Starfile / Virginia

WINCHESTER HEALTH & REHABILITATION

110 LAUCK DR, WINCHESTER, VA 22603 · CCN 495389

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

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

HILL VALLEY HEALTHCARE

Facilities in chain

40

Chain avg overall

2.20 / 5

Inspection citations (74)

1. DF0558Reasonably accommodate the needs and preferences of each resident.2025-09-11 · Health · corrected 2025-11-13

   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.2025-09-11 · Health · corrected 2025-11-13

   Potential for more than minimal harm

3. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-11 · Health · corrected 2025-11-13

   Potential for more than minimal harm

4. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-09-11 · Health · corrected 2025-11-13

   Potential for more than minimal harm

5. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-04-12 · Health · corrected 2023-05-26

   Potential for more than minimal harm

6. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-04-12 · Health · corrected 2023-05-26

   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.2023-04-12 · Health · corrected 2023-05-26

   Potential for more than minimal harm

8. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-04-12 · Health · corrected 2023-05-26

   Potential for more than minimal harm

9. 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.2023-04-12 · Health · corrected 2023-05-26

   Potential for more than minimal harm

10. BF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-04-12 · Health · corrected 2023-05-26

    Potential for minimal harm

11. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

12. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

13. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

14. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

15. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

16. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

17. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

18. EF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

19. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

20. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

21. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

22. 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.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

23. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

24. EF0727Have 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.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

25. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

26. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

27. DF0803Ensure 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.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

28. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

29. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

30. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

31. EF0880Provide and implement an infection prevention and control program.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

32. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

33. DF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

34. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-04-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

35. DF0583Keep residents' personal and medical records private and confidential.2021-09-09 · Health · corrected 2021-10-14

    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.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

37. 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.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

38. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

39. 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.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

40. DF0641Ensure each resident receives an accurate assessment.2021-09-09 · Health · corrected 2021-10-14

    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.2021-09-09 · Health · corrected 2021-10-14

    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.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

43. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

44. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

45. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

46. 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.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

47. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

48. EF0697Provide safe, appropriate pain management for a resident who requires such services.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

49. 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.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

50. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

51. CF0727Have 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.2021-09-09 · Health · corrected 2021-10-14

    Potential for minimal harm

52. CF0732Post nurse staffing information every day.2021-09-09 · Health · corrected 2021-10-14

    Potential for minimal harm

53. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

54. 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.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

55. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

56. CF0814Dispose of garbage and refuse properly.2021-09-09 · Health · corrected 2021-10-14

    Potential for minimal harm

57. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

58. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

59. EF0880Provide and implement an infection prevention and control program.2021-09-09 · Health · corrected 2021-10-14

    Potential for more than minimal harm

60. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2020-01-09 · Health · corrected 2020-02-15

    Potential for more than minimal harm

61. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2020-01-09 · Health · corrected 2020-02-15

    Potential for more than minimal harm

62. 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.2020-01-09 · Health · corrected 2020-02-15

    Potential for more than minimal harm

63. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2020-01-09 · Health · corrected 2020-02-15

    Potential for more than minimal harm

64. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2020-01-09 · Health · corrected 2020-02-15

    Potential for more than minimal harm

65. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2020-01-09 · Health · corrected 2020-02-15

    Potential for more than minimal harm

66. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2020-01-09 · Health · corrected 2020-02-15

    Potential for more than minimal harm

67. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2020-01-09 · Health · corrected 2020-02-15

    Potential for more than minimal harm

68. EF0695Provide safe and appropriate respiratory care for a resident when needed.2020-01-09 · Health · corrected 2020-02-15

    Potential for more than minimal harm

69. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2020-01-09 · Health · corrected 2020-02-15

    Potential for more than minimal harm

70. DF0759Ensure medication error rates are not 5 percent or greater.2020-01-09 · Health · corrected 2020-02-15

    Potential for more than minimal harm

71. DF0760Ensure that residents are free from significant medication errors.2020-01-09 · Health · corrected 2020-02-15

    Potential for more than minimal harm

72. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2020-01-09 · Health · corrected 2020-02-15

    Potential for more than minimal harm

73. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2020-01-09 · Health · corrected 2020-02-15

    Potential for more than minimal harm

74. EF0880Provide and implement an infection prevention and control program.2020-01-09 · Health · corrected 2020-02-15

    Potential for more than minimal harm

Ownership

Other facilities in WINCHESTER

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