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.

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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.

Score breakdown

Inspection record 30% of score 0
Serious harm & abuse 20% 10
Staffing 20% 40
Federal penalties 15% 41
Trend 10% 29
Context 5% 85

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-day3.063.48 min · 4.1 strong
RN hours / resident-day0.220.55–0.75
Weekend hours / resident-day2.65≈ weekday level
Nursing turnover / year66%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

DateTypeAmount / length
July 14, 2023Fine$103,798
July 14, 2023Payment Denial68 days

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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.