Oakhurst Health & Rehabilitation
4238 James Madson Highway · Fork Union, VA · 23055 · 4348422916
60 certified beds For profit - Corporation Chain: Hill Valley Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 citations involved actual harm to residents.
- 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
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
2.89 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
82% 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: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.89 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 2.73 | ≈ weekday level |
| Nursing turnover / year | 82% | median 45% |
| Fines (3-yr window) | 1 · $18,590 |
Inspection citations (60 in the current record)
-
Potential for harm · D September 10, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 10, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 10, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 10, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 8, 2025 · Quality of Life and Care
-
Potential for harm · D September 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 8, 2025 · Quality of Life and Care
-
Actual harm · G April 29, 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 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G April 29, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 3, 2025 · Quality of Life and Care
-
Potential for harm · E April 29, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 3, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E April 29, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 3, 2025 · Nutrition and Dietary
-
Potential for harm · D April 29, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 12, 2025 · Nutrition and Dietary
-
Potential for harm · D April 29, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 12, 2025 · Infection Control
-
Potential for harm · E February 22, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 15, 2024 · Resident Rights
-
Potential for harm · D February 22, 2024
Ensure each resident receives an accurate assessment.
Corrected April 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D February 22, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E February 22, 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 April 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D February 22, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D February 22, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 15, 2024 · Quality of Life and Care
-
Potential for harm · D February 22, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 15, 2024 · Quality of Life and Care
-
Potential for harm · D February 22, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 15, 2024 · Quality of Life and Care
-
Potential for harm · D February 22, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected April 15, 2024 · Quality of Life and Care
-
Potential for harm · D February 22, 2024
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected April 15, 2024 · Quality of Life and Care
-
Potential for harm · D February 22, 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 April 15, 2024 · Pharmacy Service
-
Potential for harm · D February 22, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 15, 2024 · Pharmacy Service
-
Potential for harm · D February 22, 2024
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 15, 2024 · Pharmacy Service
-
Potential for harm · D February 22, 2024
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Corrected April 15, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 29, 2025 | Fine | $18,590 |
Better-scoring options nearby
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.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495230 · certified since February 21, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.