Lynchburg, VA · Lynchburg City County
★★★★☆CMS 4/590 bedsFor-profitMedicaid
- Nurse hours
- 3.57 /day
- Staff turnover
- 40%
- Serious cites
- 0
Liberty Ridge runs 90 beds under for-profit LLC ownership, and its staffing sits about 8% under the national average at 3.57 nurse hours per resident day. Weekends thin out further, roughly 11% below the home's own weekday coverage, so care on Saturdays and Sundays looks lighter than midweek. Turnover is 39.5%, better than the 45.8% national figure, which suggests some stability in the workforce. The inspection record shows 16 deficiencies, two serious enough to involve harm or jeopardy, and one fine of $10,033, with the most recent inspection in June 2024. Quality measures score well, but the staffing and inspection numbers tell the more grounded story.
Locust Hill, VA · Middlesex County
★★★★☆CMS 4/594 bedsFor-profitMedicaid
- Nurse hours
- 3.46 /day
- Staff turnover
- 30%
- Serious cites
- 0
Dockside runs leaner on nursing hours than most homes, 3.46 per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday coverage, so a Saturday shift may feel thinner than a Tuesday one. Retention is the brighter spot: 30.1% turnover beats the 45.8% national figure, meaning more of the people caring for your relative have chosen to stay. The tradeoff shows up in the record: 39 deficiencies, two serious enough to involve harm or jeopardy, and one $14,740 fine, though nothing abuse-related. The most recent inspection was May 2024, so that picture is roughly a year old. Ask pointed questions about weekend coverage and how those two harm-level findings were resolved.
Fredericksburg, VA · Spotsylvania County
★★☆☆☆CMS 2/5177 bedsFor-profitMedicaid
- Nurse hours
- 3.58 /day
- Staff turnover
- n/a
- Serious cites
- 0
Fredericksburg Health and Rehab is a 177-bed for-profit run by a limited liability company, and its numbers tell two different stories. The clinical quality measures look strong, but nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and weekends run roughly 10% thinner than weekdays, which matters when families visit and needs don't pause. The inspection record is the bigger concern: 56 deficiencies on file, including one at the harm level and one tied to abuse, with the last full inspection back in October 2023. One fine totaling $9,311 has been issued. If you're considering this home, ask how they cover weekend shifts and what changed after that harm citation.
Chesapeake, VA · Chesapeake City County
★★★☆☆CMS 3/5117 bedsFor-profitMedicaid
- Nurse hours
- 3.64 /day
- Staff turnover
- 53%
- Serious cites
- 0
Autumn Care of Chesapeake runs 117 beds under limited-liability, for-profit ownership, and the staffing picture is the weak spot. At 3.64 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 17% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 52.9% against a 45.8% national figure means the aides and nurses caring for residents are, on average, fairly new to the building. The tradeoff is that quality measures score well and its current record shows 43 deficiencies, none at harm or jeopardy level and none abuse-related, with its last inspection in December 2023.
Blackstone, VA · Nottoway County
★★★★☆CMS 4/5180 bedsFor-profitMedicaid
- Nurse hours
- 3.43 /day
- Staff turnover
- 49%
- Serious cites
- 0
Heritage Hall-Blackstone runs 180 certified beds under for-profit LLC ownership, and the staffing numbers are the part I'd pay closest attention to. At 3.43 nurse hours per resident day, it sits roughly 11% under the national average of 3.86, and weekends drop about 18% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 49.3% tops the national 45.8%, meaning the people caring for your relative are likely to change. Its current record shows 33 deficiencies, none at harm or jeopardy level but two tied to abuse. The last inspection was May 2023, so that picture is getting old.
Alexandria, VA · Fairfax County
★★★☆☆CMS 3/596 bedsFor-profitMedicaid
- Nurse hours
- 3.32 /day
- Staff turnover
- 36%
- Serious cites
- 0
George Washington Health & Rehabilitation runs on thinner nursing coverage than most homes, 3.32 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 9% below its own weekday staffing, so the quietest shifts are the leanest. The record shows 45 deficiencies, none flagged at harm or jeopardy level, but four tied to abuse, which deserves a direct question when you tour. What balances that: staff turnover of 35.9% sits well under the 45.8% national figure, meaning caregivers tend to stay, and CMS scored the home 5 out of 5 on quality measures. Its last full inspection was June 14, 2023, so ask what's happened since.
Norfolk, VA · Norfolk City County
★★★☆☆CMS 3/5169 bedsFor-profitMedicaid
- Nurse hours
- 3.41 /day
- Staff turnover
- 45%
- Serious cites
- 0
Signature Healthcare of Norfolk runs 169 beds under corporate ownership, and its nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86. Weekends run about 10% thinner than weekdays, so coverage dips when families tend to visit. Turnover is 45.4%, basically level with the national rate, so that's not the differentiator here. What stands out is the inspection record: 47 deficiencies, three serious enough to involve harm or jeopardy, and one tied to abuse. The last inspection was July 2023, so that record has had time to age. Quality measures score well, but the staffing and inspection numbers are where the real story sits.
Fairfax, VA · Fairfax City County
★★☆☆☆CMS 2/5200 bedsFor-profitMedicaid
- Nurse hours
- 3.55 /day
- Staff turnover
- 45%
- Serious cites
- 0
Fairfax Rehabilitation and Nursing Center runs 200 certified beds under for-profit LLC ownership, and its staffing numbers are the weak spot. At 3.55 total nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so coverage thins exactly when families tend to visit. The health inspection record shows 60 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus two fines totaling $22,957. Staff turnover of 44.8% is roughly in line with the national 45.8%, so retention isn't the outlier here; direct care hours are.
Portsmouth, VA · Portsmouth City County
★★★☆☆CMS 3/5132 bedsFor-profitMedicaid
- Nurse hours
- 3.44 /day
- Staff turnover
- 47%
- Serious cites
- 0
Portside Health & Rehab Center runs 132 certified beds in Portsmouth under corporate for-profit ownership, and the staffing numbers are the first thing worth noticing: 3.44 nurse hours per resident day, roughly 11% under the national average of 3.86, with weekends running about 14% thinner than its own weekdays. Turnover sits at 47.1%, a bit above the national 45.8%.
The inspection record carries 46 deficiencies, two of them serious enough to reach harm or jeopardy level, and CMS rated health inspections 2 out of 5 stars. Fines total $8,018 across one penalty, and the most recent inspection was December 12, 2024. Quality measures scored 5 out of 5, which is genuinely strong, but that's the piece least tied to how many hands are actually available on a Saturday.
Fairfax, VA · Fairfax County
★☆☆☆☆CMS 1/5155 bedsFor-profitMedicaid
- Nurse hours
- 3.33 /day
- Staff turnover
- 23%
- Serious cites
- 0
Fair Oaks runs on thin nurse coverage, 3.33 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekdays. That staffing number is worth watching since residents don't stop needing help on Saturdays. The stronger signal here is turnover: 22.6% versus 45.8% nationally, meaning the aides and nurses who are there tend to stay, which matters for consistency of care. But the inspection record is the weak spot, 65 deficiencies on file, a 1-out-of-5 health inspection rating, and the last survey was February 2025. None of those deficiencies rose to harm or jeopardy, and there's no abuse history. A for-profit LLC operates the 155-bed building.
West Point, VA · King William County
★★★☆☆CMS 3/560 bedsFor-profitMedicaid
- Nurse hours
- 3.15 /day
- Staff turnover
- 42%
- Serious cites
- 0
Three Rivers runs about 3.15 nurse hours per resident per day, roughly 19% under the national average, and weekends dip about 10% below its own weekday staffing. That thin coverage is the main reason the staffing rating sits at 1 out of 5 even though the quality measure score is 5 out of 5, the clinical outcomes look good, but there aren't many hands.
The inspection record shows 36 deficiencies, two at harm or jeopardy level and one abuse-related, with $8,492 in fines and a March 2024 inspection. Turnover at 42% is slightly better than the 45.8% national figure, so retention isn't the problem; scheduling is. For-profit, limited liability ownership, 60 beds.
Annandale, VA · Fairfax County
★★☆☆☆CMS 2/5157 bedsFor-profitMedicaid
- Nurse hours
- 3.72 /day
- Staff turnover
- 45%
- Serious cites
- 0
August Healthcare at Leewood runs 157 certified beds under for-profit LLC ownership, and its staffing sits about 4% under the national average at 3.72 nurse hours per resident day, with weekends roughly 11% leaner than its own weekdays. Turnover lands near the national mark at 44.7%. What stands out is the inspection record: 36 deficiencies, one at harm or jeopardy level and seven tied to abuse, with a single $25,488 fine and no inspection since March 2022. The five-star quality measure score contrasts with a one-star health inspection rating, so ask directly how those abuse-related findings were resolved and who is on duty on weekends.
Radford, VA · Radford City County
★★★★☆CMS 4/590 bedsFor-profitMedicaid
- Nurse hours
- 3.51 /day
- Staff turnover
- 42%
- Serious cites
- 0
Radford Health and Rehab runs 3.51 nurse hours per resident per day, about 9% under the national average, and weekends drop roughly another 10% below its own weekday coverage. That thin margin matters more than the overall numbers suggest, because the home carries 27 deficiencies on its current record, including one at the harm level and one tied to abuse. Turnover sits at 41.6%, which is actually better than the 45.8% national figure, and the quality measure score is strong. But a 2-out-of-5 staffing rating paired with a February 2025 inspection means the clinical outcomes are being achieved with less hands-on time than most homes. Ask about weekend coverage and the abuse deficiency specifically.
Chatham, VA · Pittsylvania County
★★★★☆CMS 4/585 bedsFor-profitMedicaid
- Nurse hours
- 3.59 /day
- Staff turnover
- 39%
- Serious cites
- 0
Chatham Health & Rehabilitation Center runs 85 certified beds under corporate ownership, and its staffing sits at 3.59 nurse hours per resident day, about 7% under the national average of 3.86. Weekends dip roughly 11% below the home's own weekday coverage, so families should ask who's actually on the floor on a Saturday. Turnover is 39.1%, better than the 45.8% national figure, which matters for continuity of care. The inspection record shows 24 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse, and fines total $8,018. The last full inspection was March 2024, so the record is reasonably current.
Richmond, VA · Henrico County
★★★☆☆CMS 3/532 bedsFor-profitMedicaid
- Nurse hours
- 4.60 /day
- Staff turnover
- 58%
- Serious cites
- 0
August Healthcare At Richmond runs 32 beds under corporate ownership, and its nurse staffing sits at 4.60 hours per resident day, roughly 19% above the national average, which is genuinely a point in its favor. The catch is consistency: weekend coverage drops about 14% below what the home staffs on weekdays, and annual turnover hits 58.1% against a national average of 45.8%, so the people caring for residents keep changing. Its inspection record shows 25 deficiencies, including five at the harm or jeopardy level and five tied to abuse, plus two fines totaling $35,055. The most recent inspection was February 2026. Strong hours on paper, but the record underneath them is what a family should weigh.
Arlington, VA · Arlington County
★★☆☆☆CMS 2/5240 bedsFor-profitMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- n/a
- Serious cites
- 0
Regency Care of Arlington is a 240-bed for-profit home with a genuine split in its record. The clinical numbers look good, a 4/5 on quality measures, but staffing sits at just 1/5, well below what you'd want for a building this size, and that's the number that shapes daily life. Twenty-seven deficiencies on the current record is a lot, though none rose to harm or jeopardy, and one was abuse-related, which deserves a direct question. The last inspection was July 2023, so the picture may be dated. Ask about direct-care hours per resident and how the abuse finding was resolved.
Harrisonburg, VA · Rockingham County
★★★☆☆CMS 3/5120 bedsNon-profitMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- n/a
- Serious cites
- 0
The staffing numbers here are the real story: 5.84 nurse hours per resident day, about 51% above the national average of 3.86. That's an unusual amount of nursing time, though weekends run roughly 8% leaner than weekdays, so coverage isn't perfectly flat. On inspections, 11 deficiencies show up on the current record with none at the harm level, and one is abuse-related, worth asking about directly, since any abuse citation deserves a specific explanation. State inspectors last visited in March 2023, so the record is a few years old. The nonprofit corporation that runs this 120-bed home posts solid marks on health inspections and quality measures, and the above-average staffing backs that up.
Mechanicsville, VA · Hanover County
★★★★☆CMS 4/562 bedsNon-profit
- Nurse hours
- 4.51 /day
- Staff turnover
- n/a
- Serious cites
- 0
Covenant Woods sits in decent shape on inspections, a 4 out of 5 there, with 13 deficiencies on record but none that rose to actual harm or jeopardy, and nothing abuse-related. Where it struggles is staffing, which lands at 1 out of 5 and drags the overall picture down, along with a quality measure score of 2. The last state visit was March 2024, so the inspection record is reasonably current. As a nonprofit corporation with 62 beds, it's a smaller home, which can cut both ways on consistency. If you're considering it, the inspection history is the reassuring part; ask pointed questions about direct-care hours per resident and turnover before you decide.
Burke, VA · Fairfax County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.59 /day
- Staff turnover
- 49%
- Serious cites
- 0
Burke Health & Rehabilitation Center runs 120 beds under corporate ownership, and its nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 48.5%, a few points above the national figure of 45.8%. The inspection record shows 24 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last full inspection in June 2023. Quality measures score well, but the staffing picture is where the tension sits: adequate on paper, thinner in practice.
Petersburg, VA · Petersburg City County
★★☆☆☆CMS 2/5119 bedsFor-profitMedicaid
- Nurse hours
- 3.25 /day
- Staff turnover
- 51%
- Serious cites
- 0
Battlefield Park runs on 3.25 nurse hours per resident day, about 16% under the national average, and weekend coverage drops roughly 12% below its own weekday numbers, so the thinnest staffing lands when families tend to visit. Staff turnover sits at 50.9%, higher than the 45.8% national rate, which means the people caring for your relative are likelier than average to be new or on their way out. The inspection record carries 72 deficiencies, four at harm or jeopardy level and six tied to abuse, with the most recent inspection in September 2024. Corporate-owned and certified for 119 beds.