Oakhurst Health & Rehabilitation
4238 James Madson Highway · Fork Union, VA · 23055 · 4348422916
60 certified beds For profit - Corporation Chain: Hill Valley Healthcare
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.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
2.89 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
82% 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.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.89 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 2.73 | ≈ weekday level |
| Nursing turnover / year | 82% | median 45% |
| Fines (3-yr window) | 1 · $18,590 |
Inspection citations (60 in the current record)
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Potential for harm · D September 10, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 10, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 10, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 10, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 8, 2025 · Quality of Life and Care
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Potential for harm · D September 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 8, 2025 · Quality of Life and Care
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Actual harm · G April 29, 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 June 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G April 29, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 3, 2025 · Quality of Life and Care
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Potential for harm · E April 29, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 29, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 3, 2025 · Nutrition and Dietary
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Potential for harm · D April 29, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 12, 2025 · Nutrition and Dietary
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Potential for harm · D April 29, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 12, 2025 · Infection Control
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Potential for harm · E February 22, 2024
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 15, 2024 · Resident Rights
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Potential for harm · D February 22, 2024
Ensure each resident receives an accurate assessment.
Corrected April 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 22, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 22, 2024
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 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 22, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 22, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D February 22, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D February 22, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D February 22, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D February 22, 2024
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D February 22, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 15, 2024 · Pharmacy Service
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Potential for harm · D February 22, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 15, 2024 · Pharmacy Service
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Potential for harm · D February 22, 2024
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 April 15, 2024 · Pharmacy Service
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Potential for harm · D February 22, 2024
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Corrected April 15, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 29, 2025 | Fine | $18,590 |
Better-scoring options nearby
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 495230 · certified since February 21, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.