Carlin Springs Health & Rehabilitation

550 South Carlin Springs Road · Arlington, VA · 22204 · 7033797200

161 certified beds Non profit - Corporation Chain: Hill Valley Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

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

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 26
Serious harm & abuse 20% 88
Staffing 20% 60
Federal penalties 15% 100
Trend 10% 71
Context 5% 60

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.203.48 min · 4.1 strong
RN hours / resident-day0.490.55–0.75
Weekend hours / resident-day2.82≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)none

Inspection citations (41 in the current record)

  • Actual harm · G July 27, 2022

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected September 21, 2022 · Quality of Life and Care

  • Potential for harm · D July 27, 2022

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

    Corrected October 19, 2022 · Resident Rights

  • Potential for harm · D July 27, 2022

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected September 21, 2022 · Resident Rights

  • Potential for harm · D July 27, 2022

    Honor 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.

    Corrected October 19, 2022 · Resident Rights

  • Potential for harm · D July 27, 2022

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Corrected September 21, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D July 27, 2022

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected September 21, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D July 27, 2022

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

    Corrected October 19, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D July 27, 2022

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

    Corrected September 21, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D July 27, 2022

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected September 21, 2022 · Quality of Life and Care

  • Potential for harm · E July 27, 2022

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 19, 2022 · Quality of Life and Care

  • Potential for harm · E July 27, 2022

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Corrected October 19, 2022 · Quality of Life and Care

  • Potential for harm · E July 27, 2022

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected September 21, 2022 · Pharmacy Service

  • Potential for harm · D July 27, 2022

    Ensure medication error rates are not 5 percent or greater.

    Corrected October 19, 2022 · Pharmacy Service

  • Potential for harm · D July 27, 2022

    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 October 19, 2022 · Pharmacy Service

  • Potential for harm · E July 27, 2022

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected September 21, 2022 · Nutrition and Dietary

  • Potential for harm · E July 27, 2022

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected September 21, 2022 · Nutrition and Dietary

  • Potential for harm · E July 27, 2022

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Corrected September 21, 2022 · Nutrition and Dietary

  • Potential for harm · D July 27, 2022

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

    Corrected September 21, 2022 · Resident Assessment and Care Planning

  • Potential for harm · E July 27, 2022

    Keep all essential equipment working safely.

    Corrected September 21, 2022 · Environmental

  • Immediate jeopardy · J February 7, 2019

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

    Corrected March 23, 2019 · Quality of Life and Care

  • Potential for harm · D February 7, 2019

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

    Corrected March 23, 2019 · Resident Rights

  • Potential for harm · D February 7, 2019

    Honor 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.

    Corrected April 16, 2019 · Resident Rights

  • Potential for harm · D February 7, 2019

    Ensure each resident receives an accurate assessment.

    Corrected March 23, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D February 7, 2019

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

    Corrected April 16, 2019 · Resident Assessment and Care Planning

  • Potential for harm · E February 7, 2019

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

    Corrected April 16, 2019 · Resident Assessment and Care Planning

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

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495102 · certified since January 3, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.