Potomac Falls Health & Rehab Center
46531 Harry Byrd Highway · Sterling, VA · 20164 · 7038345800
150 certified beds For profit - Corporation Chain: Commonwealth Care of Roanoke
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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 prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.76 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 3.35 | ≈ weekday level |
| Nursing turnover / year | 28% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
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Potential for harm · D December 2, 2021
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected January 11, 2022 · Resident Rights
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Potential for harm · D December 2, 2021
Reasonably accommodate the needs and preferences of each resident.
Corrected January 11, 2022 · Resident Rights
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Potential for harm · D December 2, 2021
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 January 11, 2022 · Resident Rights
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Potential for harm · D December 2, 2021
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected January 11, 2022 · Resident Rights
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Potential for harm · D December 2, 2021
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 11, 2022 · Resident Rights
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Potential for harm · D December 2, 2021
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 January 11, 2022 · Resident Rights
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Potential for harm · D December 2, 2021
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected January 11, 2022 · Resident Assessment and Care Planning
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Potential for harm · E December 2, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 11, 2022 · Resident Assessment and Care Planning
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Potential for harm · D December 2, 2021
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 11, 2022 · Quality of Life and Care
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Potential for harm · E December 2, 2021
Ensure that residents are free from significant medication errors.
Corrected January 11, 2022 · Pharmacy Service
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Potential for harm · E December 2, 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 January 11, 2022 · Pharmacy Service
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Potential for harm · D December 2, 2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 11, 2022 · Nutrition and Dietary
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Potential for harm · D December 2, 2021
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 11, 2022 · Resident Assessment and Care Planning
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Potential for harm · D December 2, 2021
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected January 11, 2022 · Environmental
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Potential for harm · D October 11, 2018
Reasonably accommodate the needs and preferences of each resident.
Corrected November 23, 2018 · Resident Rights
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Potential for harm · D October 11, 2018
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected November 23, 2018 · Resident Rights
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Potential for harm · D October 11, 2018
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 23, 2018 · Resident Rights
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Potential for harm · D October 11, 2018
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 23, 2018 · Resident Rights
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Potential for harm · D October 11, 2018
Ensure each resident receives an accurate assessment.
Corrected November 23, 2018 · Resident Assessment and Care Planning
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Potential for harm · D October 11, 2018
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 23, 2018 · Resident Assessment and Care Planning
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Potential for harm · D October 11, 2018
Plan the resident's discharge to meet the resident's goals and needs.
Corrected November 23, 2018 · Resident Assessment and Care Planning
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Potential for harm · D October 11, 2018
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 23, 2018 · Quality of Life and Care
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Potential for harm · D October 11, 2018
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 November 23, 2018 · Quality of Life and Care
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Potential for harm · D October 11, 2018
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected November 23, 2018 · Quality of Life and Care
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Potential for harm · D October 11, 2018
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 November 23, 2018 · Nursing and Physician Services
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 495179 · certified since March 8, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.