Starfile / Virginia

CARRIAGE HILL HEALTH & REHAB CENTER

6106 HEALTH CENTER LANE, FREDERICKSBURG, VA 22407 · CCN 495396

Inspection history vs Virginia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$9,311

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

COMMONWEALTH CARE OF ROANOKE

Facilities in chain

12

Chain avg overall

3.60 / 5

Inspection citations (42)1 actual harm

1. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-19 · Health · corrected 2026-01-20

   Potential for more than minimal harm

2. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-11-19 · Health · corrected 2026-01-20

   Potential for more than minimal harm

3. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-12-12 · Health · corrected 2025-01-06

   Potential for more than minimal harm

4. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-12 · Health · corrected 2025-01-06

   Potential for more than minimal harm

5. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-12-12 · Health · corrected 2025-01-06

   Potential for more than minimal harm

6. DF0578Honor 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.2023-06-07 · Health · corrected 2023-07-22

   Potential for more than minimal harm

7. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-06-07 · Health · corrected 2023-07-22

   Potential for more than minimal harm

8. DF0625Notify 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.2023-06-07 · Health · corrected 2023-07-22

   Potential for more than minimal harm

9. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-07 · Health · corrected 2023-07-22

   Potential for more than minimal harm

10. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-07 · Health · corrected 2023-07-22

    Potential for more than minimal harm

11. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-07 · Health · corrected 2023-07-22

    Potential for more than minimal harm

12. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-07 · Health · corrected 2023-07-22

    Actual harm

13. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-07 · Health · corrected 2023-07-22

    Potential for more than minimal harm

14. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-06-07 · Health · corrected 2023-07-22

    Potential for more than minimal harm

15. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-06-07 · Health · corrected 2023-07-22

    Potential for more than minimal harm

16. FF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2022-01-27 · Health · corrected 2022-03-08

    Potential for more than minimal harm

17. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-01-27 · Health · corrected 2022-03-08

    Potential for more than minimal harm

18. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-01-27 · Health · corrected 2022-03-08

    Potential for more than minimal harm

19. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-01-27 · Health · corrected 2022-03-08

    Potential for more than minimal harm

20. DF0610Respond appropriately to all alleged violations.2022-01-27 · Health · corrected 2022-03-08

    Potential for more than minimal harm

21. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-01-27 · Health · corrected 2022-03-08

    Potential for more than minimal harm

22. DF0625Notify 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.2022-01-27 · Health · corrected 2022-03-08

    Potential for more than minimal harm

23. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-01-27 · Health · corrected 2022-03-08

    Potential for more than minimal harm

24. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-01-27 · Health · corrected 2022-03-08

    Potential for more than minimal harm

25. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-01-27 · Health · corrected 2022-03-08

    Potential for more than minimal harm

26. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-01-27 · Health · corrected 2022-03-08

    Potential for more than minimal harm

27. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-01-27 · Health · corrected 2022-03-08

    Potential for more than minimal harm

28. DF0880Provide and implement an infection prevention and control program.2022-01-27 · Health · corrected 2022-03-08

    Potential for more than minimal harm

29. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2019-08-08 · Health · corrected 2019-09-10

    Potential for more than minimal harm

30. BF0641Ensure each resident receives an accurate assessment.2019-08-08 · Health · corrected 2019-09-10

    Potential for minimal harm

31. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-08-08 · Health · corrected 2019-09-10

    Potential for more than minimal harm

32. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-08-08 · Health · corrected 2019-09-10

    Potential for more than minimal harm

33. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-08-08 · Health · corrected 2019-09-10

    Potential for more than minimal harm

34. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-08-08 · Health · corrected 2019-09-10

    Potential for more than minimal harm

35. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-08-08 · Health · corrected 2019-09-10

    Potential for more than minimal harm

36. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2019-08-08 · Health · corrected 2019-09-10

    Potential for more than minimal harm

37. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2019-08-08 · Health · corrected 2019-09-10

    Potential for more than minimal harm

38. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-08-08 · Health · corrected 2019-09-10

    Potential for more than minimal harm

39. DF0759Ensure medication error rates are not 5 percent or greater.2019-08-08 · Health · corrected 2019-09-10

    Potential for more than minimal harm

40. DF0761Ensure 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.2019-08-08 · Health · corrected 2019-09-10

    Potential for more than minimal harm

41. DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2019-08-08 · Health · corrected 2019-09-10

    Potential for more than minimal harm

42. DF0880Provide and implement an infection prevention and control program.2019-08-08 · Health · corrected 2019-09-10

    Potential for more than minimal harm

Ownership

Other facilities in FREDERICKSBURG

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.