouth City County
★★★★☆CMS 4/5108 bedsFor-profitMedicaid
- Nurse hours
- 3.09 /day
- Staff turnover
- 34%
- Serious cites
- 0
Autumn Care of Portsmouth runs 108 certified beds under for-profit limited liability ownership, and its staffing is the number that jumps out: 3.09 nurse hours per resident day, roughly a fifth below the national average, with weekends dropping about 18% below its own weekday level. Turnover, at 34.2%, is actually better than the 45.8% national figure, so the problem isn't churn, it's how few hands are on deck on any given shift. The health inspection record shows 43 deficiencies, including two at harm or jeopardy level and six tied to abuse, though the last inspection was recent, February 2026. Quality measures score well; staffing and that deficiency history are what pull the overall picture down.
Clarksville, VA · Mecklenburg County
★★★★☆CMS 4/5168 bedsFor-profitMedicaid
- Nurse hours
- 3.35 /day
- Staff turnover
- 23%
- Serious cites
- 0
Clarksville Health & Rehab runs 168 certified beds under corporate ownership, and its staffing numbers are the weak spot: 3.35 nurse hours per resident day, roughly 13% under the national average, with weekends running about 8% lighter than weekdays. That thin coverage shows up in a 2-out-of-5 staffing rating. What stands out in the other direction is turnover, 23.1%, about half the national rate of 45.8%, so the aides and nurses who are there tend to stay. The inspection record carries 33 deficiencies, two at harm level and two tied to abuse, with one fine of $22,874, and the last full inspection was in late 2022. Quality measures score well, but quality scores reflect resident outcomes, not how much hands-on time residents actually get.
Chester, VA · Chesterfield County
★★★☆☆CMS 3/590 bedsFor-profitMedicaid
- Nurse hours
- 3.85 /day
- Staff turnover
- 50%
- Serious cites
- 0
Tyler's Retreat At Iron Bridge sits right at the national average for total nurse staffing, 3.85 hours per resident day, but the number flattens out a real gap: weekends run about 12% thinner than weekdays, and staff turnover hits 50% against a national 45.8%. That combination matters more than the headline figure, because consistent caregivers are what families actually notice. The inspection record shows 45 deficiencies, two tied to abuse, though none rose to the harm or jeopardy level, and the most recent inspection came in August 2025, so the picture is current. A for-profit corporate owner rounds out the profile. Quality measures score well; staffing is where the weakness lives.