Forest Health & Rehab Center
2406 Atherholt Road · Lynchburg, VA · 24501 · 4348463200
89 certified beds For profit - Limited Liability company Chain: Saber Healthcare Group
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
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
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: 5 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 3.09 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (35 in the current record)
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Potential for harm · D September 13, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 13, 2025 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected April 9, 2025 · Resident Rights
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Potential for harm · D March 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 9, 2025 · Quality of Life and Care
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Potential for harm · D March 13, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 9, 2025 · Pharmacy Service
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Potential for harm · D March 13, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 9, 2025 · Pharmacy Service
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Potential for harm · E June 29, 2023 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected July 31, 2023 · Quality of Life and Care
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Potential for harm · E June 15, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 11, 2022 · Quality of Life and Care
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Potential for harm · D June 15, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 11, 2022 · Pharmacy Service
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Potential for harm · D June 15, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected July 11, 2022 · Pharmacy Service
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Potential for harm · E June 15, 2022
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected July 11, 2022 · Nutrition and Dietary
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Potential for harm · D June 15, 2022
Provide and implement an infection prevention and control program.
Corrected July 11, 2022 · Infection Control
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Potential for harm · D February 25, 2021
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 2, 2021 · Resident Assessment and Care Planning
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Potential for harm · E February 25, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 2, 2021 · Resident Assessment and Care Planning
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Potential for harm · D February 25, 2021
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 2, 2021 · Resident Assessment and Care Planning
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Potential for harm · D February 25, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 2, 2021 · Quality of Life and Care
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Potential for harm · D February 25, 2021
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 April 2, 2021 · Quality of Life and Care
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Potential for harm · D February 25, 2021
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 April 2, 2021 · Pharmacy Service
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Potential for harm · D February 25, 2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 2, 2021 · Nutrition and Dietary
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Potential for harm · D February 25, 2021
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 2, 2021 · Resident Assessment and Care Planning
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Potential for harm · D February 25, 2021
Provide and implement an infection prevention and control program.
Corrected April 2, 2021 · Infection Control
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Potential for harm · D April 11, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 13, 2019 · Resident Rights
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Potential for harm · D April 11, 2019
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 13, 2019 · Resident Rights
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Potential for harm · D April 11, 2019
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected May 13, 2019 · Resident Assessment and Care Planning
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Potential for harm · D April 11, 2019
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 13, 2019 · Resident Assessment and Care Planning
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Potential for harm · E April 11, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 13, 2019 · Resident Assessment and Care Planning
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 495302 · certified since July 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.