C75

CARRIAGE HILL HEALTH & REHAB CENTER

Grade C 75/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
3/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

150

Ownership

For profit - Limited Liability company

Total Fines

$9,311

Last Survey

N/A

6106 HEALTH CENTER LANE, FREDERICKSBURG, VA 22407
5407851120

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.45h
LPN
1.04h
CNA
2.15h
Total
3.64h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

BDSHEFFER LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2008

19%

DJ PETRINE LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2008

49%

GOODALL, LURY

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2008

17%

STALLARD, PATRICIA

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2008

10%

PETRINE, DEBORAH

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2008

23%

PETRINE, JAMES

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2008

23%

SHEFFER, BRADY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2008

19%

COMMONWEALTH CARE OF ROANOKE INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Sep 2008

ALESANTRINO, JOE

IndividualCORPORATE OFFICERSince Jun 2019

PETRINE, DEBORAH

IndividualCORPORATE OFFICERSince Sep 2008

TUCKER, DAVID

IndividualCORPORATE OFFICERSince Oct 2008

SEVIER, JOHN

IndividualW-2 MANAGING EMPLOYEESince Sep 2012

Penalties & Fines (1)

$9,311total fines
DateTypeDescriptionAmount
Jun 7, 2023Fine$9,311

Health Inspection Deficiencies (42)

November 19, 2025Health2 deficiencies
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jan 20, 2026
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jan 20, 2026
December 12, 2024Health3 deficiencies
0580DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jan 6, 2025
0684EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Jan 6, 2025
0921DMinimal harm, Isolated

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Jan 6, 2025
June 7, 2023Health10 deficiencies1 severe
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Jul 22, 2023
0622DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Jul 22, 2023
0625DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Jul 22, 2023
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 22, 2023
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 22, 2023
0690DMinimal harm, Isolated

Provide 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 Deficiencies

Corrected Jul 22, 2023
0656EMinimal harm, Pattern

Develop 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 Deficiencies

Corrected Jul 22, 2023
0686GActual harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jul 22, 2023
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 22, 2023
0698EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Jul 22, 2023
January 27, 2022Health13 deficiencies
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 8, 2022
0563FMinimal harm, Widespread

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Resident Rights Deficiencies

Corrected Mar 8, 2022
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 8, 2022
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 8, 2022
0609EMinimal harm, Pattern

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 8, 2022
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 8, 2022
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Mar 8, 2022
0625DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Mar 8, 2022
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 8, 2022
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Mar 8, 2022
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Mar 8, 2022
0698DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 8, 2022
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Mar 8, 2022
August 8, 2019Health14 deficiencies
0580DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Sep 10, 2019
0641BNo harm, Pattern

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 10, 2019
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Sep 10, 2019
0656DMinimal harm, Isolated

Develop 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 Deficiencies

Corrected Sep 10, 2019
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 10, 2019
0658EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 10, 2019
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 10, 2019
0725EMinimal harm, Pattern

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Sep 10, 2019
0745DMinimal harm, Isolated

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Quality of Life and Care Deficiencies

Corrected Sep 10, 2019
0756EMinimal harm, Pattern

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Sep 10, 2019
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Sep 10, 2019
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Sep 10, 2019
0800DMinimal harm, Isolated

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Nutrition and Dietary Deficiencies

Corrected Sep 10, 2019
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 10, 2019

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Frequently Asked Questions

What is the CareGrader rating for CARRIAGE HILL HEALTH & REHAB CENTER?

CARRIAGE HILL HEALTH & REHAB CENTER in FREDERICKSBURG, Virginia has a CareGrader grade of C (Average), with a composite score of 74.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for CARRIAGE HILL HEALTH & REHAB CENTER?

CARRIAGE HILL HEALTH & REHAB CENTER has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does CARRIAGE HILL HEALTH & REHAB CENTER have?

CARRIAGE HILL HEALTH & REHAB CENTER has 42 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has CARRIAGE HILL HEALTH & REHAB CENTER been fined?

Yes. CARRIAGE HILL HEALTH & REHAB CENTER has $9,311 in total fines from CMS enforcement actions across 1 penalty.

How many beds does CARRIAGE HILL HEALTH & REHAB CENTER have?

CARRIAGE HILL HEALTH & REHAB CENTER has 150 certified beds with approximately 140 current residents (93% occupancy). The facility is located at 6106 HEALTH CENTER LANE, FREDERICKSBURG, Virginia 22407. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.