Winchester Health & RehabilitationCMS ratings, inspections and fines
- Address
- 110 Lauck Dr, Winchester, VA 22603
- CCN
- 495389
- Ownership type
- For-profit, corporation
- Certified beds
- 60
- Residents per day
- 56
- CMS flags
- No standard survey in more than 2 years
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 Winchester Health & Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 12 Apr 2023. The latest survey cycle has 31 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 | Frederick County median | Virginia median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 5.0 | 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: 3 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) | 12 Apr 2023 | 31 | 11 |
| Cycle 2 | 9 Sep 2021 | 25 | 10 |
| Cycle 3 | No date | 15 | 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 | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 |
Survey cycle 1 (latest): 31 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Sep 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 13 Nov 2025 |
| 11 Sep 2025 | 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 | 13 Nov 2025 |
| 11 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 13 Nov 2025 |
| 11 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 13 Nov 2025 |
| 12 Apr 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard survey | 26 May 2023 |
| 12 Apr 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 26 May 2023 |
| 12 Apr 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 | 26 May 2023 |
| 12 Apr 2023 | 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 | 26 May 2023 |
| 12 Apr 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 | 26 May 2023 |
| 12 Apr 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 26 May 2023 |
| 12 Apr 2023 | 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 | 26 May 2023 |
| 12 Apr 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 | 26 May 2023 |
| 12 Apr 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 | 26 May 2023 |
| 12 Apr 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 26 May 2023 |
| 12 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 26 May 2023 |
| 12 Apr 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 26 May 2023 |
| 12 Apr 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 26 May 2023 |
| 12 Apr 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 26 May 2023 |
| 12 Apr 2023 | 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 | 26 May 2023 |
| 12 Apr 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. | D | Standard survey | 26 May 2023 |
| 12 Apr 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 26 May 2023 |
| 12 Apr 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 26 May 2023 |
| 12 Apr 2023 | 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 | 26 May 2023 |
| 12 Apr 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 26 May 2023 |
| 12 Apr 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 26 May 2023 |
| 12 Apr 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 26 May 2023 |
| 12 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 26 May 2023 |
| 12 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 26 May 2023 |
| 12 Apr 2023 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard survey | 26 May 2023 |
| 12 Apr 2023 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | Standard survey | 26 May 2023 |
| 12 Apr 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 26 May 2023 |
Survey cycle 2: 25 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Sep 2021 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 14 Oct 2021 |
| 9 Sep 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 | 14 Oct 2021 |
| 9 Sep 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. | E | Standard survey | 14 Oct 2021 |
| 9 Sep 2021 | 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 | 14 Oct 2021 |
| 9 Sep 2021 | 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 | 14 Oct 2021 |
| 9 Sep 2021 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 Oct 2021 |
| 9 Sep 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 | 14 Oct 2021 |
| 9 Sep 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 | 14 Oct 2021 |
| 9 Sep 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 14 Oct 2021 |
| 9 Sep 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 14 Oct 2021 |
| 9 Sep 2021 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 14 Oct 2021 |
| 9 Sep 2021 | 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 | 14 Oct 2021 |
| 9 Sep 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 Oct 2021 |
| 9 Sep 2021 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 14 Oct 2021 |
| 9 Sep 2021 | 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 | 14 Oct 2021 |
| 9 Sep 2021 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 14 Oct 2021 |
| 9 Sep 2021 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | C | Standard survey | 14 Oct 2021 |
| 9 Sep 2021 | F0732 | Post nurse staffing information every day. | C | Standard survey | 14 Oct 2021 |
| 9 Sep 2021 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 14 Oct 2021 |
| 9 Sep 2021 | 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 | 14 Oct 2021 |
| 9 Sep 2021 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 14 Oct 2021 |
| 9 Sep 2021 | F0814 | Dispose of garbage and refuse properly. | C | Standard survey | 14 Oct 2021 |
| 9 Sep 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 | 14 Oct 2021 |
| 9 Sep 2021 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 14 Oct 2021 |
| 9 Sep 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 Oct 2021 |
Survey cycle 3: 15 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 |
|---|---|---|---|---|---|
| 9 Jan 2020 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Feb 2020 |
| 9 Jan 2020 | 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 | 15 Feb 2020 |
| 9 Jan 2020 | 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 | 15 Feb 2020 |
| 9 Jan 2020 | 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 | 15 Feb 2020 |
| 9 Jan 2020 | 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 Feb 2020 |
| 9 Jan 2020 | 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 | 15 Feb 2020 |
| 9 Jan 2020 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Feb 2020 |
| 9 Jan 2020 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Feb 2020 |
| 9 Jan 2020 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 15 Feb 2020 |
| 9 Jan 2020 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 15 Feb 2020 |
| 9 Jan 2020 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 15 Feb 2020 |
| 9 Jan 2020 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 15 Feb 2020 |
| 9 Jan 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Feb 2020 |
| 9 Jan 2020 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 15 Feb 2020 |
| 9 Jan 2020 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Feb 2020 |
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 | 3.35 | 3.40 | 3.76 |
| Registered nurses (RN) | 0.74 | 0.50 | 0.69 |
| Licensed practical nurses (LPN) | 1.03 | 1.00 | |
| Nurse aides | 1.58 | 2.07 | |
| All nurse staff, weekends | 2.92 | 3.00 | 3.29 |
- Nurse staff turnover in a year
- 64.0%
- Nurse staff turnover, Virginia median
- 48.3%
- RN turnover in a year
- 54.5%
- 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 | 10.4% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 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 | 5.6% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.2% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.4% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.3% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.4% | 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
- Legal business name
- Winchester SNF Operations LLC
- Chain
- Hill Valley Healthcare (43 homes in the CMS chain file)
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Frederick County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Shenandoah Valley Westminster Canterbury | Winchester | 4 of 5 | 3 | $0 | 1 May 2026 | |
| The Village at Orchard Ridge | Winchester | 5 of 5 | 4 | $0 | 6 Mar 2024 |
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 Winchester Health & Rehabilitation (CCN 495389). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/winchester-health-rehabilitation-winchester-va-495389/
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 Winchester Health & Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 11 Sep 2025. It was a complaint investigation. It gave 4 citations. The standard survey before the last one was on 9 Sep 2021. CMS marks the last health inspection of this home as more than 2 years old.
- Who operates Winchester Health & Rehabilitation?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Hill Valley Healthcare. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Winchester Health & Rehabilitation 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.