Virginia › Fluvanna County › Fork Union
Oakhurst Health & Rehabilitation
4238 James Madson Highway, Fork Union, VA 23055
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.
Oakhurst Health & Rehabilitation is a For-profit, corporation nursing home in Fork Union, Virginia, certified for 60 beds and caring for about 55 residents a day.
CMS gives it 1 of 5 stars overall, below the Virginia median of 3; the health inspection rating is 2, staffing 1 and quality measures 3.
Inspectors recorded 65 health deficiencies across the three most recent survey cycles (27, 20, 18 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 108.3 per 100 beds, more than the state median of 34.5.
CMS lists 1 penalty in the period covered: fines totalling $19K.
Reported nurse staffing is 3.0 hours per resident per day (0.6 RN), close to the Virginia median of 3.4; nursing staff turnover is 82.1%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Fluvanna Co. median | Virginia median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 65 | 65 | 32 | 28.7 |
| Citations per 100 beds | 108.3 | 108.3 | 34.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.0 | 3.4 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 82.1% | 82.1% | 48.3% | 45.8% |
| Fines listed | $18,590 | $18,590 | $0 | — |
County and state figures are medians across facilities (1 in the county, 289 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Feb 2024, 6 Oct 2021.
Severity mix: G ×4 D ×46 E ×13 F ×1 C ×1
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Jul 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint investigation | 29 Jul 2026 |
| 2 Jul 2026 | 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 | Complaint investigation | 29 Jul 2026 |
| 2 Jul 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 Jul 2026 |
| 2 Jul 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 29 Jul 2026 |
| 2 Jul 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 29 Jul 2026 |
| 10 Sep 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 8 Dec 2025 |
| 10 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 Dec 2025 |
| 10 Sep 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 8 Dec 2025 |
| 10 Sep 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 8 Dec 2025 |
| 10 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 8 Dec 2025 |
| 29 Apr 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 3 Jun 2025 |
| 29 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 3 Jun 2025 |
| 29 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 3 Jun 2025 |
| 29 Apr 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 3 Jun 2025 |
| 29 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 12 Jun 2025 |
| 29 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 12 Jun 2025 |
| 22 Feb 2024 | F0887 | Educate 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. | F | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | 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. | E | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | 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 | 15 Apr 2024 |
| 22 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 15 Apr 2024 |
| 22 Feb 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 | 15 Apr 2024 |
| 22 Feb 2024 | 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 | 15 Apr 2024 |
| 22 Feb 2024 | 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 | 15 Apr 2024 |
| 22 Feb 2024 | F0772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | D | Standard survey | 15 Apr 2024 |
| 22 Feb 2024 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 15 Apr 2024 |
| 13 Dec 2023 | 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 | Complaint investigation | 22 Jan 2024 |
| 13 Dec 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 22 Jan 2024 |
| 6 Oct 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 2 Nov 2021 |
| 6 Oct 2021 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 2 Nov 2021 |
| 6 Oct 2021 | 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 | 2 Nov 2021 |
| 6 Oct 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 2 Nov 2021 |
| 6 Oct 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Nov 2021 |
| 6 Oct 2021 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard survey | 2 Nov 2021 |
| 6 Oct 2021 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 2 Nov 2021 |
| 6 Oct 2021 | 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 | 2 Nov 2021 |
| 6 Oct 2021 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 2 Nov 2021 |
| 6 Oct 2021 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 2 Nov 2021 |
| 6 Oct 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 | 2 Nov 2021 |
| 6 Oct 2021 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 2 Nov 2021 |
| 6 Oct 2021 | 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 | 2 Nov 2021 |
| 6 Oct 2021 | F0887 | Educate 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. | D | Standard survey | 2 Nov 2021 |
| 21 Mar 2019 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Standard survey | 1 May 2019 |
| 21 Mar 2019 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Standard survey | 1 May 2019 |
| 21 Mar 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 1 May 2019 |
| 21 Mar 2019 | F0585 | Honor 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. | D | Standard survey | 1 May 2019 |
| 21 Mar 2019 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 1 May 2019 |
| 21 Mar 2019 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 1 May 2019 |
| 21 Mar 2019 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 1 May 2019 |
| 21 Mar 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. | D | Standard survey | 1 May 2019 |
| 21 Mar 2019 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 1 May 2019 |
| 21 Mar 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 | 1 May 2019 |
| 21 Mar 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 | 1 May 2019 |
| 21 Mar 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 May 2019 |
| 21 Mar 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 May 2019 |
| 21 Mar 2019 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 1 May 2019 |
| 21 Mar 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 | 1 May 2019 |
| 21 Mar 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 1 May 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 29 Apr 2025 | Fine | $18,590 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Virginia average. Turnover: nursing staff 82.1%, RNs 100.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.8% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.5% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.2% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.0% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.8% | 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: Fork Union Snf Operations Llc. Chain: Hill Valley Healthcare (43 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Va 6 SNF Operations Holdings LLC | 5% or greater direct ownership interest | 100% | 12/01/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Oakhurst Health & Rehabilitation been cited for?
65 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Virginia median is 32 per facility.
Has Oakhurst Health & Rehabilitation been fined?
Yes. CMS lists fines totalling $19K in the period covered.
How does staffing at Oakhurst Health & Rehabilitation compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Virginia median of 3.4 and a national average of 3.9.
Who operates Oakhurst Health & Rehabilitation?
It is part of the Hill Valley Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Va 6 SNF Operations Holdings LLC. Individual owners and managers are not listed on this site.
When was Oakhurst Health & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 2 Jul 2026; the most recent standard health survey was 22 Feb 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.