Berea Health & Rehab Center
55 Brimley Drive · Fredericksburg, VA · 22406 · 5407019480
90 certified beds For profit - Corporation Chain: Saber Healthcare Group
Why this verdict
- 3 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.55 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (33 in the current record)
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Potential for harm · D March 5, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 27, 2026 · Resident Rights
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Potential for harm · D March 5, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 27, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 27, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected March 27, 2026 · Nutrition and Dietary
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Potential for harm · F March 5, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 27, 2026 · Nutrition and Dietary
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Potential for harm · E March 5, 2026
Provide and implement an infection prevention and control program.
Corrected March 27, 2026 · Infection Control
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Potential for harm · D March 5, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 27, 2026 · Infection Control
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Potential for harm · D March 5, 2026
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected March 27, 2026 · Infection Control
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Potential for harm · E December 4, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 29, 2025 · Resident Rights
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Potential for harm · E December 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 29, 2025 · Quality of Life and Care
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Potential for harm · D July 17, 2024 · found via complaint
Try 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.
Corrected October 17, 2024 · Quality of Life and Care
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Actual harm · G June 2, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 30, 2022 · Quality of Life and Care
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Actual harm · G June 2, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 6, 2023 · Resident Rights
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Actual harm · G June 2, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 6, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 2, 2023
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected July 6, 2023 · Resident Rights
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Potential for harm · D June 2, 2023
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected July 6, 2023 · Resident Rights
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Potential for harm · D June 2, 2023
Notify 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.
Corrected July 6, 2023 · Resident Rights
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Potential for harm · D June 2, 2023
Ensure each resident receives an accurate assessment.
Corrected July 6, 2023 · Resident Assessment and Care Planning
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Potential for harm · E June 2, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 6, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 2, 2023
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected July 6, 2023 · Quality of Life and Care
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Potential for harm · D June 2, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 6, 2023 · Quality of Life and Care
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Potential for harm · D June 2, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 6, 2023 · Quality of Life and Care
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Potential for harm · E June 2, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 6, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495431 · certified since January 21, 2022. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.