Augusta Nursing and Rehabilitation

83 Crossroad Lane · Fishersville, VA · 22939 · 5408858424

112 certified beds For profit - Corporation Chain: Avardis Health

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

6 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

3 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$203,292 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Total nurse staffing below 3.0 hours per resident-day

2.79 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

66% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 15
Serious harm & abuse 20% 34
Staffing 20% 41
Federal penalties 15% 53
Trend 10% 92
Context 5% 60

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day2.793.48 min · 4.1 strong
RN hours / resident-day0.310.55–0.75
Weekend hours / resident-day2.41≈ weekday level
Nursing turnover / year66%median 45%
Fines (3-yr window)1 · $203,292

Inspection citations (76 in the current record)

  • Immediate jeopardy · K October 18, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 2, 2024 · Quality of Life and Care

  • Potential for harm · E October 18, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 2, 2024 · Resident Rights

  • Potential for harm · D October 18, 2024 · found via complaint

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected December 2, 2024 · Resident Rights

  • Potential for harm · E October 18, 2024 · found via complaint

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected December 2, 2024 · Resident Rights

  • Potential for harm · D October 18, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected December 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 18, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected December 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 18, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected December 2, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 18, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 2, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 18, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 2, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 18, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 2, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E October 18, 2024 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected December 2, 2024 · Nursing and Physician Services

  • Potential for harm · D October 18, 2024 · found via complaint

    Ensure 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.

    Corrected December 2, 2024 · Pharmacy Service

  • Potential for harm · E October 18, 2024 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected December 2, 2024 · Administration

  • Potential for harm · D October 18, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected December 2, 2024 · Resident Assessment and Care Planning

  • Immediate jeopardy · K August 6, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected October 9, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K August 6, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected October 9, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K August 6, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected December 2, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K August 6, 2024 · found via complaint

    Honor each resident's preferences, choices, values and beliefs.

    Corrected October 9, 2024 · Quality of Life and Care

  • Immediate jeopardy · K August 6, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 2, 2024 · Quality of Life and Care

  • Actual harm · H August 6, 2024 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected December 2, 2024 · Administration

  • Potential for harm · E August 6, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 2, 2024 · Resident Rights

  • Potential for harm · E August 6, 2024 · found via complaint

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected December 2, 2024 · Resident Rights

  • Potential for harm · E August 6, 2024 · found via complaint

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected December 2, 2024 · Resident Rights

  • Potential for harm · D August 6, 2024 · found via complaint

    Honor 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.

    Corrected October 9, 2024 · Resident Rights

  • Potential for harm · D August 6, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected December 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 6, 2024Fine$203,292

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495336 · certified since January 25, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.