Rose Hill Health and Rehab

110 Chalmers Court · Berryville, VA · 22611 · 5409559995

120 certified beds For profit - Corporation Chain: Trio Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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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.

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Red flags

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.

68% 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.

Score breakdown

Inspection record 30% of score 39
Serious harm & abuse 20% 100
Staffing 20% 51
Federal penalties 15% 100
Trend 10% 78
Context 5% 60

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: 3 of 5

Total nurse hours / resident-day3.333.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day2.96≈ weekday level
Nursing turnover / year68%median 45%
Fines (3-yr window)none

Inspection citations (75 in the current record)

  • Potential for harm · D August 14, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected October 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 14, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected October 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 14, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected October 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E December 13, 2023 · 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 January 16, 2024 · Resident Rights

  • Potential for harm · D December 13, 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 January 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 13, 2023 · 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 January 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E December 13, 2023 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 13, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 16, 2024 · Quality of Life and Care

  • Potential for harm · D December 13, 2023 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected January 16, 2024 · Pharmacy Service

  • Potential for harm · D December 13, 2023 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected January 16, 2024 · Pharmacy Service

  • Potential for harm · D December 13, 2023 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected January 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F December 13, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 16, 2024 · Infection Control

  • Potential for harm · D June 29, 2023

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected July 27, 2023 · Resident Rights

  • Potential for harm · D June 29, 2023

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected July 27, 2023 · Resident Rights

  • Potential for harm · D June 29, 2023

    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 July 27, 2023 · Resident Rights

  • Potential for harm · D June 29, 2023

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected July 27, 2023 · Resident Rights

  • Potential for harm · D June 29, 2023

    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 July 27, 2023 · Resident Rights

  • Potential for harm · E June 29, 2023

    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 27, 2023 · Resident Rights

  • Potential for harm · E June 29, 2023

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected July 27, 2023 · Resident Rights

  • Potential for harm · D June 29, 2023

    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 27, 2023 · Resident Rights

  • Potential for harm · D June 29, 2023

    Ensure each resident receives an accurate assessment.

    Corrected July 27, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E June 29, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 27, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 29, 2023

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 27, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 29, 2023

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected July 27, 2023 · Quality of Life and Care

  • Potential for harm · E June 29, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 27, 2023 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495140 · certified since August 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.