Falls Run Nursing and Rehabilitation
Nursing home in Fredericksburg, VA
Medicare & Medicaid certified4★ overall (CMS)
Public-record details
- Address
- 140 Brimley Drive, Fredericksburg, VA 22406
- Phone
- (540) 752-0111
- Listed under
- For-profit, 4–5 star overall rating, No fines in 3 years
- Medicare CCN
- 495407
- Overall star rating
- 4 of 5 ★★★★☆
- Health inspection rating
- 3 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 5 of 5
- Certified beds
- 90
- Average residents per day
- 87
- Ownership
- For-profit, corporation
- Legal business name
- Stafford Healthcare Group, INC.
- Chain
- Saber Healthcare Group (126 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Oct 21, 2010
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Mar 16, 2023. CMS lists 28 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 6, 2019 to Mar 16, 2023): 0 from complaint inspections, 0 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Mar 16, 2023 | 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. | D |
| Mar 16, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Mar 16, 2023 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| Mar 16, 2023 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| Mar 16, 2023 | 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… | D |
| Mar 16, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| Mar 16, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| Mar 16, 2023 | Provide safe, appropriate pain management for a resident who requires such services. | E |
| Mar 16, 2023 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E |
| Aug 26, 2021 | Reasonably accommodate the needs and preferences of each resident. | D |
| Aug 26, 2021 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D |
| Aug 26, 2021 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 3.73 hours
- Registered nurse (RN) time per resident per day
- 0.80 hours
- Nurse aide time per resident per day
- 2.08 hours
- Total nurse staffing on weekends
- 3.33 hours
- Nursing staff turnover (yearly)
- 49%
- RN turnover (yearly)
- 43%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.