Colonial Heights Rehabilitation and Nursing Center
831 Ellerslie Ave · Chesterfield, VA · 23834 · 8045266851
196 certified beds For profit - Limited Liability company Chain: Lifeworks Rehab
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$105,289 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
71% 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
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: 3 of 5
| Total nurse hours / resident-day | 3.49 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 3.06 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 1 · $105,289 |
Inspection citations (89 in the current record)
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Potential for harm · D January 8, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 3, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 8, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 3, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 8, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 3, 2026 · Quality of Life and Care
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Potential for harm · D January 8, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 3, 2026 · Quality of Life and Care
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Potential for harm · E January 8, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 3, 2026 · Pharmacy Service
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Potential for harm · D March 26, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · E March 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 17, 2025 · Quality of Life and Care
-
Actual harm · G January 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · E January 3, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected February 16, 2025 · Resident Rights
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Potential for harm · E January 3, 2025 · found via complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected February 16, 2025 · Resident Rights
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Potential for harm · E January 3, 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 April 17, 2025 · Resident Rights
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Potential for harm · E January 3, 2025 · found via complaint
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 February 16, 2025 · Resident Rights
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Potential for harm · D January 3, 2025 · 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 February 16, 2025 · Resident Rights
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Potential for harm · E January 3, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 3, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 3, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 3, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 3, 2025 · 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 April 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 3, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 3, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 16, 2025 · Quality of Life and Care
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Potential for harm · E January 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 16, 2025 · Quality of Life and Care
-
Potential for harm · E January 3, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D January 3, 2025 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected February 16, 2025 · Quality of Life and Care
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Potential for harm · D January 3, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 16, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 3, 2025 | Fine | $105,289 |
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 495115 · certified since March 1, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.