Midlothian, VA · Chesterfield County
★★☆☆☆CMS 2/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.24 /day
- Staff turnover
- 47%
- Serious cites
- 0
The Laurels of Willow Creek runs 120 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends dip about 14 percent below the home's own weekday coverage, which matters when falls and infections don't check the calendar. The inspection record carries 54 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with the most recent inspection back in September 2023. Staff turnover is 47 percent, slightly above the national 45.8. Quality measures score well, but consistent staffing and a clean survey record are what families actually live with day to day.
Hampton, VA · Hampton City County
★★★☆☆CMS 3/586 bedsFor-profitMedicaid
- Nurse hours
- 3.51 /day
- Staff turnover
- 55%
- Serious cites
- 0
Hampton Health & Rehab Center runs 86 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 15% below the home's own weekday coverage, and annual turnover hits 54.7% against a national 45.8%, meaning nearly six in ten caregivers left within the year.
The inspection record shows 48 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Its last inspection was September 5, 2024. CMS gives it 2 out of 5 stars for staffing and the same for health inspections, while quality measures score 5 out of 5, an unusual split worth asking about directly.
Pulaski, VA · Pulaski County
★★★★☆CMS 4/590 bedsFor-profitMedicaid
- Nurse hours
- 3.39 /day
- Staff turnover
- 54%
- Serious cites
- 0
Pulaski Health & Rehab runs 90 beds under for-profit LLC ownership, and its staffing numbers are the first thing to look at. Nurses provide 3.39 hours per resident per day, roughly 12 percent under the national average, and weekends drop another 9 percent below the home's own weekday levels. Annual turnover sits at 54.4 percent, well above the 45.8 percent national figure, which matters because consistent caregivers know residents' routines. The inspection record shows 22 deficiencies, including two tied to abuse, though none reached harm or jeopardy level, and the most recent survey was in July 2024. Quality measures score well, but staffing is where the strain shows.
Farmville, VA · Prince Edward County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.24 /day
- Staff turnover
- 29%
- Serious cites
- 0
Farmville Health & Rehab runs 120 certified beds under corporate for-profit ownership, and its staffing numbers tell the most important story here. At 3.24 nurse hours per resident day, it sits about 16 percent under the national average of 3.86, and weekends drop roughly 17 percent below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover at 29.2 percent is genuinely better than the 45.8 percent national figure, which matters for consistency of care. What offsets that is the inspection record: 50 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, against a 2-out-of-5 health inspection rating, with the last survey in May 2023.
Grundy, VA · Buchanan County
★★★★★CMS 5/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.00 /day
- Staff turnover
- 37%
- Serious cites
- 0
Heritage Hall Grundy runs lean on nurses. At 3.00 hours per resident day, staffing sits roughly 22 percent under the national average of 3.86, and weekends drop about 17 percent below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover, though, is a genuine bright spot: 37.4 percent against a national 45.8 percent, meaning aides and nurses here stick around longer than at the typical home.
The inspection record is mixed. Twenty-four deficiencies with none at the harm level, one tied to abuse, and the last full look was February 2023, a stretch of time without a fresh survey. Strong marks on quality measures don't cancel out a staffing number this far below average.
King George, VA · King George County
★★☆☆☆CMS 2/5130 bedsFor-profitMedicaid
- Nurse hours
- 3.21 /day
- Staff turnover
- 31%
- Serious cites
- 0
Heritage Hall King George runs on 3.21 nurse hours per resident day, roughly 17 percent under the national average of 3.86, and weekend coverage drops about 18 percent below its own weekday levels, so the thinnest shifts land when families tend to visit. The inspection record is where the real concern sits: 53 deficiencies, three of them at harm or jeopardy level and one abuse-related, with four fines totaling $63,359 and no health inspection since September 2022. Staff turnover at 30.6 percent actually beats the national 45.8 percent, which suggests the problem isn't retention. A 4/5 on quality measures means the care processes look good on paper, but a for-profit LLC with that deficiency history and a two-year inspection gap is worth asking hard questions about.
Galax, VA · Galax City County
★★★★★CMS 5/5135 bedsFor-profitMedicaid
- Nurse hours
- 3.49 /day
- Staff turnover
- 28%
- Serious cites
- 0
Waddell runs 3.49 nurse hours per resident day, roughly 10% under the national average of 3.86, and weekends dip about 12% below its own weekday coverage. Where it stands out is stability: turnover sits at 27.5% against a national average near 46%. Inspections are a genuine strength, a 5/5 health inspection rating, six deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent visit in November 2025. The weaker spots are staffing (3/5) and quality measures (2/5). Limited liability ownership, 135 beds. Consistent caregivers and clean inspections offset thinner daily coverage, though the weekend drop is worth asking about.
Bowling Green, VA · Caroline County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.38 /day
- Staff turnover
- 44%
- Serious cites
- 0
Bowling Green Health & Rehabilitation Center runs 120 certified beds under individual for-profit ownership, and its staffing is the clearest thing in the numbers. At 3.38 nurse hours per resident day, it sits roughly 12 percent below the national average of 3.86, and weekends drop about 11 percent below its own weekday level. Turnover, at 44 percent, is close to the national 45.8 percent, so retention isn't the outlier here, raw hours are. The inspection record shows 53 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $8,278 and the last inspection in March 2024. Strong quality scores and a low staffing rating pull in opposite directions, which is worth asking about directly.
Mechanicsville, VA · Hanover County
★★☆☆☆CMS 2/5169 bedsFor-profitMedicaid
- Nurse hours
- 3.43 /day
- Staff turnover
- 32%
- Serious cites
- 0
Autumn Care of Mechanicsville runs 169 beds under corporate ownership, and its nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 32.1% against a national 45.8%, meaning aides and nurses stick around longer than at the typical home. Inspections tell a mixed story, 33 deficiencies on the current record, none flagged as harm or abuse, with one fine of $10,358 and a February 2025 survey. Quality measures score well; staffing and inspection stars sit at 2 out of 5.
Rich Creek, VA · Giles County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.58 /day
- Staff turnover
- 38%
- Serious cites
- 0
Heritage Hall-Rich Creek runs 120 certified beds in Giles County under for-profit LLC ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 18% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 38.4%, which is actually better than the 45.8% national figure. The current record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in March 2024. State inspectors rated it 4 out of 5; the federal staffing measure came in at 2.
Richmond, VA · Henrico County
★★☆☆☆CMS 2/5194 bedsFor-profitMedicaid
- Nurse hours
- 3.01 /day
- Staff turnover
- 48%
- Serious cites
- 0
Lakeside runs 194 beds in Richmond under for-profit LLC ownership, and its staffing numbers are the first thing to look at. At 3.01 nurse hours per resident day, it sits roughly 22 percent under the national average of 3.86, and weekends drop another 10 percent below its own weekday level. Turnover is 48.3 percent against a 45.8 percent national average. The inspection record is heavy: 72 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in February 2024. CMS rates staffing and health inspections 1 out of 5, while quality measures score 5. The gap between those ratings is the real story here.
Arlington, VA · Arlington County
★☆☆☆☆CMS 1/5161 bedsNon-profitMedicaid
- Nurse hours
- 3.22 /day
- Staff turnover
- 37%
- Serious cites
- 0
Carlin Springs runs lean on the floor: 3.22 nurse hours per resident day, roughly 17% under the national average, and weekends drop about another 10% below its own weekday pace. That thin coverage shows up in the inspection record, which carries 41 deficiencies, two of them serious enough to involve harm or jeopardy, and the last full inspection was back in July 2022. Turnover at 37.3% is actually better than the 45.8% national figure, and the quality measures score well, so this isn't a home where care is falling apart. It's one where you'd want to visit on a Saturday and ask who's actually on the unit.
Hillsville, VA · Carroll County
★★★★★CMS 5/560 bedsFor-profitMedicaid
- Nurse hours
- 3.29 /day
- Staff turnover
- 55%
- Serious cites
- 0
Hillsville Health & Rehab runs a tight ship on inspections, a five-star health inspection rating and only five deficiencies on the current record, just one of them serious enough to reach harm or jeopardy level. No abuse citations at all. The catch is the day-to-day staffing. At 3.29 nurse hours per resident, it sits about 15 percent under the national average, and weekends drop another 15 percent below its own weekday levels. That matters when turnover is 55.1 percent against a national 45.8, nearly six in ten caregivers leaving in a year means the people at the bedside keep changing. The care protocols look sound; whether there are enough consistent hands to carry them out is the real question.
Roanoke, VA · Roanoke City County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.48 /day
- Staff turnover
- 53%
- Serious cites
- 0
Raleigh Court runs 3.48 nurse hours per resident day, about 10 percent under the national average, and weekend coverage drops roughly 11 percent below its own weekday level. Staff turnover sits at 53.4 percent against a national 45.8, so the people around your family member change often. The current record shows 29 deficiencies, including one at the harm or jeopardy level and three tied to abuse. The last inspection was August 2024. Quality measures look strong, but that reflects resident outcomes, not the staffing and compliance picture underneath them.
Chesapeake, VA · Chesapeake City County
★★★★★CMS 5/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.52 /day
- Staff turnover
- 47%
- Serious cites
- 0
Oak Grove runs 3.52 nurse hours per resident day, roughly 9% under the national average, and weekends drop about 15% below its own weekday staffing. That thin coverage is why CMS gives it only 2 of 5 stars on staffing, and the 46.8% turnover rate means the aides and nurses cycling through are close to the national norm but still turning over nearly half the workforce each year. The good news sits elsewhere: a 4/5 inspection rating with the most recent survey in February 2026, 30 total deficiencies and 3 at harm level, no abuse citations, and one fine of $7,443. Quality measures score 5/5. The company is a for-profit LLC, so staffing is a budget choice as much as anything.
Luray, VA · Page County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 2.78 /day
- Staff turnover
- 36%
- Serious cites
- 0
Skyview Springs runs lean on nursing staff, 2.78 hours per resident day against a national average of 3.86, and weekends drop further from its own weekday level. That thin coverage is the main thing behind the numbers here. Turnover at 35.6% is actually better than the national 45.8%, so leadership isn't the problem; staffing volume is. The inspection record shows 51 deficiencies, including two at harm or jeopardy level and two tied to abuse, with the most recent visit in November 2023. Quality measures score well, but they don't offset what happens when there aren't enough hands on a Saturday.
Colonial Beach, VA · Westmoreland County
★★★☆☆CMS 3/566 bedsFor-profitMedicaid
- Nurse hours
- 3.24 /day
- Staff turnover
- 43%
- Serious cites
- 0
Westmoreland Rehabilitation & Healthcare Center runs 66 certified beds in Colonial Beach, and the staffing numbers are the first thing to notice: 3.24 nurse hours per resident day against a national average of 3.86, with weekends running roughly 12% thinner than weekdays. Turnover sits at 42.7%, slightly better than the national 45.8%, so the people who stay tend to stay. What pulls the record down is the inspection history, 53 deficiencies, one at harm or jeopardy level and five tied to abuse, plus a $27,885 fine, with the last inspection back in June 2023. The quality measure score looks strong, but it's built largely on self-reported data, while the staffing and inspection scores come from what surveyors actually found.
Newport News, VA · Newport News City County
★★☆☆☆CMS 2/5154 bedsFor-profitMedicaid
- Nurse hours
- 3.31 /day
- Staff turnover
- 54%
- Serious cites
- 0
Atlantic View Post Acute runs 3.31 nursing hours per resident day, about 14 percent under the national average, and weekends drop roughly 11 percent below its own weekday numbers. Staff turnover sits at 53.7 percent against a national 45.8, so the people caring for residents keep changing. Its inspection record shows 27 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with the last full inspection dated December 2022. CMS gives it one star for staffing and two for health inspections, even as its quality measures score five. The corporation that owns it has real strengths and real problems sitting side by side.
Independence, VA · Grayson County
★★★★★CMS 5/5120 bedsFor-profitMedicaid
- Nurse hours
- 2.72 /day
- Staff turnover
- 45%
- Serious cites
- 0
Grayson Health and Rehabilitation runs a 120-bed for-profit operation in Independence, and the staffing numbers are the first thing to notice: 2.72 nurse hours per resident per day, roughly 30 percent under the national average. Weekend coverage drops another 13 percent below its own weekday level, which matters if your family visits or calls on Saturdays and Sundays. Turnover sits at 45.2 percent, right in line with the national figure. The inspection record is genuinely strong, 31 deficiencies on file, none at the harm or jeopardy level, none abuse-related, and the last inspection was in December 2023. Quality measures score well too. The tension here is real: good care outcomes documented, thin staffing underneath them.
Pennington Gap, VA · Lee County
★★★★★CMS 5/5110 bedsFor-profitMedicaid
- Nurse hours
- 3.47 /day
- Staff turnover
- 39%
- Serious cites
- 0
Lee Health and Rehab Center runs 110 certified beds in Pennington Gap under for-profit LLC ownership, and its inspection record is genuinely strong, a 5-out-of-5 federal rating with just seven deficiencies on file, none of them harm-level or abuse-related, and a survey completed in March 2025. Where it slips is daily care coverage: 3.47 nurse hours per resident, roughly 10% under the national average, with weekends running about 14% thinner than weekdays. Turnover is actually better than most, 39.3% against a national 45.8%, so the same faces tend to stick around. The question for your family is whether weekday coverage holds up when you visit, and who's on the floor on a Sunday.