Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
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.
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.
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.
Wonder City Rehabilitation and Nursing Center is a 130-bed for-profit home in Hopewell, and the numbers behind its record deserve a hard look. Nurse staffing sits at 2.75 hours per resident per day, roughly 29% below the national average, and it dips about 12% further on weekends, while annual turnover runs 68.4% against a national 45.8%. Its inspection record carries 93 deficiencies, eight at the harm or jeopardy level and ten abuse-related, plus a $26,060 fine, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. One inspection star and one staffing star out of five round out a record that hasn't been updated since July 2023.
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.
Birchwood Park runs on thin staffing. At 3.06 nurse hours per resident per day, it's about 21% below the national average, and weekends drop roughly another 20% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 63.6% against a national 45.8%, which means the people caring for your relative are frequently new. The inspection record is heavier still: 114 deficiencies, seven at harm or jeopardy level, ten abuse-related, and a $131,178 fine. Virginia Beach has plenty of options; ask this one directly how it plans to fix staffing before you decide.
Virginia Beach Healthcare and Rehab Center runs on thinner nurse staffing than most homes, 3.42 hours per resident day against a national average of 3.86, and weekends drop about 19% below its own weekday levels, which matters when families visit and needs don't pause. Staff turnover sits at 65.9%, well above the 45.8% national figure, so the people caring for residents are cycling through quickly. Its inspection record shows 96 deficiencies, including four at the harm or jeopardy level and seven tied to abuse, with one fine of $131,313 on file and a fresh inspection in October 2024. The quality measure score looks strong on paper, but that number sits on top of a for-profit LLC structure with a one-star inspection and staffing rating.
Colonial Heights, VA · Colonial Heights City County
★☆☆☆☆CMS 1/5196 bedsFor-profitMedicaid
Nurse hours
3.00 /day
Staff turnover
69%
Serious cites
0
Abuse icon on record
Colonial Heights Rehabilitation and Nursing Center runs on 3.00 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends drop another 15% below what the home staffs on weekdays. Turnover sits at 69.3% against a national 45.8%, so nearly seven in ten caregivers left within a year. The current record shows 89 deficiencies, including 4 at the harm or jeopardy level and 11 tied to abuse, with one fine of $105,289. The last inspection was October 2022. For-profit, LLC-owned, 196 beds. Ask what staffing looks like on a Saturday night before you decide anything.
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.
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.
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.
River Edge runs on thinner staffing than most homes you'll compare it to, 2.96 nurse hours per resident per day against a national average of 3.86, and weekends drop about another 10% below its own weekday level. That matters, because the inspection record here is the real story: 41 deficiencies on file, three of them serious enough to put residents in harm's way, four tied to abuse. The last full inspection was in November 2022, so you're looking at a stale snapshot of a home that hasn't been re-verified in a while. Staff turnover sits at 50%, above the 45.8% national figure, and corporate ownership means decisions get made at a distance. Go visit unannounced, ideally on a weekend.
Mountain Laurel runs leaner on nursing hours than most homes in the country, 3.14 per resident day against a national average of 3.86, and weekends are thinner still, roughly 17 percent below what the building staffs Monday through Friday. That gap matters when a resident needs help on a Sunday. Turnover sits at 62.6 percent, well above the 45.8 percent national figure, so the people providing care change often. The inspection record is where this home stands out: 87 deficiencies, eight of them serious enough to put residents in harm's way and three tied to abuse, plus $204,839 in fines across ten penalties. CMS placed it in the Special Focus Facility program, which is reserved for the small share of homes with persistent problems.
Amelia Rehabilitation and Healthcare Center runs on about 2.93 nurse hours per resident per day, roughly a quarter below the national average, and weekend coverage drops another 14% below its own weekday pace. That thin margin shows up in the workforce itself: 61.6% of staff leave each year, well above the 45.8% national figure, so residents see a rotating cast rather than familiar faces. The inspection record is harder to explain away, 60 deficiencies on file, including three at the harm level and seven tied to abuse, with the most recent state visit back in November 2023. A limited liability company operates the 100-bed home for profit. Good quality scores can't offset that.
Brookside runs on thinner staffing than most homes in the country, about 3.09 nurse hours per resident day against a national average of 3.86, and it gets even thinner on weekends, when coverage drops roughly 13 percent below its own weekday level. More than six in ten staff members left over the past year, well above the 45.8 percent national rate, which makes it hard to keep consistent caregivers at the bedside. The inspection record is the bigger concern: 80 deficiencies, including two at the harm level and four tied to abuse, with $146,073 in fines and a one-star health inspection rating. The last inspection was in August 2024.
York Post Acute runs leaner than most. At 3.33 nurse staffing hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop roughly 17% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover tells its own story: 61.7% of staff leaving annually against a national 45.8%, meaning new faces cycle through often. The inspection record is the harder read: 26 deficiencies, four at harm or jeopardy level, two tied to abuse, and a last inspection in June 2023. The quality measure score of 4 out of 5 shows clinical care can look fine on paper, but staffing and oversight are where this one asks you to look closer.
River View On The Appomattox runs 124 certified beds under for-profit partnership ownership, and the staffing numbers are the first thing I'd want you to see. At 3.51 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 15% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Annual turnover hits 74.8% against a national 45.8%, so the people caring for your relative are likely to change often. The inspection record is heavier still: 63 deficiencies, two at harm or jeopardy level, four abuse-related, with the last inspection in March 2023.
Petersburg Healthcare Center runs 120 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national figure of 3.86. That gap widens on weekends, when coverage drops about 11% below the home's own weekday level, and annual turnover among nursing staff reaches 57.1% against a national average of 45.8%. The inspection record shows 43 deficiencies, including two at the harm or jeopardy level and seven tied to abuse, with one fine of $26,125. Quality measures score well, but staffing and inspection ratings both land at 2 out of 5.
Nurse staffing here sits at 3.85 hours per resident day, essentially matching the national average of 3.86, but that average hides a gap, since weekends run about 13% thinner than weekdays. Annual turnover is 52.4% against a national 45.8%, so the people showing up are changing often. The inspection record is the harder read: 48 deficiencies, two serious enough to put residents at harm or jeopardy, four tied to abuse, and $27,626 in fines across four events, with the last full inspection back in January 2023. A non-profit owns it, and the quality stars look strong, but staffing and inspection results are telling a different story.
Chelsea Rehabilitation And Healthcare Center runs 84 certified beds in Goochland under for-profit LLC ownership. Nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average of 3.86, and weekends run about 10% thinner than weekdays, so the coverage families see on a Tuesday isn't what they'd see on a Sunday. Staff turnover, at 45.5%, is essentially the national rate, meaning little continuity from one month to the next. The current record carries 34 deficiencies, including one at harm or jeopardy level and two abuse-related, plus a $10,033 fine. A September 2024 inspection is recent enough to be current. Resident outcome measures score well; the inspection and staffing pictures are where the concern sits.
Staunton Post Acute & Rehabilitation runs 170 beds under corporate ownership, and the numbers that matter most here are the inspection ones. The current record shows 48 deficiencies, including five at the harm or jeopardy level and eight tied to abuse, a serious pattern that lines up with the one-star health inspection rating. It's also been more than two years since the last inspection in June 2023, so that record may not reflect what's happening now. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average, and weekends drop about 10% below its own weekday level. Staff turnover is 54.2%, well above the 45.8% national figure.
Colonnades runs on staffing that most homes can't match, 6.72 nurse hours per resident day against a national average of 3.86, with turnover at 36.4% versus 45.8% nationally. That's a genuinely strong floor, and the staffing and quality stars reflect it. The problem sits elsewhere. Twenty-six deficiencies on the current record, including two at the harm level and four tied to abuse, and a one-star inspection rating, all from a visit in November 2024. Weekend coverage also dips about 10% below what the home provides Monday through Friday. A corporation owns it. Families weighing this one should read the inspection reports themselves before deciding.
The Jefferson runs 31 beds in Arlington, and the numbers behind its record are worth pausing on. Inspectors have cited 63 deficiencies, four of them at the level where a resident was actually harmed or put in jeopardy, and four tied to abuse, with three fines totaling $61,065. Staff turnover sits at 68.3% against a national average of 45.8%, which tracks with its one-star staffing rating, and the most recent inspection was March 2026. What's odd is the quality measure score: five stars, meaning the clinical data the home reports looks good even as its staffing and inspection records don't. Ask what that gap actually reflects before you decide.
Rosemont Health & Rehab Center runs 116 certified beds as a for-profit corporation, and its staffing sits about 10% under the national average at 3.48 nurse hours per resident day, a gap that widens on weekends, when coverage drops roughly 15% below its own weekday level. That thin margin matters more given the inspection record: 32 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with the last full inspection back in September 2022. Turnover is the one clear bright spot at 34.9%, well under the 45.8% national figure, and the quality measure score of 4 out of 5 suggests clinical outcomes hold up. But with a 2 out of 5 staffing rating and a two-year-old inspection, ask about weekend coverage and how the abuse-related findings were resolved.
Ghent Health and Rehabilitation runs 222 beds in Norfolk under for-profit LLC ownership, and its nurse staffing sits at 2.79 hours per resident per day, roughly 28% under the national average of 3.86. Weekends dip about 16% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. The inspection record is the harder number: 69 deficiencies, including 4 tied to abuse and 2 at the level of actual harm or jeopardy, with the most recent inspection dated February 26, 2026. Annual turnover of 50.7% tops the national 45.8% average, meaning a large share of caregivers are still new to the building.
Nassawadox Rehabilitation and Nursing runs 145 certified beds under for-profit limited liability ownership, and its inspection record is the part that should concern you most. Fifty-four deficiencies sit on the current record, five of them at harm or jeopardy level and two tied to abuse, and the last inspection was in May 2022, so that record is several years old now. Nurse staffing comes in at 3.36 hours per resident day, roughly 13% under the national average, with weekends about 8% thinner than weekdays. Staff turnover is lower than average at 32.6%, which is a genuine bright spot. The federal inspection rating of one star is the number that matters most here.
Marcella Post Acute runs 180 beds in Hampton under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.07 nurse hours per resident day, it sits about 21% under the national average, and weekends drop roughly another 18% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 60.2% against a 45.8% national rate means the aides and nurses you meet may not be there in six months.
The inspection record backs that up: 53 deficiencies, one at harm or jeopardy level, one abuse-related, and the last full inspection was in October 2021. Strong quality measure scores don't offset a staffing picture this thin.
Nurse staffing at Lynn Care Center runs 4.11 hours per resident day, a bit above the national average, but the coverage thins out on weekends, dropping about 16% below its own weekday level. Staff turnover sits at 56.6%, meaning more than half the nursing team leaves each year, well above the national 45.8%. The inspection record is where the real concern sits: 59 deficiencies, 4 of them at harm or jeopardy level, 3 related to abuse, and a $38,110 fine. That's a lot of problems for a 120-bed for-profit home, and the 1-out-of-5 inspection rating reflects it. High quality measure scores don't cancel out a record like that.
Pheasant Ridge runs on thinner staffing than most homes you'd compare it to, about 3.27 nurse hours per resident each day against a national average near 3.86, and weekends drop roughly another 12% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families tend to visit and notice. Staff turnover sits at 53.8%, well above the 45.8% national figure, so the people caring for residents change often. The health inspection record shows 32 deficiencies, five of them serious enough to involve harm or jeopardy, though none are abuse-related. A January 2024 inspection is recent, and the 4/5 quality measure score suggests some clinical benchmarks are being met. But low staffing and high turnover weigh heavily against that.
The Virginia Home in Richmond is a nonprofit with 130 certified beds, and its staffing tells a mixed story. Nurses provide 4.67 hours per resident day, about 21 percent above the national average, and turnover sits at 16.5 percent against a national average near 46, a big deal, since stable staff usually means residents see familiar faces. Weekends run roughly 7 percent lighter than weekdays, so coverage does dip.
The trouble is inspections. The current record shows 14 deficiencies, including two at the harm or jeopardy level and one involving abuse, and the last full inspection was in July 2023. Quality measures score well, but quality data is self-reported. The staffing and outcomes look good on paper; the survey history is what pulls this one down.