The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
CARRIAGE HILL HEALTH & REHAB CENTER
FREDERICKSBURG, VA · Medicare-certified · 150 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Carriage Hill Health & Rehab Center in Fredericksburg, VA has a 3-star overall rating, with 3-star health inspection, staffing, and quality scores. Nurse staffing is slightly below the federal benchmark (3.80 vs. 4.1 hours per resident per day), and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.7962 hrs/resident/day
Quality measures
Last inspection: November 19, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7962.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 1.06
- Nurse aides
- 2.24
- Weekend nursing
- 3.38
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 50%
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
17.3%13.3%Improving
Residents with a fall causing major injury
5.7%5.7%No change
Residents with pressure ulcers (bedsores)
5.8%6.7%Worsening
Residents with a urinary tract infection
1.9%0%Improving
Residents who lost too much weight
8.9%13.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.7%7.1%Improving
Residents whose ability to walk got worse
41.4%6.9%Improving
Long-stay residents on antianxiety or sleep medication
10.7%10.3%No change
Short-stay residents newly given an antipsychotic
2%2.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.2%25.3%Worsening
Residents with depressive symptoms
0%0%No change
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
—99.1%—
Long-stay residents given the pneumonia vaccine
96.2%96.2%No change
Short-stay residents given the seasonal flu vaccine
—86.7%—
Short-stay residents given the pneumonia vaccine
80.6%85.7%Improving
What the inspectors found
The nursing home failed to honor a resident’s right to receive visitors of their choosing at the time they wanted. Cited January 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 563 — 42 CFR §483.10 — S/S: F
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — 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 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of COMMONWEALTH CARE OF ROANOKE · 12 homes · 3.6 stars avg
- Occupancy
- 141.3 residents on an average day (94% of 150 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 18 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.