CARRIAGE HILL HEALTH & REHAB CENTER

FREDERICKSBURG, VA · 150 beds · For profit - Limited Liability company

33 Trust Score
Grade: F HIGH Risk → Stable

Red Flags

  • No standard inspection in over 2 years
  • 1 citation(s) where residents suffered actual harm

Green Flags

No positive signals identified yet.

Quick Facts

★★★☆☆
CMS Overall
★★★☆☆
Health Inspection
12
0.8x state avg
Deficiencies
$9,311
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

November 18, 2025

4 deficiencyies
F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

December 11, 2024

6 deficiencyies
F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0684 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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

F0921 Potential Harm Scope/Severity: D

Environmental Deficiencies

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

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0684 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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

F0921 Potential Harm Scope/Severity: D

Environmental Deficiencies

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

June 6, 2023

10 deficiencyies
F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0622 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0656 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0686 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0698 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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

See full violation history →

Staffing

0.45
RN hrs/res/day
1.04
LPN hrs/res/day
2.15
CNA hrs/res/day
3.28
Weekend hrs/res/day
54%
Total nurse turnover
47%
RN turnover

A nurse checks on each resident roughly every 6.6 hours on average.

Fines & Penalties

  • Fine Jun 6, 2023
    $9,311
Total $9,311

Ownership

For profit - Limited Liability company Chain: COMMONWEALTH CARE OF ROANOKE
  • BDSHEFFER LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 09/30/2008

    19% Organization
  • DJ PETRINE LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 09/30/2008

    49% Organization
  • GOODALL, LURY

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 09/30/2008

    17% Individual
  • STALLARD, PATRICIA

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 09/30/2008

    10% Individual
  • PETRINE, DEBORAH

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 09/30/2008

    23% Individual
  • PETRINE, JAMES

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 10/01/2008

    23% Individual
  • SHEFFER, BRADY

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 09/30/2008

    19% Individual
  • COMMONWEALTH CARE OF ROANOKE INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/30/2008

    Organization
  • ALESANTRINO, JOE

    CORPORATE OFFICER

    Since since 06/01/2019

    Individual
  • PETRINE, DEBORAH

    CORPORATE OFFICER

    Since since 09/30/2008

    Individual
  • TUCKER, DAVID

    CORPORATE OFFICER

    Since since 10/01/2008

    Individual
  • SEVIER, JOHN

    W-2 MANAGING EMPLOYEE

    Since since 09/10/2012

    Individual

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