Lake Manassas Health & Rehabilitation Center
14935 Holly Knoll Lane · Gainesville, VA · 20155 · 7037433999
120 certified beds For profit - Limited Liability company Chain: Lifeworks Rehab
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.91 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.81 | 0.55–0.75 |
| Weekend hours / resident-day | 3.48 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (50 in the current record)
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Immediate jeopardy · J April 10, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 28, 2026 · Quality of Life and Care
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Potential for harm · D April 10, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 28, 2026 · Resident Rights
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Potential for harm · D April 10, 2026 · found via complaint
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected April 28, 2026 · Nursing and Physician Services
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Potential for harm · D April 10, 2026 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected April 28, 2026 · Nursing and Physician Services
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Potential for harm · F April 10, 2026 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected April 28, 2026 · Administration
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Potential for harm · D February 19, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 19, 2025 · Quality of Life and Care
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Potential for harm · D February 19, 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 March 19, 2025 · Pharmacy Service
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Potential for harm · D April 17, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected July 31, 2024 · Resident Rights
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Potential for harm · D April 17, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 31, 2024 · Resident Rights
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Potential for harm · D April 17, 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 July 31, 2024 · Resident Rights
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Potential for harm · D April 17, 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 July 31, 2024 · Resident Rights
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Potential for harm · D April 17, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 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 July 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 31, 2024 · Quality of Life and Care
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Potential for harm · E April 17, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 31, 2024 · Quality of Life and Care
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Potential for harm · D April 17, 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 July 31, 2024 · Quality of Life and Care
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Potential for harm · D April 17, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 31, 2024 · Pharmacy Service
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Potential for harm · D April 17, 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 July 31, 2024 · Administration
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Potential for harm · D April 17, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2024
Provide and implement an infection prevention and control program.
Corrected July 31, 2024 · Infection Control
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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 31, 2024 · Quality of Life and Care
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Potential for harm · E June 14, 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 11, 2023 · Resident Assessment and Care Planning
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Potential for harm · E June 14, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 11, 2023 · Quality of Life and Care
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Potential for harm · D July 14, 2022
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 August 22, 2022 · Resident Rights
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 495424 · certified since October 26, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.