Carriage Hill Health & Rehab Center

CMS star ratings

Overall★★★★★ 3/5

State avg 3.0

Health inspections★★★★★ 3/5

State avg 2.7

Staffing★★★★★ 3/5

State avg 2.4

Quality measures★★★★★ 3/5

State avg 3.9

Long-stay quality★★★★★ 3/5

Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.80 (state 3.76 · U.S. 3.86)
Registered nurses (RN): 0.49 (state 0.69 · U.S. 0.69)
Licensed practical nurses: 1.06 (state 1.00 · U.S. 0.86)
Nurse aides: 2.24 (state 2.07 · U.S. 2.32)
Weekend total: 3.38 (state 3.29 · U.S. 3.42)
Nursing staff turnover: 48.7 (state 48.1 · U.S. 45.8)%
RN turnover: 50.0 (state 48.2 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: June 7, 2023
Health deficiencies (last cycle): 12.0 (state 14.5 · U.S. 9.3)
From complaints: 2
Citations on record (3 years): 42 health · 21 fire safety · includes actual harm

Date	Citation	Severity	Status
2025-11-19	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-01-20
2025-11-19	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-01-20
2024-12-12	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-01-06
2024-12-12	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-01-06
2024-12-12	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-01-06
2023-06-07	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2023-07-22
2023-06-07	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-07-22
2023-06-07	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-07-22
2023-06-07	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. F0578 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-07-22
2023-06-07	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. F0622 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-07-22
2023-06-07	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. F0625 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-07-22
2023-06-07	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-07-22
2023-06-07	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-07-22
2023-06-07	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-07-22
2023-06-07	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-07-22
2022-01-27	Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. F0563 · Resident Rights Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2022-03-08
2022-01-27	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-03-08
2022-01-27	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-03-08
2022-01-27	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-03-08
2022-01-27	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-03-08
2022-01-27	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-03-08
2022-01-27	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. F0625 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-03-08
2022-01-27	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-03-08
2022-01-27	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-03-08
2022-01-27	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-03-08
2022-01-27	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-03-08
2022-01-27	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-03-08
2022-01-27	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-03-08
2019-08-08	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-09-10
2019-08-08	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-09-10
2019-08-08	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-09-10
2019-08-08	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-10
2019-08-08	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-10
2019-08-08	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-10
2019-08-08	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-10
2019-08-08	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-10
2019-08-08	Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-10
2019-08-08	Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-10
2019-08-08	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-10
2019-08-08	Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. F0800 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-10
2019-08-08	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-10
2019-08-08	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	B No actual harm, potential for minimal harm	Corrected 2019-09-10

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

Name	Role	Since
Alesantrino, Joe (individual)	Corporate Officer · NOT APPLICABLE
Petrine, Deborah (individual)	Corporate Officer · NOT APPLICABLE
Tucker, David (individual)	Corporate Officer · NOT APPLICABLE
Commonwealth Care of Roanoke INC (organization)	Operational/managerial Control · NOT APPLICABLE
Sevier, John (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Carriage Hill Health & Rehab Center?

Carriage Hill Health & Rehab Center has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Virginia.

How many beds does Carriage Hill Health & Rehab Center have?

It has 150 certified beds and cares for about 141 residents per day.

Has Carriage Hill Health & Rehab Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Carriage Hill Health & Rehab Center?

It is part of Commonwealth Care of Roanoke and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Carriage Hill Health & Rehab Center?

(540) 785-1120. The facility is located at 6106 Health Center Lane, Fredericksburg, VA 22407.

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Contact & location

Facility details