HIGHLAND SPRINGS, VA · Medicare-certified · 120 beds
Needs attention
Special Focus FacilityAbuse citationFor-profitChain member
★★★★★Not yet rated
Overall rating not rated. This nursing home is a Special Focus Facility (SFF) and has had $155,937 in fines in the last 24 months; reported nurse staffing is 3.78 hours per resident per day, below the federal benchmark of 4.1. Recent inspection citations included infection prevention and control, COVID-19 testing, and policies to prevent abuse, neglect, and theft.
Last inspection: January 15, 2026Penalties, last 24 months: $155,937special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7848.
Staffing detail
Registered nurses
0.44
Licensed practical nurses
1.42
Nurse aides
1.92
Weekend nursing
3.19
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13.8%Worsening
Residents with a fall causing major injury
2%Steady
Residents with pressure ulcers (bedsores)
5.4%Worsening
Residents with a urinary tract infection
1.4%Worsening
Residents who lost too much weight
3.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.6%Worsening
Residents whose ability to walk got worse
6.7%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
7.7%Improving
Short-stay residents newly given an antipsychotic
2.2%Improving
Residents with a long-term catheter
1.4%Steady
Residents with new or worsening incontinence
22.3%Worsening
Residents with depressive symptoms
93.3%Improving
Long-stay residents given the seasonal flu vaccine
95%Steady
Long-stay residents given the pneumonia vaccine
95.2%Improving
Short-stay residents given the seasonal flu vaccine
83.1%Steady
Short-stay residents given the pneumonia vaccine
73.9%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2021 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: L
The nursing home failed to make sure residents and staff were tested for COVID-19. Cited September 2021 — widespread issue, immediate jeopardy to residents.
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F-Tag 886 — 42 CFR §483.80 — S/S: L
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited October 2023 — limited pattern, immediate jeopardy to residents.
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F-Tag 607 — 42 CFR §483.12 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 13 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 4 health deficiencies.
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PENALTY
A federal fine of $132,741 was recorded.
PENALTY
A federal fine of $23,196 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $260,247 in total fines.
Federal fine
Feb 24, 2025
$132,741
Federal fine
Sep 6, 2024
$23,196
Federal fine
Oct 4, 2023
$104,310
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of LIFEWORKS REHAB · 66 homes · 2.1 stars avg
Occupancy
97.8 residents on an average day (82% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 36 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.