Wonder City Rehabilitation and Nursing Center
905 Cousins Avenue · Hopewell, VA · 23860 · 8044586325
130 certified beds For profit - Corporation
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
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
2 immediate-jeopardy citations 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.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
66% 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: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 2.65 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 1 · $103,798 |
Inspection citations (72 in the current record)
-
Immediate jeopardy · J November 3, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 4, 2024 · Quality of Life and Care
-
Immediate jeopardy · J November 3, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 4, 2024 · Quality of Life and Care
-
Potential for harm · D November 3, 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 4, 2024 · Resident Rights
-
Potential for harm · E November 3, 2023 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 4, 2024 · Resident Rights
-
Potential for harm · D November 3, 2023 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 4, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D November 3, 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 4, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D November 3, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 4, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E November 3, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 4, 2024 · Quality of Life and Care
-
Potential for harm · D November 3, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 4, 2024 · Quality of Life and Care
-
Potential for harm · D November 3, 2023 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected January 4, 2024 · Quality of Life and Care
-
Potential for harm · D November 3, 2023 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected January 4, 2024 · Nutrition and Dietary
-
Potential for harm · D November 3, 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 4, 2024 · Resident Assessment and Care Planning
-
Potential for harm · F November 3, 2023 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected January 4, 2024 · Administration
-
Potential for harm · D November 3, 2023 · found via complaint
Keep all essential equipment working safely.
Corrected January 4, 2024 · Environmental
-
Potential for harm · E November 3, 2023 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected January 4, 2024 · Environmental
-
Immediate jeopardy · J July 14, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 4, 2024 · Quality of Life and Care
-
Immediate jeopardy · J July 14, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 4, 2024 · Quality of Life and Care
-
Actual harm · G July 14, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 4, 2024 · Quality of Life and Care
-
Actual harm · G July 14, 2023
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 October 9, 2023 · Quality of Life and Care
-
Actual harm · G July 14, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 9, 2023 · Quality of Life and Care
-
Potential for harm · D July 14, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected August 17, 2023 · Resident Rights
-
Potential for harm · D July 14, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 17, 2023 · Resident Rights
-
Potential for harm · D July 14, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 17, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 14, 2023
Respond appropriately to all alleged violations.
Corrected August 17, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E July 14, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 4, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 14, 2023 | Fine | $103,798 |
| July 14, 2023 | Payment Denial | 68 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.
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 495123 · certified since January 1, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.