LAKE MANASSAS HEALTH & REHABILITATION CENTER
14935 HOLLY KNOLL LANE, GAINESVILLE, VA 20155 · CCN 495424
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 118.6
- Phone
- 7037433999
Inspection history vs Virginia & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Virginia avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-04-17 | 15 | 14.4 | 9.5 | +0.6 worse |
| 2 | 2022-07-14 | 17 | 12.3 | 9.8 | +4.7 worse |
| 3 | 2020-02-27 | 13 | 11.9 | 9.3 | +1.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 4 |
| Resident rights | 4 |
| Pharmacy service | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.68 | 62.2% |
| RN staffing (reported) | 0.81 | 46.9% |
| Total nurse staffing (adjusted) | 2.95 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- LIFEWORKS REHAB
- Facilities in chain
- 59
- Chain avg overall
- 2.10 / 5
Inspection citations (45)
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-19 · Health · corrected 2025-03-19
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-19 · Health · corrected 2025-03-19
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-04-17 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-17 · Health · corrected 2024-07-31
Potential for more than minimal harm
- 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.2024-04-17 · Health · corrected 2024-07-31
Potential for more than minimal harm
- 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.2024-04-17 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-17 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-17 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-04-17 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-17 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-17 · Health · corrected 2024-07-31
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-04-17 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0700Try 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.2024-04-17 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-04-17 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0840Employ 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.2024-04-17 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-17 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-04-17 · Health · corrected 2024-07-31
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-14 · Health · corrected 2023-07-11
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-14 · Health · corrected 2023-07-11
Potential for more than minimal harm
- 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.2022-07-14 · Health · corrected 2022-08-22
Potential for more than minimal harm
- DF0585Honor 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.2022-07-14 · Health · corrected 2022-08-22
Potential for more than minimal harm
- 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.2022-07-14 · Health · corrected 2022-08-22
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-07-14 · Health · corrected 2022-08-22
Potential for more than minimal harm
- 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.2022-07-14 · Health · corrected 2022-08-22
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-07-14 · Health · corrected 2022-08-22
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-07-14 · Health · corrected 2022-08-22
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-07-14 · Health · corrected 2022-08-22
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-07-14 · Health · corrected 2022-08-22
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-07-14 · Health · corrected 2022-08-22
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-07-14 · Health · corrected 2022-08-22
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-07-14 · Health · corrected 2022-08-22
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-07-14 · Health · corrected 2022-08-22
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-07-14 · Health · corrected 2022-08-22
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-07-14 · Health · corrected 2022-08-22
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2020-02-27 · Health · corrected 2020-03-16
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2020-02-27 · Health · corrected 2020-03-16
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2020-02-27 · Health · corrected 2020-03-16
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2020-02-27 · Health · corrected 2020-03-16
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2020-02-27 · Health · corrected 2020-03-16
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2020-02-27 · Health · corrected 2020-03-16
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2020-02-27 · Health · corrected 2020-03-16
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2020-02-27 · Health · corrected 2020-03-16
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2020-02-27 · Health · corrected 2020-03-16
Potential for more than minimal harm
- CF0814Dispose of garbage and refuse properly.2020-02-27 · Health · corrected 2020-03-16
Potential for minimal harm
- EF0880Provide and implement an infection prevention and control program.2020-02-27 · Health · corrected 2020-03-16
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LAK MANASSAS HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-05-28 |
| CHARLES 1994 FAMILY GRANTOR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| CHESAPEAKE EAST LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| EDWARD 1998 FAMILY GRANTOR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| EK 2005 FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| FAY 2014 FAMILY GRANTOR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| FAY 2014 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| LL 2013 FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| MMS 2008 FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| MZR EAST LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| SAUL 2012 FAMILY GRANTOR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| SILVERSTONE EAST LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| SOL 2000 FAMILY GRANTOR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| SOL 2000 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| STEVENS 3920 & FAMILY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| STEVENS 3920 FAMILY GRANTOR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| STEVENS 3920 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-28 |
| RYLBSS EAST MANAGER LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-28 |
| GREENE, BEVERLY | Individual | W-2 MANAGING EMPLOYEE | — | 2023-09-12 |
Other facilities in GAINESVILLE
| Name | Overall | Beds |
|---|---|---|
| GAINESVILLE HEALTH AND REHAB CENTER | ★★★☆☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.