Appomattox Health & Rehabilitation Center
235 Evergreen Ave · Appomattox, VA · 24522 · 4343527420
60 certified beds For profit - Corporation Chain: Lifeworks Rehab
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 3.16 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 2 · $18,636 |
Inspection citations (39 in the current record)
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Actual harm · G August 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 7, 2025 · Quality of Life and Care
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Actual harm · G August 13, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected September 19, 2025 · Pharmacy Service
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Potential for harm · D August 13, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 13, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 13, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 13, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected September 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 13, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 7, 2025 · Quality of Life and Care
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Potential for harm · D August 13, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 10, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected June 23, 2023 · Resident Rights
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Potential for harm · D May 10, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 10, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 23, 2023 · Resident Rights
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Potential for harm · D May 10, 2023
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected June 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 10, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 10, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 10, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 10, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 23, 2023 · Quality of Life and Care
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Potential for harm · D May 10, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 23, 2023 · Quality of Life and Care
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Potential for harm · E May 10, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 23, 2023 · Quality of Life and Care
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Potential for harm · E May 10, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected June 23, 2023 · Quality of Life and Care
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Potential for harm · D May 10, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 23, 2023 · Quality of Life and Care
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Potential for harm · D May 10, 2023
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected June 23, 2023 · Quality of Life and Care
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Potential for harm · E May 10, 2023
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected June 23, 2023 · Pharmacy Service
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Potential for harm · E May 10, 2023
Provide or obtain dental services for each resident.
Corrected June 23, 2023 · Quality of Life and Care
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Potential for harm · E May 10, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 23, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 13, 2025 | Fine | $8,278 |
| August 13, 2025 | Fine | $10,358 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495188 · certified since April 7, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.