The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
FREDERICKSBURG HEALTH AND REHAB
FREDERICKSBURG, VA · Medicare-certified · 177 beds
In good standing
For-profitChain member
2 of 5 overall
Fredericksburg Health and Rehab has a 2-star overall rating, with a 1-star staffing rating and reported nurse staffing below the federal benchmark (3.16 vs. 4.1 hours per resident per day). Its quality measures are strong at 5 stars, but the health inspection rating is 2 stars and recent inspection citations included accident hazards/supervision, pharmacy services, and care planning; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.1557 hrs/resident/day
Quality measures
Last inspection: February 5, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1557.
Staffing detail
- Registered nurses
- 0.44
- Licensed practical nurses
- 0.88
- Nurse aides
- 1.84
- Weekend nursing
- 2.91
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.5%Worsening
Residents with a fall causing major injury
4.3%Improving
Residents with pressure ulcers (bedsores)
0.7%Improving
Residents with a urinary tract infection
0.8%Improving
Residents who lost too much weight
9.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
35.2%Worsening
Residents whose ability to walk got worse
32.3%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
16%Improving
Short-stay residents newly given an antipsychotic
1.7%Improving
Residents with a long-term catheter
0.5%Steady
Residents with new or worsening incontinence
25%Worsening
Residents with depressive symptoms
40.3%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
93.7%Improving
Short-stay residents given the seasonal flu vaccine
95.1%Steady
Short-stay residents given the pneumonia vaccine
92%Worsening
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited January 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — 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 October 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 have enough qualified staff to meet residents’ behavioral health needs. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 741 — 42 CFR §483.40 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $9,311 in total fines.
- $9,311
Federal fine
Jul 26, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of TRIO HEALTHCARE · 9 homes · 1.4 stars avg
- Occupancy
- 146.3 residents on an average day (83% of 177 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 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.