Carriage Hill Health & Rehab CenterCMS ratings, inspections and fines
- Address
- 6106 Health Center Lane, Fredericksburg, VA 22407
- CCN
- 495396
- Ownership type
- For-profit, limited liability company
- Certified beds
- 150
- Residents per day
- 141
- CMS flags
- No standard survey in more than 2 years
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Carriage Hill Health & Rehab Center an overall rating of 3 of 5 stars. The last standard survey was on 7 Jun 2023. The latest survey cycle has 12 health citations. The median for nursing homes in Virginia is 11. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Spotsylvania County median | Virginia median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 2 homes in the county, 289 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Virginia median |
|---|---|---|---|
| Cycle 1 (latest) | 7 Jun 2023 | 12 | 11 |
| Cycle 2 | 27 Jan 2022 | 16 | 10 |
| Cycle 3 | No date | 14 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 20 Jan 2026 |
| 19 Nov 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 20 Jan 2026 |
| 7 Jun 2023 | F0578 | 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. | D | Standard survey | 22 Jul 2023 |
| 7 Jun 2023 | F0622 | 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. | D | Standard survey | 22 Jul 2023 |
| 7 Jun 2023 | F0625 | 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. | D | Standard survey | 22 Jul 2023 |
| 7 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 22 Jul 2023 |
| 7 Jun 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 22 Jul 2023 |
| 7 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 Jul 2023 |
| 7 Jun 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 22 Jul 2023 |
| 7 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 22 Jul 2023 |
| 7 Jun 2023 | F0690 | 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 | Standard survey | 22 Jul 2023 |
| 7 Jun 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 22 Jul 2023 |
Survey cycle 2: 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Dec 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 6 Jan 2025 |
| 12 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 6 Jan 2025 |
| 12 Dec 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 6 Jan 2025 |
| 27 Jan 2022 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | F | Standard survey | 8 Mar 2022 |
| 27 Jan 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 8 Mar 2022 |
| 27 Jan 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 8 Mar 2022 |
| 27 Jan 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 8 Mar 2022 |
| 27 Jan 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 8 Mar 2022 |
| 27 Jan 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 8 Mar 2022 |
| 27 Jan 2022 | F0625 | 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. | D | Standard survey | 8 Mar 2022 |
| 27 Jan 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 8 Mar 2022 |
| 27 Jan 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 8 Mar 2022 |
| 27 Jan 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 8 Mar 2022 |
| 27 Jan 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 8 Mar 2022 |
| 27 Jan 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 8 Mar 2022 |
| 27 Jan 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 Mar 2022 |
Survey cycle 3: 14 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Aug 2019 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 10 Sep 2019 |
| 8 Aug 2019 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 10 Sep 2019 |
| 8 Aug 2019 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 10 Sep 2019 |
| 8 Aug 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Sep 2019 |
| 8 Aug 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 10 Sep 2019 |
| 8 Aug 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 10 Sep 2019 |
| 8 Aug 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Sep 2019 |
| 8 Aug 2019 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 10 Sep 2019 |
| 8 Aug 2019 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 10 Sep 2019 |
| 8 Aug 2019 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 10 Sep 2019 |
| 8 Aug 2019 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 10 Sep 2019 |
| 8 Aug 2019 | F0761 | 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. | D | Standard survey | 10 Sep 2019 |
| 8 Aug 2019 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Standard survey | 10 Sep 2019 |
| 8 Aug 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Sep 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Virginia median | Virginia average (CMS) |
|---|---|---|---|
| All nurse staff | 3.80 | 3.40 | 3.76 |
| Registered nurses (RN) | 0.49 | 0.50 | 0.69 |
| Licensed practical nurses (LPN) | 1.06 | 1.00 | |
| Nurse aides | 2.24 | 2.07 | |
| All nurse staff, weekends | 3.38 | 3.00 | 3.29 |
- Nurse staff turnover in a year
- 48.7%
- Nurse staff turnover, Virginia median
- 48.3%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.9% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.9% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.2% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.8% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.5% | 13.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Fredericksburg Health Care LLC
- Chain
- Commonwealth Care of Roanoke (12 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Commonwealth Care of Roanoke Inc | Operational/managerial control | 30 Sep 2008 |
The site shows organisations only. It does not show the names of persons.
Other homes in Spotsylvania County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Fredericksburg Health and Rehab | Fredericksburg | 2 of 5 | 20 | $0 | 26 Oct 2023 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Virginia Department of Health: file a complaintThe complaint page of the State Survey Agency for Virginia, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Carriage Hill Health & Rehab Center (CCN 495396). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/carriage-hill-health-rehab-center-fredericksburg-va-495396/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Carriage Hill Health & Rehab Center last inspected?
- The latest inspection with a citation in the CMS record was on 19 Nov 2025. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 27 Jan 2022. CMS marks the last health inspection of this home as more than 2 years old.
- Who operates Carriage Hill Health & Rehab Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Commonwealth Care of Roanoke. The CMS ownership file names Commonwealth Care of Roanoke Inc for operational or managerial control. This site does not show the names of persons.
- Is Carriage Hill Health & Rehab Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Virginia as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.