Starfile / Virginia

LOUDOUN REHABILITATION AND NURSING CENTER

235 OLD WATERFORD ROAD, NORTHWEST, LEESBURG, VA 20176 · CCN 495275

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

$123,589

Number of fines

3

Number of penalties

4

Payment denials

1

Inspection citations (76)2 immediate jeopardy1 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-21 · Health · corrected 2025-06-17

   Potential for more than minimal harm

2. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-05-21 · Health · corrected 2025-06-17

   Potential for more than minimal harm

3. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-21 · Health · corrected 2025-06-17

   Potential for more than minimal harm

4. EF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.2025-05-21 · Health · corrected 2025-06-17

   Potential for more than minimal harm

5. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-05-21 · Health · corrected 2025-06-17

   Potential for more than minimal harm

6. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-21 · Health · corrected 2025-06-17

   Potential for more than minimal harm

7. DF0610Respond appropriately to all alleged violations.2025-05-21 · Health · corrected 2025-06-17

   Potential for more than minimal harm

8. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-05-21 · Health · corrected 2025-06-17

   Potential for more than minimal harm

9. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-21 · Health · corrected 2025-06-17

   Potential for more than minimal harm

10. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

11. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

12. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

13. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

14. LF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-21 · Health · corrected 2025-06-17

    Immediate jeopardy

15. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

16. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

17. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

18. EF0730Observe each nurse aide's job performance and give regular training.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

19. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

20. 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.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

21. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

22. DF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

23. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

24. EF0880Provide and implement an infection prevention and control program.2025-05-21 · Health · corrected 2025-07-25

    Potential for more than minimal harm

25. FF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

26. DF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

27. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

28. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-05-21 · Health · corrected 2025-06-17

    Potential for more than minimal harm

29. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-05 · Health · corrected 2025-01-07

    Potential for more than minimal harm

30. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-05 · Health · corrected 2025-01-07

    Actual harm

31. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-01 · Health · corrected 2024-02-16

    Potential for more than minimal harm

32. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-12-01 · Health · corrected 2024-02-16

    Potential for more than minimal harm

33. 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.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

34. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

35. DF0583Keep residents' personal and medical records private and confidential.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

36. DF0584Honor 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.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

37. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

38. 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.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

39. DF0641Ensure each resident receives an accurate assessment.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

40. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

41. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-01 · Health · corrected 2024-02-16

    Potential for more than minimal harm

42. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

43. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

44. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

45. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

46. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-01 · Health · corrected 2024-02-16

    Potential for more than minimal harm

47. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

48. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

49. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

50. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

51. DF0759Ensure medication error rates are not 5 percent or greater.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

52. JF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-12-01 · Health · corrected 2024-01-15

    Immediate jeopardy

53. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-01 · Health · corrected 2024-02-16

    Potential for more than minimal harm

54. FF0880Provide and implement an infection prevention and control program.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

55. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

56. EF0909Regularly 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.2023-12-01 · Health · corrected 2024-01-15

    Potential for more than minimal harm

57. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-04-26 · Health · corrected 2022-06-06

    Potential for more than minimal harm

58. 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.2022-04-26 · Health · corrected 2022-06-06

    Potential for more than minimal harm

59. BF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2022-04-26 · Health · corrected 2022-06-06

    Potential for minimal harm

60. DF0641Ensure each resident receives an accurate assessment.2022-04-26 · Health · corrected 2022-06-06

    Potential for more than minimal harm

61. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-04-26 · Health · corrected 2022-06-06

    Potential for more than minimal harm

62. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-04-26 · Health · corrected 2022-06-06

    Potential for more than minimal harm

63. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-04-26 · Health · corrected 2022-06-06

    Potential for more than minimal harm

64. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-04-26 · Health · corrected 2022-06-06

    Potential for more than minimal harm

65. DF0758Implement 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.2022-04-26 · Health · corrected 2022-06-06

    Potential for more than minimal harm

66. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-04-26 · Health · corrected 2022-06-06

    Potential for more than minimal harm

67. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-04-26 · Health · corrected 2022-06-06

    Potential for more than minimal harm

68. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2022-04-26 · Health · corrected 2022-06-06

    Potential for more than minimal harm

69. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-03-21 · Health · corrected 2019-05-01

    Potential for more than minimal harm

70. DF0583Keep residents' personal and medical records private and confidential.2019-03-21 · Health · corrected 2019-05-01

    Potential for more than minimal harm

71. EF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2019-03-21 · Health · corrected 2019-05-01

    Potential for more than minimal harm

72. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-03-21 · Health · corrected 2019-05-01

    Potential for more than minimal harm

73. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-03-21 · Health · corrected 2019-05-01

    Potential for more than minimal harm

74. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-03-21 · Health · corrected 2019-05-01

    Potential for more than minimal harm

75. DF0695Provide safe and appropriate respiratory care for a resident when needed.2019-03-21 · Health · corrected 2019-05-01

    Potential for more than minimal harm

76. EF0880Provide and implement an infection prevention and control program.2019-03-21 · Health · corrected 2019-05-01

    Potential for more than minimal harm

Ownership

Other facilities in LEESBURG

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