Colonial Health & Rehab Center, LLCCMS ratings, inspections and fines
- Address
- 1604 Old Donation Pkwy, Virginia Beach, VA 23454
- CCN
- 495392
- Ownership type
- For-profit, corporation
- Certified beds
- 90
- Residents per day
- 79
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
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 Colonial Health & Rehab Center, LLC an overall rating of 1 of 5 stars. The last standard survey was on 18 Sep 2024. The latest survey cycle has 29 health citations. The median for nursing homes in Virginia is 11. CMS lists 1 fine of $78,455 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 | Virginia Beach city median | Virginia median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 14 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) | 18 Sep 2024 | 29 | 11 |
| Cycle 2 | 8 Jul 2021 | 15 | 10 |
| Cycle 3 | No date | 17 | 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): 29 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 16 Oct 2024 |
| 18 Sep 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 31 Jul 2024 |
| 18 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 31 Jul 2024 |
| 18 Sep 2024 | 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. | E | Standard survey | 16 Oct 2024 |
| 18 Sep 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 16 Oct 2024 |
| 18 Sep 2024 | 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 | 16 Oct 2024 |
| 18 Sep 2024 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Complaint investigation | 16 Oct 2024 |
| 18 Sep 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Oct 2024 |
| 18 Sep 2024 | 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 | 16 Oct 2024 |
| 18 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 16 Oct 2024 |
| 18 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 22 Nov 2024 |
| 18 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 16 Oct 2024 |
| 18 Sep 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 22 Nov 2024 |
| 18 Sep 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint investigation | 16 Oct 2024 |
| 18 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 22 Nov 2024 |
| 18 Sep 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 16 Oct 2024 |
| 18 Sep 2024 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 16 Oct 2024 |
| 18 Sep 2024 | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | G | Complaint investigation | 16 Oct 2024 |
| 18 Sep 2024 | F0732 | Post nurse staffing information every day. | D | Standard survey | 16 Oct 2024 |
| 18 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 16 Oct 2024 |
| 18 Sep 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 16 Oct 2024 |
| 18 Sep 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 16 Oct 2024 |
| 18 Sep 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 22 Nov 2024 |
| 18 Sep 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 16 Oct 2024 |
| 18 Sep 2024 | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | Complaint investigation | 16 Oct 2024 |
| 18 Sep 2024 | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | Standard survey | 16 Oct 2024 |
| 18 Sep 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 16 Oct 2024 |
| 18 Sep 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Complaint investigation | 22 Nov 2024 |
| 18 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 16 Oct 2024 |
Survey cycle 2: 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Jul 2021 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 1 Oct 2021 |
| 8 Jul 2021 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard survey | 9 Aug 2021 |
| 8 Jul 2021 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 4 Nov 2021 |
| 8 Jul 2021 | 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. | E | Standard survey | 1 Oct 2021 |
| 8 Jul 2021 | 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 | 1 Oct 2021 |
| 8 Jul 2021 | 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 | 1 Oct 2021 |
| 8 Jul 2021 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 9 Aug 2021 |
| 8 Jul 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 4 Nov 2021 |
| 8 Jul 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Oct 2021 |
| 8 Jul 2021 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 1 Oct 2021 |
| 8 Jul 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Oct 2021 |
| 8 Jul 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Oct 2021 |
| 8 Jul 2021 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 1 Oct 2021 |
| 8 Jul 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 Nov 2021 |
| 8 Jul 2021 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 1 Oct 2021 |
Survey cycle 3: 17 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 |
|---|---|---|---|---|---|
| 14 Nov 2019 | F0584 | Honor 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. | D | Standard survey | 27 Dec 2019 |
| 14 Nov 2019 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 27 Dec 2019 |
| 14 Nov 2019 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 27 Dec 2019 |
| 14 Nov 2019 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 27 Dec 2019 |
| 14 Nov 2019 | 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. | E | Standard survey | 27 Dec 2019 |
| 14 Nov 2019 | 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. | E | Standard survey | 27 Dec 2019 |
| 14 Nov 2019 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 27 Dec 2019 |
| 14 Nov 2019 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Dec 2019 |
| 14 Nov 2019 | 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 | 27 Dec 2019 |
| 14 Nov 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 | 27 Dec 2019 |
| 14 Nov 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 27 Dec 2019 |
| 14 Nov 2019 | F0687 | Provide appropriate foot care. | D | Standard survey | 27 Dec 2019 |
| 14 Nov 2019 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 27 Dec 2019 |
| 14 Nov 2019 | F0758 | Implement 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. | D | Standard survey | 27 Dec 2019 |
| 14 Nov 2019 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 27 Dec 2019 |
| 14 Nov 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Dec 2019 |
| 14 Nov 2019 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 27 Dec 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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 18 Sep 2024 | Fine | $78,455 |
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 | 3.52 | 3.40 | 3.76 |
| Registered nurses (RN) | 0.76 | 0.50 | 0.69 |
| Licensed practical nurses (LPN) | 0.94 | 1.00 | |
| Nurse aides | 1.82 | 2.07 | |
| All nurse staff, weekends | 2.81 | 3.00 | 3.29 |
- Nurse staff turnover in a year
- 66.7%
- Nurse staff turnover, Virginia median
- 48.3%
- RN turnover in a year
- 57.9%
- Administrators who left in a year
- 1
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 | 6.4% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.8% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.2% | 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, corporation
- Chain
- Saber Healthcare Group (126 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Saber Healthcare Holdings LLC | Direct ownership interest | 1 Nov 2020 | |
| Ohi Asset (VA) Windermere, LLC | 5% or greater security interest | 1 Nov 2020 | |
| SHG Management LLC | Operational/managerial control | 1 Nov 2020 | |
| Citrin Cooperman Advisors LLC | Adp of the snf | 1 Nov 2020 | |
| Ohi Asset (VA) Windermere, LLC | Adp of the snf | 1 Nov 2020 | |
| Saber Governance LLC | Adp of the snf | 1 Nov 2020 | |
| Saber Healthcare Group LLC | Adp of the snf | 1 Nov 2020 | |
| SHG Boa LLC | Adp of the snf | 30 Dec 2025 | |
| SHG Management LLC | Adp of the snf | 1 Nov 2020 | |
| SHG Mt, LLC | Adp of the snf | 30 Dec 2025 | |
| TCF National Bank | Adp of the snf | 2 Dec 2022 | |
| Walker & Associates PC | Adp of the snf | 1 Nov 2020 |
The site shows organisations only. It does not show the names of persons.
Other homes in Virginia Beach city
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Virginia Beach Healthcare and Rehab Center | Virginia Beach | 1 of 5 | 45 | $235,833 | 11 Oct 2024 | |
| Bay Pointe Rehabilitation and Nursing | Virginia Beach | 2 of 5 | 20 | $0 | 24 Aug 2023 | |
| Westminster-Canterbury on Chesapeake Bay | Virginia Beach | 5 of 5 | 1 | $0 | 9 Mar 2023 | |
| Rosemont Health & Rehab Center, LLC | Virginia Beach | 2 of 5 | 17 | $0 | 22 Sep 2022 | |
| Birchwood Park Rehabilitation | Virginia Beach | 1 of 5 | 46 | $131,178 | 19 Dec 2024 | |
| Thalia Gardens Rehabilitation and Nursing | Virginia Beach | 1 of 5 | 31 | $0 | 28 Apr 2026 | |
| Seaside HHC @ Atlantic Shore | Virginia Beach | 4 of 5 | 6 | $0 | 25 Nov 2025 | |
| Bayside Health & Rehabilitation Center | Virginia Beach | 1 of 5 | 40 | $113,068 | 13 Jun 2024 | |
| Our Lady of Perpetual Help | Virginia Beach | 5 of 5 | 3 | $0 | 12 Jun 2025 | |
| Cypress Pointe Rehabilitation and Nursing | Virginia Beach | 2 of 5 | 12 | $10,358 | 23 Feb 2026 | |
| Jones & Cabacoy Veterans Care Center | Virginia Beach | Not rated | 0 | $0 | 18 Jan 2024 | |
| Kempsville Health & Rehab Center | Virginia Beach | 2 of 5 | 6 | $0 | 26 Feb 2026 |
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 Colonial Health & Rehab Center, LLC (CCN 495392). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/colonial-health-rehab-center-llc-virginia-beach-va-495392/
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 Colonial Health & Rehab Center, LLC last inspected?
- The latest inspection with a citation in the CMS record was on 18 Sep 2024. It was a standard survey and a complaint investigation. It gave 29 citations. The standard survey before the last one was on 8 Jul 2021.
- Who operates Colonial Health & Rehab Center, LLC?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Saber Healthcare Group. The CMS ownership file names SHG Management LLC for operational or managerial control. This site does not show the names of persons.
- Is Colonial Health & Rehab Center, LLC 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.