River Edge Rehabilitation and Nursing

1221 Rosser Ave · Waynesboro, VA · 22980 · 5409497191

109 certified beds For profit - Corporation Chain: Eastern Healthcare Group

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

Total nurse staffing below 3.0 hours per resident-day

2.72 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

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 38
Serious harm & abuse 20% 94
Staffing 20% 47
Federal penalties 15% 100
Trend 10% 18
Context 5% 60

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: 3 of 5

Total nurse hours / resident-day2.723.48 min · 4.1 strong
RN hours / resident-day0.460.55–0.75
Weekend hours / resident-day2.30≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)none

Inspection citations (37 in the current record)

  • Potential for harm · E August 7, 2025 · found via complaint

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

    Corrected September 26, 2025 · Resident Rights

  • Potential for harm · D August 7, 2025 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected September 26, 2025 · Resident Rights

  • Potential for harm · E August 7, 2025 · found via complaint

    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 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 7, 2025 · found via complaint

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

    Corrected September 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E August 7, 2025 · found via complaint

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

    Corrected September 26, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025 · found via complaint

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

    Corrected September 26, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025 · found via complaint

    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

    Corrected September 26, 2025 · Administration

  • Potential for harm · E August 7, 2025 · found via complaint

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected December 26, 2025 · Nutrition and Dietary

  • Potential for harm · E August 7, 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 December 26, 2025 · Nutrition and Dietary

  • Potential for harm · E August 7, 2025 · found via complaint

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

    Corrected December 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E August 7, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected September 26, 2025 · Infection Control

  • Actual harm · G November 3, 2022

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

    Corrected December 14, 2022 · Quality of Life and Care

  • Potential for harm · E November 3, 2022

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected December 14, 2022 · Resident Rights

  • Potential for harm · D November 3, 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 December 14, 2022 · Resident Rights

  • Potential for harm · D November 3, 2022

    Ensure each resident receives an accurate assessment.

    Corrected December 5, 2022 · Resident Assessment and Care Planning

  • Potential for harm · E November 3, 2022

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

    Corrected December 14, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D November 3, 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 December 14, 2022 · Resident Assessment and Care Planning

  • Potential for harm · E November 3, 2022

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

    Corrected December 14, 2022 · Quality of Life and Care

  • Potential for harm · D November 3, 2022

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

    Corrected December 14, 2022 · Quality of Life and Care

  • Potential for harm · E November 3, 2022

    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 December 14, 2022 · Quality of Life and Care

  • Potential for harm · E November 3, 2022

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

    Corrected December 14, 2022 · Quality of Life and Care

  • Potential for harm · D April 8, 2021

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

    Corrected May 23, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D April 8, 2021

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

    Corrected May 23, 2021 · Quality of Life and Care

  • Potential for harm · D April 8, 2021

    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 May 23, 2021 · Quality of Life and Care

  • Potential for harm · D April 8, 2021

    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 May 23, 2021 · Pharmacy Service

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 495147 · certified since August 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.