Brookside Rehab & Nursing Center

614 Hastings Lane · Warrenton, VA · 20186 · 5403474770

130 certified beds For profit - Limited Liability company Chain: Hill Valley Healthcare

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $109,725 in fines in the last 24 months.

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.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

Cited under the freedom-from-abuse rule

Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

$109,725 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Total nurse staffing below 3.0 hours per resident-day

2.91 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 28
Serious harm & abuse 20% 68
Staffing 20% 56
Federal penalties 15% 44
Trend 10% 57
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day2.913.48 min · 4.1 strong
RN hours / resident-day0.620.55–0.75
Weekend hours / resident-day2.61≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)2 · $146,073

Inspection citations (80 in the current record)

  • Potential for harm · D October 21, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected November 17, 2025 · Resident Rights

  • Potential for harm · D October 21, 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 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D October 21, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 17, 2025 · Quality of Life and Care

  • Potential for harm · E October 21, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 17, 2025 · Quality of Life and Care

  • Potential for harm · E October 21, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected November 17, 2025 · Nursing and Physician Services

  • Actual harm · G August 8, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 6, 2024 · Quality of Life and Care

  • Potential for harm · D August 8, 2024

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected November 6, 2024 · Resident Rights

  • Potential for harm · E August 8, 2024

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected November 6, 2024 · Resident Rights

  • Potential for harm · D August 8, 2024

    Ensure each resident receives an accurate assessment.

    Corrected November 6, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 8, 2024

    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 6, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 8, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected November 6, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 8, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 6, 2024 · Quality of Life and Care

  • Potential for harm · D August 8, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected November 6, 2024 · Quality of Life and Care

  • Potential for harm · D August 8, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected November 6, 2024 · Quality of Life and Care

  • Potential for harm · D August 8, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected November 6, 2024 · Quality of Life and Care

  • Potential for harm · E August 8, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected November 6, 2024 · Pharmacy Service

  • Potential for harm · D August 8, 2024

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected November 6, 2024 · Pharmacy Service

  • Potential for harm · D August 8, 2024

    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 November 6, 2024 · Pharmacy Service

  • Potential for harm · E August 8, 2024 · found via complaint

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected November 6, 2024 · Resident Rights

  • Potential for harm · E August 8, 2024 · found via complaint

    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 November 6, 2024 · Resident Rights

  • Potential for harm · D August 8, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 6, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 8, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected November 6, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 8, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected November 6, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E August 8, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 6, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E August 8, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected November 6, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 8, 2024Fine$109,725
September 1, 2023Fine$36,348

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 495267 · certified since September 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.