Nursing HomeInspections

Berea Health & Rehab Center

Nursing home in Fredericksburg, VA

Medicare & Medicaid certified2★ overall (CMS)

Call (540) 701-9480Send a messageMap ↗

Public-record details

Address
55 Brimley Drive, Fredericksburg, VA 22406
Phone
(540) 701-9480
Listed under
For-profit, No fines in 3 years
Medicare CCN
495431
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
90
Average residents per day
83
Ownership
For-profit, corporation
Legal business name
Stafford II Healthcare Group, LLC
Chain
Saber Healthcare Group (126 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 21, 2022
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

CMS certification number 495431. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 5, 2026. CMS lists 33 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 12, 2022 to Mar 5, 2026): 3 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 5, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Mar 5, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Mar 5, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Mar 5, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Mar 5, 2026Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Mar 5, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control
D
Potential for more than minimal harm, isolated
Mar 5, 2026Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff…
Infection Control
D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide and implement an infection prevention and control program.
Infection Control
E
Potential for more than minimal harm, pattern
Mar 5, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
Dec 4, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern
Dec 4, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 33. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.01 hours
Registered nurse (RN) time per resident per day
0.71 hours
Nurse aide time per resident per day
2.18 hours
Total nurse staffing on weekends
3.56 hours
Nursing staff turnover (yearly)
65%
RN turnover (yearly)
64%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

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