The Springs Nursing & Rehab Center

167 Spring Street · Hot Springs, VA · 24445 · 5408392299

60 certified beds Non profit - Corporation Chain: Kissito Healthcare

  • 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.

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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.

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 68
Serious harm & abuse 20% 100
Staffing 20% 72
Federal penalties 15% 100
Trend 10% 60
Context 5% 85

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.623.48 min · 4.1 strong
RN hours / resident-day0.800.55–0.75
Weekend hours / resident-day3.18≈ weekday level
Nursing turnover / year47%median 45%
Fines (3-yr window)none

Inspection citations (16 in the current record)

  • Potential for harm · D September 20, 2023

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

    Corrected October 20, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 20, 2023

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

    Corrected October 20, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 20, 2023

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 20, 2023 · Quality of Life and Care

  • Potential for harm · E September 20, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 20, 2023 · Nutrition and Dietary

  • Potential for harm · E September 20, 2023

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected October 20, 2023 · Infection Control

  • Potential for harm · D August 10, 2022

    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

    Corrected September 13, 2022 · Resident Rights

  • Potential for harm · D August 10, 2022

    Ensure each resident receives an accurate assessment.

    Corrected September 13, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D August 10, 2022

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected September 13, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D August 10, 2022

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

    Corrected September 13, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D August 10, 2022

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected September 13, 2022 · Quality of Life and Care

  • Potential for harm · E August 10, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected September 13, 2022 · Nutrition and Dietary

  • Potential for harm · D March 23, 2021

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected April 26, 2021 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 23, 2021

    Respond appropriately to all alleged violations.

    Corrected April 26, 2021 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 23, 2021

    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 April 26, 2021 · Resident Rights

  • Potential for harm · D March 23, 2021

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

    Corrected April 26, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D March 23, 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 April 26, 2021 · Pharmacy Service

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 495220 · certified since September 28, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.