Elder Care Record

Virginia › Stafford County › Fredericksburg

Falls Run Nursing and Rehabilitation

140 Brimley Drive, Fredericksburg, VA 22406

CCN 495407 · For-profit, corporation · 90 certified beds · chain Saber Healthcare Group

No standard inspection in 2+ years
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 90 beds, Falls Run Nursing and Rehabilitation serves Fredericksburg in Stafford County, Virginia and has taken Medicare and Medicaid residents since 2010.

CMS gives it 4 of 5 stars overall, above the Virginia median of 3; the health inspection rating is 3, staffing 3 and quality measures 5.

Inspectors recorded 28 health deficiencies across the three most recent survey cycles (9, 9, 10 by cycle, most recent first), none at the actual-harm level. That is 31.1 per 100 beds, about the same as the state median of 34.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.7 hours per resident per day (0.8 RN), close to the Virginia median of 3.4; nursing staff turnover is 48.6%.

CMS flags that the facility has not had a standard health inspection in more than two years.

28health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.7nurse hours per resident per daystate median 3.4
97%occupancy (residents ÷ beds)87 residents a day

Compared with county, state and nation

MeasureThis facilityStafford Co. medianVirginia medianUS average
Overall star rating4233.0
Health citations, 3 cycles28333228.7
Citations per 100 beds31.136.734.526.8
Total nurse hours per resident day3.73.73.43.9
RN hours per resident day0.80.70.50.7
Nursing staff turnover48.6%54.8%48.3%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (3 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)9
Cycle 29
Cycle 310

Dark bar: this facility. Grey bar: Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Mar 2023, 26 Aug 2021.

Severity mix: D ×21 E ×7

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
16 Mar 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey14 Apr 2023
16 Mar 2023F0697Provide safe, appropriate pain management for a resident who requires such services.EStandard survey14 Apr 2023
16 Mar 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey14 Apr 2023
16 Mar 2023F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey14 Apr 2023
16 Mar 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey21 Mar 2022
16 Mar 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey14 Apr 2023
16 Mar 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey14 Apr 2023
16 Mar 2023F0761Ensure 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 survey14 Apr 2023
16 Mar 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey14 Apr 2023
26 Aug 2021F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey22 Sep 2021
26 Aug 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey22 Sep 2021
26 Aug 2021F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey22 Sep 2021
26 Aug 2021F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey22 Sep 2021
26 Aug 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey22 Sep 2021
26 Aug 2021F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey22 Sep 2021
26 Aug 2021F0730Observe each nurse aide's job performance and give regular training.DStandard survey22 Sep 2021
26 Aug 2021F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey22 Sep 2021
26 Aug 2021F0880Provide and implement an infection prevention and control program.DStandard survey29 Sep 2021
6 Sep 2019F0578Honor 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.EStandard survey1 Oct 2019
6 Sep 2019F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey1 Oct 2019
6 Sep 2019F0583Keep residents' personal and medical records private and confidential.DStandard survey1 Oct 2019
6 Sep 2019F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey1 Oct 2019
6 Sep 2019F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey1 Oct 2019
6 Sep 2019F0641Ensure each resident receives an accurate assessment.DStandard survey1 Oct 2019
6 Sep 2019F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey1 Oct 2019
6 Sep 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey1 Oct 2019
6 Sep 2019F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey1 Oct 2019
6 Sep 2019F0700Try 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.DStandard survey1 Oct 2019

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.73 h
Nurse aides2.08 h
LPN0.85 h
RN0.8 h
Weekend total3.33 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Virginia average. Turnover: nursing staff 48.6%, RNs 42.9%; 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 Stay9.0%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 Stay0.0%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.9%3.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.0%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay25.4%14.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.6%4.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.9%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, corporation. Legal business name: Stafford Healthcare Group, Inc.. Chain: Saber Healthcare Group (126 facilities).

OrganisationRole in the CMS recordInterestSince
Shg Management LLCOperational/managerial controlNOT APPLICABLE09/01/2019
Bundle Tenant LLCAdp of the snfNOT APPLICABLE02/05/2026
Citrin Cooperman Advisors LLCAdp of the snfNOT APPLICABLE09/22/2010
Saber Governance LLCAdp of the snfNOT APPLICABLE09/01/2019
Saber Healthcare Group LLCAdp of the snfNOT APPLICABLE10/21/2010
Shg Management LLCAdp of the snfNOT APPLICABLE09/01/2019
Tcf National BankAdp of the snfNOT APPLICABLE07/19/2019
Walker & Associates PcAdp of the snfNOT APPLICABLE09/22/2010

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 Stafford County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Berea Health & Rehab CenterFredericksburg902223336.7—5 Mar 2026
Woodmont CenterFredericksburg1181117563.6$76K24 Apr 2026

All 3 facilities in Stafford County

Questions and answers

How many deficiencies has Falls Run Nursing and Rehabilitation been cited for?

28 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Virginia median is 32 per facility.

Has Falls Run Nursing and Rehabilitation been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Falls Run Nursing and Rehabilitation compare?

Reported total nurse staffing is 3.7 hours per resident per day against a Virginia median of 3.4 and a national average of 3.9.

Who operates Falls Run Nursing and Rehabilitation?

It is part of the Saber Healthcare Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Shg Management LLC. Individual owners and managers are not listed on this site.

When was Falls Run Nursing and Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 16 Mar 2023; the most recent standard health survey was 16 Mar 2023.

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.