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Nursing homes in Spotsylvania County, Virginia
Spotsylvania County, Virginia, has 2 Medicare-certified nursing homes with 327 certified beds.
50% of them are rated 1 or 2 stars overall, a larger share than the state (42%). Inspectors recorded 89 health deficiencies over three cycles, 27.2 per 100 beds against 34.2 statewide.
No fines are listed for facilities in the county in the period covered.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Spotsylvania County | Virginia | US |
|---|---|---|---|
| Facilities | 2 | 289 | 14690 |
| Rated 1–2 stars overall | 50% | 42% | 41% |
| Median overall rating | 3 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 27.2 | 34.2 | 26.8 |
| Median nurse hours per resident day | 3.8 | 3.4 | 3.7 |
| Fines listed | $0 | $6.6M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Carriage Hill Health & Rehab Center | Fredericksburg | 150 | 3 | 3 | 3 | 42 | 28.0 | — | 19 Nov 2025 |
| Fredericksburg Health and Rehab | Fredericksburg | 177 | 2 | 2 | 1 | 47 | 26.6 | — | 6 May 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | 7 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 5 |
| F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 4 |
| F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | 4 |
| F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | 4 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 2 |
Chains present: Commonwealth Care Of Roanoke (1), Trio Healthcare (1).
Questions and answers
How many nursing homes are in Spotsylvania County, Virginia?
2 Medicare-certified nursing homes with 327 certified beds.
Which nursing homes in Spotsylvania County have the highest CMS ratings?
Carriage Hill Health & Rehab Center (3 stars), Fredericksburg Health and Rehab (2 stars)
How do Spotsylvania County nursing homes compare with Virginia?
50% are rated 1–2 stars overall against 42% statewide; citations run at 27.2 per 100 beds against 34.2 statewide.