Colonial Health & Rehab Center, LLC

1604 Old Donation Pkwy · Virginia Beach, VA · 23454 · 7574963939

90 certified beds For profit - Corporation Chain: Saber Healthcare Group

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.
  • 4 citations involved actual harm to residents.

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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

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.

3 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

$78,455 in federal fines in the last 24 months

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

74% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 19
Serious harm & abuse 20% 76
Staffing 20% 60
Federal penalties 15% 61
Trend 10% 36
Context 5% 100

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: 4 of 5

Total nurse hours / resident-day3.523.48 min · 4.1 strong
RN hours / resident-day0.680.55–0.75
Weekend hours / resident-day2.94≈ weekday level
Nursing turnover / year74%median 45%
Fines (3-yr window)1 · $78,455

Inspection citations (62 in the current record)

  • Actual harm · G September 18, 2024 · found via complaint

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

    Corrected October 16, 2024 · Quality of Life and Care

  • Actual harm · G September 18, 2024 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected October 16, 2024 · Quality of Life and Care

  • Actual harm · G September 18, 2024 · found via complaint

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Corrected October 16, 2024 · Nursing and Physician Services

  • Potential for harm · D September 18, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected October 16, 2024 · Resident Rights

  • Potential for harm · D September 18, 2024

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

    Corrected July 31, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 18, 2024

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

    Corrected July 31, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E September 18, 2024

    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 October 16, 2024 · Resident Rights

  • Potential for harm · E September 18, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected October 16, 2024 · Resident Rights

  • Potential for harm · D September 18, 2024

    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 October 16, 2024 · Resident Rights

  • Potential for harm · D September 18, 2024

    Ensure each resident receives an accurate assessment.

    Corrected October 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E September 18, 2024

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

    Corrected October 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 18, 2024

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

    Corrected October 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 18, 2024

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

    Corrected November 22, 2024 · Quality of Life and Care

  • Potential for harm · E September 18, 2024

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

    Corrected November 22, 2024 · Quality of Life and Care

  • Potential for harm · D September 18, 2024

    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 October 16, 2024 · Quality of Life and Care

  • Potential for harm · D September 18, 2024

    Post nurse staffing information every day.

    Corrected October 16, 2024 · Nursing and Physician Services

  • Potential for harm · D September 18, 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 October 16, 2024 · Pharmacy Service

  • Potential for harm · E September 18, 2024

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

    Corrected October 16, 2024 · Pharmacy Service

  • Potential for harm · D September 18, 2024

    Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

    Corrected October 16, 2024 · Administration

  • Potential for harm · F September 18, 2024

    Provide and implement an infection prevention and control program.

    Corrected October 16, 2024 · Infection Control

  • Potential for harm · D September 18, 2024 · found via complaint

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Corrected October 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 18, 2024 · found via complaint

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected November 22, 2024 · Quality of Life and Care

  • Potential for harm · D September 18, 2024 · found via complaint

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected October 16, 2024 · Quality of Life and Care

  • Potential for harm · E September 18, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected October 16, 2024 · Pharmacy Service

  • Potential for harm · E September 18, 2024 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected November 22, 2024 · Nutrition and Dietary

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

Federal penalties

DateTypeAmount / length
September 18, 2024Fine$78,455

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495392 · certified since July 1, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.