Loudoun Rehabilitation and Nursing Center
235 Old Waterford Road, Northwest · Leesburg, VA · 20176 · 7037712841
100 certified beds For profit - Limited Liability company Chain: Green Tree Health Management
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).
- Federal penalties on record: $56,743 in fines in the last 24 months.
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.
$56,743 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
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: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 3.32 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | 3 · $123,589 |
Inspection citations (76 in the current record)
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Immediate jeopardy · L May 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 17, 2025 · Quality of Life and Care
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Potential for harm · D May 21, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 17, 2025 · Resident Rights
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Potential for harm · E May 21, 2025 · 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 June 17, 2025 · Resident Rights
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Potential for harm · D May 21, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 21, 2025 · found via complaint
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected June 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 21, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 21, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 21, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 21, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected June 17, 2025 · Resident Rights
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Potential for harm · D May 21, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 17, 2025 · Resident Rights
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Potential for harm · D May 21, 2025 · 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 June 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 21, 2025 · 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 June 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 21, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 17, 2025 · Quality of Life and Care
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Potential for harm · E May 21, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 17, 2025 · Quality of Life and Care
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Potential for harm · D May 21, 2025 · 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 June 17, 2025 · Quality of Life and Care
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Potential for harm · D May 21, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 17, 2025 · Quality of Life and Care
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Potential for harm · D May 21, 2025 · 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 June 17, 2025 · Nursing and Physician Services
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Potential for harm · E May 21, 2025 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected June 17, 2025 · Nursing and Physician Services
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Potential for harm · D May 21, 2025 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected June 17, 2025 · Quality of Life and Care
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Potential for harm · D May 21, 2025 · found via complaint
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 June 17, 2025 · Pharmacy Service
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Potential for harm · D May 21, 2025 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected June 17, 2025 · Nutrition and Dietary
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Potential for harm · D May 21, 2025 · found via complaint
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected June 17, 2025 · Administration
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Potential for harm · D May 21, 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 June 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 21, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 25, 2025 · Infection Control
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Potential for harm · F May 21, 2025 · found via complaint
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected June 17, 2025 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 21, 2025 | Fine | $27,373 |
| December 5, 2024 | Fine | $29,370 |
| December 1, 2023 | Fine | $66,846 |
| December 1, 2023 | Payment Denial | 110 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495275 · certified since April 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.