Kings Daughters Community Health & Rehab
1410 North Augusta Street · Staunton, VA · 24401 · 5408866233
117 certified beds For profit - Limited Liability company Chain: Avardis Health
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 citations involved actual harm to residents.
- 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
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.96 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.24 | 0.55–0.75 |
| Weekend hours / resident-day | 2.79 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (66 in the current record)
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Potential for harm · D December 17, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 9, 2026 · Quality of Life and Care
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Potential for harm · F December 17, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected February 9, 2026 · Nursing and Physician Services
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Potential for harm · D December 17, 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 February 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 9, 2026 · Infection Control
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Potential for harm · D July 24, 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 August 13, 2024 · Pharmacy Service
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Immediate jeopardy · L April 17, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K April 17, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected July 15, 2024 · Quality of Life and Care
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Actual harm · G April 17, 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 July 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G April 17, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 15, 2024 · Quality of Life and Care
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Actual harm · G April 17, 2024 · found via complaint
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 15, 2024 · Quality of Life and Care
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Actual harm · G April 17, 2024 · 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 July 15, 2024 · Nursing and Physician Services
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Potential for harm · D April 17, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected July 15, 2024 · Resident Rights
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Potential for harm · D April 17, 2024 · found via complaint
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected July 15, 2024 · Resident Rights
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Potential for harm · E April 17, 2024 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected July 15, 2024 · Resident Rights
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Potential for harm · F April 17, 2024 · found via complaint
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected July 15, 2024 · Resident Rights
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Potential for harm · D April 17, 2024 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected July 15, 2024 · Resident Rights
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Potential for harm · D April 17, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 17, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 17, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected July 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2024 · 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 July 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 15, 2024 · Quality of Life and Care
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Potential for harm · E April 17, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 15, 2024 · Quality of Life and Care
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Potential for harm · E April 17, 2024 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 15, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 495344 · certified since March 1, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.