D

CARRIAGE HILL HEALTH & REHAB CENTER

6106 HEALTH CENTER LANE, FREDERICKSBURG, VA 22407
Score: 51 / 100

Carriage Hill Health & Rehab Center faces challenges in its CMS ratings, earning a D grade with a score of 51/100. The facility ranks in the 42th percentile among Virginia nursing homes, suggesting significant room for improvement.

Staffing at Carriage Hill Health & Rehab Center is near the national average, with 3.79 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 42 deficiencies at Carriage Hill Health & Rehab Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.79 3.8 Average
Registered Nurses (RN) 0.47 0.7 Below Average
Licensed Practical Nurses (LPN) 1.08 0.7 Above Average
Certified Nursing Assistants (CNA) 2.24 2.4 Average
Weekend Total Nursing 3.41 3.8 Below Average
Weekend RN Hours 0.23 0.7 Below Average

🔍 Inspection & Deficiency History

42
Total Deficiencies
Nov 18, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 41 Moderate
View recent deficiencies (5 shown)
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Nov 18, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0686 Severity D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Nov 18, 2025 · Quality of Life and Care Deficiencies
  • Tag 0684 Severity E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Dec 11, 2024 · Quality of Life and Care Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Dec 11, 2024 · Resident Rights Deficiencies
  • Tag 0921 Severity D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    Dec 11, 2024 · Environmental Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.5% 4.5% Average
Falls with major injury 5.9% 3.0% Worse
On antipsychotic medication 19.3% 14.5% Worse
Urinary tract infections 2.0% 2.5% Better
ADL decline (daily activities) 26.8% 14.0% Worse
Excessive weight loss 8.0% 7.5% Average
New/worsened incontinence 24.3% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $9,311

How This Grade Was Calculated

This facility's grade of D is based on a score of 51 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
150
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 6, 2023
Deficiencies (Cycle 1)
12