B84

FALLS RUN NURSING AND REHABILITATION

Grade B 84/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
4/5
Health Insp.
3/5
Quality
5/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

90

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

140 BRIMLEY DRIVE, FREDERICKSBURG, VA 22406
5407520111

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.70h
LPN
0.93h
CNA
2.14h
Total
3.77h
Facility
State Average

Turnover Rates

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

Ownership

SABER HEALTHCARE HOLDINGS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2014

100%

BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2020

BNV DYNASTY LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2020

DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2020

SHH HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2019

WIW DYNASTY LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2019

WWBV HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2019

SABER GOVERNANCE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Sep 2019

KULP, JEFFREY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

VOLPE, BENJAMIN

IndividualCORPORATE DIRECTORSince Mar 2019

WEISBERG, WILLIAM

IndividualCORPORATE DIRECTORSince Mar 2019

NICOLUZAKIS, GREGORY

IndividualCORPORATE OFFICERSince Mar 2019

VOLPE, BENJAMIN

IndividualCORPORATE OFFICERSince Mar 2019

WEISBERG, WILLIAM

IndividualCORPORATE OFFICERSince Mar 2019

KULP, JEFFREY

IndividualW-2 MANAGING EMPLOYEESince Oct 2017

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (28)

March 16, 2023Health9 deficiencies
0585DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Apr 14, 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 Apr 14, 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 Apr 14, 2023
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Apr 14, 2023
0697EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Apr 14, 2023
0757EMinimal harm, Pattern

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Apr 14, 2023
0842DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 14, 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 Mar 21, 2022
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 Apr 14, 2023
August 26, 2021Health9 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Sep 22, 2021
0623EMinimal harm, Pattern

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 Sep 22, 2021
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 22, 2021
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 22, 2021
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2021
0730DMinimal harm, Isolated

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies

Corrected Sep 22, 2021
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Sep 22, 2021
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Sep 22, 2021
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 29, 2021
September 6, 2019Health10 deficiencies
0578EMinimal harm, Pattern

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 Oct 1, 2019
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Oct 1, 2019
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 Oct 1, 2019
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 Oct 1, 2019
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 1, 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 Oct 1, 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 Oct 1, 2019
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Oct 1, 2019
0700DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Oct 1, 2019
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Oct 1, 2019

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Frequently Asked Questions

What is the CareGrader rating for FALLS RUN NURSING AND REHABILITATION?

FALLS RUN NURSING AND REHABILITATION in FREDERICKSBURG, Virginia has a CareGrader grade of B (Good), with a composite score of 83.8 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 FALLS RUN NURSING AND REHABILITATION?

FALLS RUN NURSING AND REHABILITATION has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does FALLS RUN NURSING AND REHABILITATION have?

FALLS RUN NURSING AND REHABILITATION has 28 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.

How many beds does FALLS RUN NURSING AND REHABILITATION have?

FALLS RUN NURSING AND REHABILITATION has 90 certified beds with approximately 82 current residents (91% occupancy). The facility is located at 140 BRIMLEY DRIVE, FREDERICKSBURG, Virginia 22406. It is a for profit - corporation 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.