GoodStanding

Nursing home report

Envoy at the Meadows

Registered name: CHELSEA REHABILITATION AND HEALTHCARE CENTER

GOOCHLAND, VA · Medicare-certified · 84 beds

Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
3 of 5 overall

Envoy at the Meadows in Goochland, VA has an overall rating of 3 out of 5 stars, with weak health inspection and staffing ratings (2 out of 5 each) despite a 5 out of 5 quality measures rating. It reports 3.12 nurse hours per resident per day versus the 4.1 federal benchmark, has $10,033 in fines in the last 24 months, and has a recent abuse citation.

Facility ratings

Health inspections

Staffing

3.1178 hrs/resident/day

Quality measures

Last inspection: December 10, 2024Penalties, last 24 months: $10,033recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1178.

Staffing detail

Registered nurses
0.56
Licensed practical nurses
0.79
Nurse aides
1.77
Weekend nursing
2.80

Hours per resident per day.

Total staff turnover: 46%
Registered nurse turnover: 17%

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

2.8%14.3%Worsening

Residents with a fall causing major injury

0%4.5%Worsening

Residents with pressure ulcers (bedsores)

2.3%1.8%Improving

Residents with a urinary tract infection

1.5%1.5%No change

Residents who lost too much weight

1.8%8.1%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

0%1.8%Worsening

Residents whose ability to walk got worse

0%2.7%Worsening

Long-stay residents on antianxiety or sleep medication

19.7%22.2%Worsening

Short-stay residents newly given an antipsychotic

0%6.2%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

23.9%19%Improving

Residents with depressive symptoms

76.2%85.9%Worsening

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

97.2%

Long-stay residents given the pneumonia vaccine

86.4%86.6%No change

Short-stay residents given the seasonal flu vaccine

67.3%

Short-stay residents given the pneumonia vaccine

57.4%65.8%Improving

What the inspectors found

The nursing home failed to protect residents from abuse and neglect by others. Cited September 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: G

The nursing home failed to provide services that met professional standards of quality. Cited September 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E

The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited December 2022 — limited pattern, potential for harm.

View the original federal record

F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E

The home failed to ensure its staff were properly licensed, certified, or registered as required by state law. Cited December 2022 — limited pattern, potential for harm.

View the original federal record

F-Tag 839 — 42 CFR §483.70 — S/S: E

The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited December 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $10,033 was recorded.

  4. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $10,033 in total fines.

  • Federal fine

    Sep 12, 2024

    $10,033

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of MARQUIS HEALTH SERVICES · 89 homes · 3.1 stars avg
Occupancy
81.4 residents on an average day (97% of 84 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 35 years

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.