Starfile / Virginia

ROSE HILL HEALTH AND REHAB

110 CHALMERS COURT, BERRYVILLE, VA 22611 · CCN 495140

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

$24,921

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

TRIO HEALTHCARE

Facilities in chain

9

Chain avg overall

1.20 / 5

Inspection citations (89)1 actual harm

1. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-08-14 · Health · corrected 2024-10-30

   Potential for more than minimal harm

2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-14 · Health · corrected 2024-10-30

   Potential for more than minimal harm

3. DF0610Respond appropriately to all alleged violations.2024-08-14 · Health · corrected 2024-10-30

   Potential for more than minimal harm

4. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-12-13 · Health · corrected 2024-01-16

   Potential for more than minimal harm

5. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-13 · Health · corrected 2024-01-16

   Potential for more than minimal harm

6. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-12-13 · Health · corrected 2024-01-16

   Potential for more than minimal harm

7. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-12-13 · Health · corrected 2024-01-16

   Potential for more than minimal harm

8. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-13 · Health · corrected 2024-01-16

   Potential for more than minimal harm

9. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-13 · Health · corrected 2024-01-16

   Potential for more than minimal harm

10. DF0760Ensure that residents are free from significant medication errors.2023-12-13 · Health · corrected 2024-01-16

    Potential for more than minimal harm

11. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-13 · Health · corrected 2024-01-16

    Potential for more than minimal harm

12. FF0880Provide and implement an infection prevention and control program.2023-12-13 · Health · corrected 2024-01-16

    Potential for more than minimal harm

13. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

14. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

15. 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.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

16. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

17. 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.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

18. 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.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

19. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

20. 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.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

21. DF0641Ensure each resident receives an accurate assessment.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

22. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

23. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

24. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

25. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

26. DF0692Provide enough food/fluids to maintain a resident's health.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

27. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

28. 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.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

29. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

30. DF0760Ensure that residents are free from significant medication errors.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

31. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-29 · Health · corrected 2023-07-27

    Potential for more than minimal harm

32. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-29 · Health · corrected 2023-05-19

    Potential for more than minimal harm

33. 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.2023-03-29 · Health · corrected 2022-09-14

    Potential for more than minimal harm

34. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-29 · Health · corrected 2023-05-19

    Potential for more than minimal harm

35. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-29 · Health · corrected 2023-04-26

    Potential for more than minimal harm

36. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-03-29 · Health · corrected 2023-05-19

    Potential for more than minimal harm

37. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-29 · Health · corrected 2023-04-26

    Potential for more than minimal harm

38. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-29 · Health · corrected 2023-04-26

    Potential for more than minimal harm

39. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-29 · Health · corrected 2023-04-26

    Actual harm

40. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-29 · Health · corrected 2023-05-19

    Potential for more than minimal harm

41. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-03-29 · Health · corrected 2023-03-03

    Potential for more than minimal harm

42. 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.2023-03-29 · Health · corrected 2023-05-05

    Potential for more than minimal harm

43. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-29 · Health · corrected 2023-05-19

    Potential for more than minimal harm

44. DF0880Provide and implement an infection prevention and control program.2023-03-29 · Health · corrected 2023-04-26

    Potential for more than minimal harm

45. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-03-29 · Health · corrected 2023-04-26

    Potential for more than minimal harm

46. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

47. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

48. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

49. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

50. DF0610Respond appropriately to all alleged violations.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

51. 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.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

52. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

53. EF0625Notify 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.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

54. DF0641Ensure each resident receives an accurate assessment.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

55. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

56. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

57. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

58. DF0688Provide 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.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

59. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

60. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

61. DF0730Observe each nurse aide's job performance and give regular training.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

62. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

63. EF0761Ensure 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.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

64. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

65. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

66. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

67. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2021-12-02 · Health · corrected 2022-01-04

    Potential for more than minimal harm

68. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

69. 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.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

70. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

71. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

72. CF0608Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.2020-03-10 · Health · corrected 2020-04-08

    Potential for minimal harm

73. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

74. EF0610Respond appropriately to all alleged violations.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

75. 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.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

76. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

77. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

78. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

79. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

80. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

81. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

82. EF0695Provide safe and appropriate respiratory care for a resident when needed.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

83. 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.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

84. CF0732Post nurse staffing information every day.2020-03-10 · Health · corrected 2020-04-08

    Potential for minimal harm

85. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

86. EF0761Ensure 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.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

87. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

88. EF0880Provide and implement an infection prevention and control program.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

89. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2020-03-10 · Health · corrected 2020-04-08

    Potential for more than minimal harm

Ownership

Other facilities in BERRYVILLE

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