Elder Care Record

Virginia › Fauquier County › Warrenton

Brookside Rehab & Nursing Center

614 Hastings Lane, Warrenton, VA 20186

CCN 495267 · For-profit, limited liability company · 130 certified beds · chain Hill Valley Healthcare

CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 130 beds, Brookside Rehab & Nursing Center serves Warrenton in Fauquier County, Virginia and has taken Medicare and Medicaid residents since 1992.

CMS gives it 1 of 5 stars overall, below the Virginia median of 3; the health inspection rating is 1, staffing 2 and quality measures 3.

Inspectors recorded 80 health deficiencies across the three most recent survey cycles (29, 29, 22 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 61.5 per 100 beds, more than the state median of 34.5.

CMS lists 2 penalties in the period covered: fines totalling $146K.

Reported nurse staffing is 3.1 hours per resident per day (0.7 RN), close to the Virginia median of 3.4; nursing staff turnover is 63.6%.

CMS flags that the facility carries the CMS abuse icon.

80health deficiencies, 3 survey cycles2 at actual harm or worse
$146Kfines listed by CMS2 penalties in period
3.1nurse hours per resident per daystate median 3.4
90%occupancy (residents ÷ beds)117 residents a day

Compared with county, state and nation

MeasureThis facilityFauquier Co. medianVirginia medianUS average
Overall star rating1233.0
Health citations, 3 cycles80803228.7
Citations per 100 beds61.561.534.526.8
Total nurse hours per resident day3.13.33.43.9
RN hours per resident day0.70.70.50.7
Nursing staff turnover63.6%63.6%48.3%45.8%
Fines listed$146,073$146,073$0—

County and state figures are medians across facilities (2 in the county, 289 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)29
Cycle 229
Cycle 322

Dark bar: this facility. Grey bar: Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Aug 2024, 1 Sep 2023.

Severity mix: G ×2 D ×45 E ×29 F ×2 C ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
21 Oct 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation17 Nov 2025
21 Oct 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation17 Nov 2025
21 Oct 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation17 Nov 2025
21 Oct 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation17 Nov 2025
21 Oct 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation17 Nov 2025
8 Aug 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation6 Nov 2024
8 Aug 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation6 Nov 2024
8 Aug 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.EComplaint investigation6 Nov 2024
8 Aug 2024F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.EStandard survey6 Nov 2024
8 Aug 2024F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint investigation6 Nov 2024
8 Aug 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation6 Nov 2024
8 Aug 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation6 Nov 2024
8 Aug 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint investigation6 Nov 2024
8 Aug 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey6 Nov 2024
8 Aug 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation6 Nov 2024
8 Aug 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey6 Nov 2024
8 Aug 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation6 Nov 2024
8 Aug 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation6 Nov 2024
8 Aug 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation6 Nov 2024
8 Aug 2024F0641Ensure each resident receives an accurate assessment.DStandard survey6 Nov 2024
8 Aug 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey6 Nov 2024
8 Aug 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey6 Nov 2024
8 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey6 Nov 2024
8 Aug 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey6 Nov 2024
8 Aug 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey6 Nov 2024
8 Aug 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey6 Nov 2024
8 Aug 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey6 Nov 2024
8 Aug 2024F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint investigation6 Nov 2024
8 Aug 2024F0761Ensure 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.DStandard survey6 Nov 2024
1 Sep 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation16 Oct 2023
1 Sep 2023F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey16 Oct 2023
1 Sep 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard survey16 Oct 2023
1 Sep 2023F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey16 Oct 2023
1 Sep 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey16 Oct 2023
1 Sep 2023F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EComplaint investigation16 Oct 2023
1 Sep 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation16 Oct 2023
1 Sep 2023F0697Provide safe, appropriate pain management for a resident who requires such services.EStandard survey16 Oct 2023
1 Sep 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard survey16 Oct 2023
1 Sep 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard survey16 Oct 2023
1 Sep 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey16 Oct 2023
1 Sep 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey16 Oct 2023
1 Sep 2023F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey16 Oct 2023
1 Sep 2023F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DComplaint investigation16 Oct 2023
1 Sep 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey16 Oct 2023
1 Sep 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation16 Oct 2023
1 Sep 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation16 Oct 2023
1 Sep 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation16 Oct 2023
1 Sep 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation16 Oct 2023
1 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation16 Oct 2023
1 Sep 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey16 Oct 2023
1 Sep 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey16 Oct 2023
1 Sep 2023F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard survey16 Oct 2023
1 Sep 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey16 Oct 2023
1 Sep 2023F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.DStandard survey16 Oct 2023
1 Sep 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey16 Oct 2023
1 Sep 2023F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard survey16 Oct 2023
1 Sep 2023F0732Post nurse staffing information every day.CStandard survey16 Oct 2023
1 Sep 2023F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.CStandard survey16 Oct 2023
17 Feb 2022F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey23 Mar 2022
17 Feb 2022F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard survey23 Mar 2022
17 Feb 2022F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.EStandard survey23 Mar 2022
17 Feb 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey23 Mar 2022
17 Feb 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey23 Mar 2022
17 Feb 2022F0697Provide safe, appropriate pain management for a resident who requires such services.EStandard survey23 Mar 2022
17 Feb 2022F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey23 Mar 2022
17 Feb 2022F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard survey23 Mar 2022
17 Feb 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey23 Mar 2022
17 Feb 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey23 Mar 2022
17 Feb 2022F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey23 Mar 2022
17 Feb 2022F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey23 Mar 2022
17 Feb 2022F0625Notify 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.DStandard survey23 Mar 2022
17 Feb 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey23 Mar 2022
17 Feb 2022F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey23 Mar 2022
17 Feb 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey23 Mar 2022
17 Feb 2022F0730Observe each nurse aide's job performance and give regular training.DStandard survey23 Mar 2022
17 Feb 2022F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey23 Mar 2022
17 Feb 2022F0760Ensure that residents are free from significant medication errors.DStandard survey23 Mar 2022
17 Feb 2022F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey23 Mar 2022
17 Feb 2022F0880Provide and implement an infection prevention and control program.DStandard survey23 Mar 2022
17 Feb 2022F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard survey23 Mar 2022

Penalties

DateTypeAmountDetail
8 Aug 2024Fine$109,725
1 Sep 2023Fine$36,348

Staffing

Total nursing3.09 h
Nurse aides1.68 h
LPN0.74 h
RN0.67 h
Weekend total2.68 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Virginia average. Turnover: nursing staff 63.6%, RNs 52.6%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityVirginia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay15.6%13.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.9%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.9%3.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.2%14.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.5%4.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.7%13.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Warrenton Operations Llc. Chain: Hill Valley Healthcare (43 facilities).

OrganisationRole in the CMS recordInterestSince
Derko 2, LLC5% or greater direct ownership interest50%01/08/2016

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Fauquier County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Poplar Hill Health and RehabWarrenton1132213833.6—13 May 2026

All 2 facilities in Fauquier County

Questions and answers

How many deficiencies has Brookside Rehab & Nursing Center been cited for?

80 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Virginia median is 32 per facility.

Has Brookside Rehab & Nursing Center been fined?

Yes. CMS lists fines totalling $146K in the period covered.

How does staffing at Brookside Rehab & Nursing Center compare?

Reported total nurse staffing is 3.1 hours per resident per day against a Virginia median of 3.4 and a national average of 3.9.

Who operates Brookside Rehab & Nursing Center?

It is part of the Hill Valley Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Derko 2, LLC. Individual owners and managers are not listed on this site.

When was Brookside Rehab & Nursing Center last inspected?

The most recent survey or investigation in the CMS record is dated 21 Oct 2025; the most recent standard health survey was 8 Aug 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.