Winchester Health & Rehabilitation
110 Lauck Dr · Winchester, VA · 22603 · 5406677830
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).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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
64% 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: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.85 | 0.55–0.75 |
| Weekend hours / resident-day | 2.92 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (71 in the current record)
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Potential for harm · D September 11, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected November 13, 2025 · Resident Rights
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Potential for harm · E September 11, 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 November 13, 2025 · Resident Rights
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Potential for harm · D September 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 13, 2025 · Quality of Life and Care
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Potential for harm · E September 11, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 13, 2025 · Pharmacy Service
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Potential for harm · E April 12, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 26, 2023 · Resident Rights
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Potential for harm · E April 12, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 26, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 12, 2023
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected May 26, 2023 · Resident Rights
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Potential for harm · D April 12, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 26, 2023 · Resident Rights
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Potential for harm · D April 12, 2023
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected May 26, 2023 · Resident Rights
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Potential for harm · D April 12, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 26, 2023 · Resident Assessment and Care Planning
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Potential for harm · E April 12, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 26, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 12, 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 May 26, 2023 · Resident Assessment and Care Planning
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Potential for harm · E April 12, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 26, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 12, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 26, 2023 · Quality of Life and Care
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Potential for harm · E April 12, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 26, 2023 · Quality of Life and Care
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Potential for harm · D April 12, 2023
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 26, 2023 · Quality of Life and Care
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Potential for harm · E April 12, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 26, 2023 · Quality of Life and Care
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Potential for harm · D April 12, 2023
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 26, 2023 · Quality of Life and Care
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Potential for harm · D April 12, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 26, 2023 · Nursing and Physician Services
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Potential for harm · E April 12, 2023
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected May 26, 2023 · Nursing and Physician Services
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Potential for harm · E April 12, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 26, 2023 · Pharmacy Service
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Potential for harm · E April 12, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 26, 2023 · Pharmacy Service
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Potential for harm · D April 12, 2023
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 May 26, 2023 · Nutrition and Dietary
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Potential for harm · D April 12, 2023
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected May 26, 2023 · Nutrition and Dietary
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Potential for harm · D April 12, 2023
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected May 26, 2023 · Nutrition and Dietary
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 495389 · certified since October 1, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.