The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
Nursing home report
BEREA HEALTH & REHAB CENTER
FREDERICKSBURG, VA · Medicare-certified · 90 beds
In good standing
For-profitChain member
2 of 5 overall
Berea Health & Rehab Center in Fredericksburg, VA has an overall 2-star rating. Its health inspection rating is also 2 stars, staffing is 3 stars with reported nurse staffing slightly below the federal benchmark (3.96 vs. 4.1 hours per resident per day), quality measures are 4 stars, and it had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9579 hrs/resident/day
Quality measures
Last inspection: December 4, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9579.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 1.20
- Nurse aides
- 2.13
- Weekend nursing
- 3.55
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 64%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
17.1%0%Improving
Residents with a fall causing major injury
3.3%4.8%Worsening
Residents with pressure ulcers (bedsores)
4.4%2.7%Improving
Residents with a urinary tract infection
0%1.6%Worsening
Residents who lost too much weight
1.8%7.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
26.9%24.1%Improving
Residents whose ability to walk got worse
14.2%4.4%Improving
Long-stay residents on antianxiety or sleep medication
7%5.4%Improving
Short-stay residents newly given an antipsychotic
0%1.3%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.6%27.8%Worsening
Residents with depressive symptoms
36.5%20%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—91%—
Long-stay residents given the pneumonia vaccine
88.3%76.2%Worsening
Short-stay residents given the seasonal flu vaccine
—62.5%—
Short-stay residents given the pneumonia vaccine
54.8%30.1%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide services that met professional standards of quality. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited January 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $21,996 in total fines.
- $21,996
Federal fine
Jun 2, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of SABER HEALTHCARE GROUP · 126 homes · 3 stars avg
- Occupancy
- 83.1 residents on an average day (92% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 4 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.