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Nursing HomeMedicaid Investigative

Fredericksburg Health and Rehab

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3900 Plank Road, Fredericksburg, VA 22407177 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 58 Google reviews

5
4
3
2
1
Fredericksburg Health and Rehab Nursing Home in Fredericksburg, VA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (17 vs median 11.0)

Below average in VA · Best in TRIO HEALTHCARE chain · $9,311 in fines

Source: Medicare data

What this means for your family

Given the severe and recurring reports of neglect and hygiene issues, we strongly advise families to conduct unannounced visits at different times of the day, especially on weekends. While some families report positive interactions with specific staff, the pattern of systemic issues suggests a high risk for residents requiring significant medical oversight.

Google Reviews

Google Reviews

58 reviews on Google
Fredericksburg Health and Rehab receives highly polarized feedback, with many families reporting severe neglect, unsanitary conditions, and unprofessional staff behavior. While some reviewers praise specific staff members and cleanliness, these positive experiences are frequently overshadowed by recurring reports of residents being left in soiled conditions, medication mismanagement, and a lack of basic responsiveness.

Quality Themes

Tap a score for details
Food3.0Staff2.0Clean3.0Activities1.0Meds1.0Memory2.0Comms3.0ValueN/A

Strengths

  • Specific staff members noted as helpful and professional
  • Cleanliness noted in some recent facility tours
  • Effective admissions and administrative communication for some families

Concerns

  • Neglect and poor hygiene (residents left in soiled conditions) (mentioned by 7 reviewers)
  • Unresponsive or rude nursing and care staff (mentioned by 9 reviewers)
  • Facility maintenance issues (outdated, peeling paint, odors, pests) (mentioned by 5 reviewers)
  • Theft or loss of personal property (mentioned by 2 reviewers)
  • Poor medical oversight and infection management (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'19(2)'21(4)'23(9)'25(11)'26(6)

Distribution · 62 analyzed

5
28
4
2
3
3
2
2
1
27

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure residents receive timely assistance with hygiene and personal care throughout the day and night?
  • 2I noticed some concerns regarding facility maintenance; what is your current plan for addressing building repairs, odors, and general upkeep to ensure a comfortable environment?
  • 3With the recent focus on medication management, could you walk me through your process for ensuring accuracy and preventing errors for residents?
  • 4What steps are being taken to improve the variety and engagement of daily activities, as I understand this is an area you are looking to enhance?
  • 5How do you handle the security of personal belongings, and what is your policy if an item goes missing?
  • 6Could you explain your communication process for keeping families updated on medical changes or health concerns, especially during after-hours or weekends?

Personalized based on this facility's data


Key Review Excerpts

One night, my mother called me in tears , she had been left lying in her own feces and urine for over four hours. She repeatedly called the nurse's station, and each time they told her, “We’ll be there,” but no one ever showed up.

Long-term resident's family · 2025☆☆☆☆

My mother was in this facility for 5 years... She had to be admitted in to the hospital with an infected foot and sepsis, 16 days in the hospital and amputation. And this facility did nothing for her!

Long-term resident's family · 2024☆☆☆☆

Everyone at this facility has been extremely nice , Friendly and so caring for my mom and my family . They genuinely care about the health of anyone there . My mom is doing better each and everyday because they all do an amazing job

Long-term resident's family · 2023★★★★★
Source: 58 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
59%
Registered nurses for medical care
Total Nursing
3.16hrs
77%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

7

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility40.3%
Worse than Avg
Here
40.3%
US
12.1%
VA
16.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility35.2%
Worse than Avg
Here
35.2%
US
14.4%
VA
15.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility32.3%
Worse than Avg
Here
32.3%
US
15.3%
VA
16.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
VA
94.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.0%
Worse than Avg
Here
25.0%
US
19.4%
VA
22.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.5%
Better than Avg
Here
10.5%
US
15.5%
VA
14.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.1%
Better than Avg
Here
95.1%
US
79.8%
VA
73.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.0%
Better than Avg
Here
92.0%
US
81.8%
VA
73.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Worse than Avg
Here
1.7%
US
1.6%
VA
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

19deficiencies
1penalties
Above state avg (14.5)
21 complaint-triggered
$9,311 in fines

This facility has concerning patterns with 64 deficiencies across recent surveys, including 19 complaint-triggered issues where families filed reports with regulators. The most recurring problems involve care planning, nutrition and food safety, and safety hazards throughout the facility. While the facility has provided correction dates for all cited issues, the consistent complaints and repeated deficiencies in core care areas suggest ongoing operational challenges families should carefully consider.

Feb 5, 2026Complaint
2
0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 2, 2024Complaint
4
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jan 17, 2024Complaint
1
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

Oct 26, 2023Routine
16
0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0741Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0710Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Oct 26, 2023Complaint
4
0569Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Aug 29, 2023Complaint
1
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Jul 26, 2023

$9,311

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fredericksburg Health and Rehab

Organization Type

for profit

Chain Affiliation

Chain Name

Trio Healthcare

Chain Size

9 facilities nationwide

Chain avg rating: 1.2/5 · Rank 2 of 9 (Best)

Ownership & Management

Owners

Gl Virginia Holdings LLC

Owner · Organization

100%

Trio Health Care - East, LLC

Owner (parent company) · Organization

Trio Healthcare Investors LLC

Owner (parent company) · Organization

Trio Healthcare LLC

Owner (parent company) · Organization

Gentry, Boyd

Owner (parent company)

Rubenstein, David

Owner (parent company)

Key personnel

Mitchell, PamelaW-2 Managing EmployeeGentry, BoydOfficer / DirectorRubenstein, DavidOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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