Carriage Hill Health & Rehab Center
6106 Health Center Lane · Fredericksburg, VA · 22407 · 5407851120
150 certified beds For profit - Limited Liability company Chain: Commonwealth Care of Roanoke
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.84 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.40 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (42 in the current record)
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Potential for harm · D November 19, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 19, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D December 12, 2024 · 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 January 6, 2025 · Resident Rights
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Potential for harm · E December 12, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 6, 2025 · Quality of Life and Care
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Potential for harm · D December 12, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected January 6, 2025 · Environmental
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Actual harm · G June 7, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 22, 2023 · Quality of Life and Care
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Potential for harm · D June 7, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected July 22, 2023 · Resident Rights
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Potential for harm · D June 7, 2023
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected July 22, 2023 · Resident Rights
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Potential for harm · D June 7, 2023
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected July 22, 2023 · Resident Rights
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Potential for harm · D June 7, 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 July 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 7, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 22, 2023 · Quality of Life and Care
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Potential for harm · D June 7, 2023
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 July 22, 2023 · Quality of Life and Care
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Potential for harm · E June 7, 2023 · 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 July 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 7, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 22, 2023 · Quality of Life and Care
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Potential for harm · E June 7, 2023 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 22, 2023 · Quality of Life and Care
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Potential for harm · F January 27, 2022
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected March 8, 2022 · Resident Rights
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Potential for harm · D January 27, 2022
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 8, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 27, 2022
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 8, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 27, 2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 8, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 27, 2022
Respond appropriately to all alleged violations.
Corrected March 8, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 27, 2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 8, 2022 · Resident Rights
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Potential for harm · D January 27, 2022
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected March 8, 2022 · Resident Rights
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Potential for harm · D January 27, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 8, 2022 · Resident Assessment and Care Planning
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Potential for harm · D January 27, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 8, 2022 · Resident Assessment and Care Planning
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Potential for harm · D January 27, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 8, 2022 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495396 · certified since May 21, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.