Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.71 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Berea Health and Rehab
FREDERICKSBURG, VA
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.71 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 5, 2026 cited 10 deficiencies.
View inspection evidenceCMS-published records list 59 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 127 facilities across 6 states or territories.
View chain evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
102 currently connected nursing homes share this CMS organization identity with BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020).
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 31, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across VA.
Individual · ADP OF THE SNF
Association date reported to CMS: May 8, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
Other facilities connected through this exact CMS organization identity: 0 across VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
Other facilities connected through this exact CMS organization identity: 0 across VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across VA.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Nov 15, 2021
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 15, 2021
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 15, 2021
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 15, 2021
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 15, 2021
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across VA.
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Feb 9, 2026
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 8, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 15, 2021
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 22.22%
Association date reported to CMS: Nov 15, 2021
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 101 across NC, OH, PA, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 22.22%
Association date reported to CMS: Nov 15, 2021
Other facilities connected through this exact CMS organization identity: 101 across NC, OH, PA, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 77.78%
Association date reported to CMS: Nov 15, 2021
Other facilities connected through this exact CMS organization identity: 100 across NC, OH, PA, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 15, 2021
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 33 across NC, OH, PA, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 15, 2021
Other facilities connected through this exact CMS organization identity: 101 across NC, OH, PA, VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 31, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2023
Other facilities connected through this exact CMS organization identity: 101 across NC, OH, PA, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2023
Other facilities connected through this exact CMS organization identity: 101 across NC, OH, PA, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
Other facilities connected through this exact CMS organization identity: 85 across IA, KY, NC, OH, PA, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2023
Other facilities connected through this exact CMS organization identity: 100 across NC, OH, PA, VA.
Individual · ADP OF THE SNF
Association date reported to CMS: May 8, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
Other facilities connected through this exact CMS organization identity: 100 across NC, OH, PA, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
CMS classifications: Chain / home office
Other facilities connected through this exact CMS organization identity: 66 across NC, OH, PA, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
Other facilities connected through this exact CMS organization identity: 100 across NC, OH, PA, VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
Other facilities connected through this exact CMS organization identity: 25 across NC, VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2021
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2023
Other facilities connected through this exact CMS organization identity: 101 across NC, OH, PA, VA.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Nov 15, 2021
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 15, 2021
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 15, 2021
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 15, 2021
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 15, 2021
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 101 across NC, OH, PA, VA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Jan 1, 2023
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 101 across NC, OH, PA, VA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Jan 1, 2023
Other facilities connected through this exact CMS organization identity: 101 across NC, OH, PA, VA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 67%
Association date reported to CMS: Jan 1, 2023
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 100 across NC, OH, PA, VA.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2023
Other facilities connected through this exact CMS organization identity: 101 across NC, OH, PA, VA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 8, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 15, 2021
Other facilities connected through this exact CMS organization identity: 100 across NC, OH, PA, VA.
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across VA.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 461 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 127 | 2.9 | 2.2 |
| Mon Jun | 127 | 2.9 | 2.3 |
| Fri May | 126 | 3 | 2.3 |
| Wed Apr | 126 | 3 | 2.3 |
| Sun Mar | 126 | 3 | 2.5 |
| Sun Feb | 126 | 3 | 2.5 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2026)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2026)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2026)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2026)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2026)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2026)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2026)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2026)
Educate 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 member's vaccination status.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2026)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 29, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 29, 2025)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 17, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Nov 30, 2022)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
Provide or arrange emergency care by a doctor 24 hours a day.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
Post nurse staffing information every day.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 6, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 21, 2022)
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 21, 2022)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 21, 2022)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
7 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
10 deficiencies were recorded.
CMS · Recorded event date · View related evidence
RN staffing increased from 0.46 to 0.63 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
0.46 → 0.63
CMS · Reported in a source release · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
RN staffing decreased from 0.61 to 0.46 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
0.61 → 0.46
CMS · Reported in a source release · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
17 deficiencies were recorded. That includes 3 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 4.19 | 3.564 |
| RN categories | 0.822 | 0.447 |
Contract staff accounted for 0.3% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.088 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.806 | 0.61 | 1.078 | 2.113 | 1% | 91 |
| 2025Q3 | 3.82 | 0.465 | 1.328 | 1.984 | 1.1% | 92 |
| 2025Q4 | 3.958 | 0.626 | 1.199 | 2.133 | 1.1% | 92 |
| 2026Q1 | 4.009 | 0.714 | 1.111 | 2.184 | 0.3% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
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Source register
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