CARRIAGE HILL HEALTH & REHAB CENTER
CARRIAGE HILL HEALTH & REHAB CENTER is a 150-bed nursing home in FREDERICKSBURG, Virginia. CMS has certified it for Medicare and Medicaid since 2008-05-21. It averages 141.3 residents a day.
What harm was found in the violations cited at CARRIAGE HILL HEALTH & REHAB CENTER?
CMS lists 42 health-inspection deficiencies for CARRIAGE HILL HEALTH & REHAB CENTER since 2019-08-08, 5 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-11-19.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-11-19 | F0658, F0686 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2024-12-12 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2024-12-12 | F0580, F0921 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2023-06-07 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2023-06-07 | F0656, F0698 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe, appropriate dialysis care/services for a resident who requires such services. | E |
| 2023-06-07 | F0578, F0622, F0625, F0657, F0684, F0689, F0690 | 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. / 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. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2022-01-27 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | F |
| 2022-01-27 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2022-01-27 | F0600, F0607, F0610, F0623, F0625, F0657, F0658, F0677, F0698, F0755, F0880 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. | D |
| 2019-08-08 | F0658, F0725, F0756 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E |
| 2019-08-08 | F0580, F0655, F0656, F0657, F0684, F0745, F0759, F0761, F0800, F0880 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure medication error rates are not 5 percent or greater. / 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. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Provide and implement an infection prevention and control program. | D |
| 2019-08-08 | F0641 | Ensure each resident receives an accurate assessment. | B |
How is CARRIAGE HILL HEALTH & REHAB CENTER staffed?
| Measure | This facility | VA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.79617 | 3.75779 |
| Total nursing staff turnover (%) | 48.7 | 48.1 |
| Average number of residents per day | 141.3 | 99.5 |
Who owns CARRIAGE HILL HEALTH & REHAB CENTER, and what chain is it in?
CARRIAGE HILL HEALTH & REHAB CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name FREDERICKSBURG HEALTH CARE LLC and belongs to the COMMONWEALTH CARE OF ROANOKE chain.
| Role | Owner | Association date |
|---|---|---|
| W-2 MANAGING EMPLOYEE | SEVIER, JOHN | since 09/10/2012 |
| CORPORATE OFFICER | ALESANTRINO, JOE, PETRINE, DEBORAH, TUCKER, DAVID | since 06/01/2019 |
| OPERATIONAL/MANAGERIAL CONTROL | COMMONWEALTH CARE OF ROANOKE INC | since 09/30/2008 |
Were you or a family member harmed at CARRIAGE HILL HEALTH & REHAB CENTER?