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Nursing HomeMedicaid Investigative

Gainesville Health and Rehab Center

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

7501 Heritage Village Plaza, Gainesville, VA 20155120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 199 Google reviews

5
4
3
2
1

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3/ 10
moderate Risk

Quality Concerns Identified

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

  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (14 vs median 11.0)
  • High RN turnover (52%)

Below average in VA · Below recommended RN staffing · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

While many families report positive experiences with the facility's rehab and social work teams, there is a recurring pattern of serious complaints regarding understaffing and neglect. If you choose this facility, we strongly recommend frequent, unannounced visits and maintaining direct contact with the social work team to ensure your loved one's needs are being met, especially during evenings and weekends.

Google Reviews

Google Reviews

199 reviews on Google
Gainesville Health and Rehab Center receives polarized feedback, with many families praising the dedicated nursing and social work teams for their compassionate care and effective communication. However, a significant number of reviewers report serious concerns regarding understaffing, neglect, and poor responsiveness to patient needs, particularly during off-hours. While some patients have successful rehab experiences, others describe distressing incidents of hygiene neglect and inadequate medical oversight.

Quality Themes

Tap a score for details
Food6.0Staff5.0Clean6.0Activities5.0Meds3.0MemoryN/AComms4.0Value2.0

Strengths

  • Dedicated and helpful social work team
  • Effective wound care nursing staff
  • Clean, well-maintained facility environment
  • Professional and attentive rehab therapy

Concerns

  • Severe understaffing leading to unanswered call bells (mentioned by 12 reviewers)
  • Neglect regarding hygiene and patient cleanliness (mentioned by 8 reviewers)
  • Poor communication and lack of responsiveness from nursing staff (mentioned by 7 reviewers)
  • Inadequate medical oversight and failure to address acute health changes (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'12(1)'16(3)'18(8)'20(3)'22(23)'24(32)'26(35)

Distribution · 201 analyzed

5
142
4
21
3
7
2
3
1
28

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard wonderful things about your social work team and the rehab therapy here; could you tell us more about how they support residents' daily engagement and recovery?
  • 2Since we want to ensure our loved one is always attended to, what specific protocols do you have in place to ensure call bells are answered promptly, even during busy shifts?
  • 3How does the nursing team communicate significant changes in a resident's medical condition or health status to the family members?
  • 4Can you walk us through your process for managing daily hygiene and ensuring residents are kept clean and comfortable throughout the day?
  • 5What is your system for ensuring medication management is handled accurately and that any errors or missed doses are immediately addressed?
  • 6What kind of daily activities or social outings are available to help residents stay active and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The social work team, Kim and Ola, truly advocate for families and residents. From the business office to the new administrator, everyone has been consistently helpful, caring, and

Former employee/Family member · 2025★★★★★

The facility isn't the prettiest due to its age, small rooms and general layout, but don't let that fool you. It's a top notch facility with excellent managers, nurses, PTs, CNAs and care givers.

Family member · 2025★★★★★

I HAD left a 5 star review UNTIL I heard some of the recordings my mother had made while BEGGING NURSES FOR HELP and the things the nurses said. 'This is what you get for going off dialysis'. 'This was your choice to die'.

Family member · 2026☆☆☆☆
Source: 199 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.60hrs
79%
Registered nurses for medical care
Total Nursing
3.55hrs
87%
All nurses + aides combined
Staff Turnover
32%
Lower is better (< 30% = good)
RN Turnover
45%
Lower is better (< 30% = good)

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
4/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.3%
Better than Avg
Here
2.3%
US
12.1%
VA
16.9%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
19.5%
VA
20.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.1%
Better than Avg
Here
6.1%
US
15.5%
VA
14.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
VA
91.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
95.5%
VA
94.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility19.9%
Worse than Avg
Here
19.9%
US
15.3%
VA
16.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.6%
Better than Avg
Here
94.6%
US
81.8%
VA
73.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.5%
Better than Avg
Here
93.5%
US
79.8%
VA
73.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
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

14deficiencies
Near state avg (14.5)
1 complaint-triggered

This facility shows persistent problems across multiple care areas, with families filing complaints that triggered inspections. The most recurring issues involve care planning and assessment, specialized medical services like dialysis and pain management, and medication management safety. While all 48 deficiencies across four surveys have correction dates, the pattern reveals ongoing struggles with fundamental care coordination and safety protocols that families should carefully consider.

Jun 7, 2023Complaint
1
0600Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Mar 1, 2023Routine
14
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.

0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0825Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0840Potential for harm · PatternCorrected

Administration Deficiencies

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

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.

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Sep 16, 2021Routine
18
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.

0657Potential for harm · PatternCorrected

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.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0697Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Jan 24, 2020Routine
14
0730Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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.

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Gainesville Health and Rehab Center

Organization Type

for profit

Chain Affiliation

Chain Name

Commonwealth Care of Roanoke

Chain Size

12 facilities nationwide

Chain avg rating: 3.6/5 · Rank 6 of 12

Ownership & Management

Key personnel

Coons, AmandaW-2 Managing EmployeeAlesantrino, JoeOfficer / DirectorPetrine, DeborahOfficer / DirectorTucker, DavidOfficer / DirectorCommonwealth Care of Roanoke INCManager
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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