Fredericksburg Health and Rehab

3900 Plank Road · Fredericksburg, VA · 22407 · 5407868351

177 certified beds For profit - Limited Liability company Chain: Trio Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • 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.

Get the Safety Report

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.

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 40
Serious harm & abuse 20% 94
Staffing 20% 56
Federal penalties 15% 77
Trend 10% 76
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: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.163.48 min · 4.1 strong
RN hours / resident-day0.440.55–0.75
Weekend hours / resident-day2.91≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)1 · $9,311

Inspection citations (55 in the current record)

  • Potential for harm · D February 5, 2026 · found via complaint

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected February 20, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 5, 2026 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 20, 2026 · Quality of Life and Care

  • Potential for harm · D July 2, 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 October 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 2, 2024 · found via complaint

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

    Corrected October 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 2, 2024 · found via complaint

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

    Corrected October 16, 2024 · Quality of Life and Care

  • Potential for harm · D July 2, 2024 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected October 16, 2024 · Quality of Life and Care

  • Potential for harm · E January 17, 2024 · 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 16, 2024 · Pharmacy Service

  • Potential for harm · D October 26, 2023

    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 November 21, 2023 · Resident Rights

  • Potential for harm · D October 26, 2023

    Ensure each resident receives an accurate assessment.

    Corrected November 21, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E October 26, 2023

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

    Corrected November 21, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 26, 2023

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

    Corrected November 21, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 26, 2023

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

    Corrected November 21, 2023 · Quality of Life and Care

  • Potential for harm · D October 26, 2023

    Provide 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.

    Corrected November 21, 2023 · Quality of Life and Care

  • Potential for harm · D October 26, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected November 21, 2023 · Quality of Life and Care

  • Potential for harm · D October 26, 2023

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected November 21, 2023 · Quality of Life and Care

  • Potential for harm · D October 26, 2023

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected November 21, 2023 · Quality of Life and Care

  • Potential for harm · D October 26, 2023

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Corrected November 21, 2023 · Nursing and Physician Services

  • Potential for harm · E October 26, 2023

    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

    Corrected November 21, 2023 · Quality of Life and Care

  • Potential for harm · E October 26, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 21, 2023 · Nutrition and Dietary

  • Potential for harm · D October 26, 2023

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected November 21, 2023 · Quality of Life and Care

  • Potential for harm · D October 26, 2023 · found via complaint

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Corrected November 21, 2023 · Resident Rights

  • Potential for harm · D October 26, 2023 · found via complaint

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

    Corrected November 21, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 26, 2023 · found via complaint

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

    Corrected November 21, 2023 · Quality of Life and Care

  • Potential for harm · D October 26, 2023 · found via complaint

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Corrected November 21, 2023 · Quality of Life and Care

  • Potential for harm · D August 29, 2023 · found via complaint

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

    Corrected September 14, 2023 · Quality of Life and Care

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

Federal penalties

DateTypeAmount / length
July 26, 2023Fine$9,311

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

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495240 · certified since May 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.