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Nursing HomeMedicaid Investigative

Harrisonburg Hlth & Rehab Cntr

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

1225 Reservoir Street, Harrisonburg, VA 22801180 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 258 Google reviews

5
4
3
2
1
Harrisonburg Hlth & Rehab Cntr Nursing Home in Harrisonburg, VA — Street View
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8/ 10
critical Risk

Quality Concerns Identified

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

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (42 vs median 11.0)
  • High staff turnover (62%)
  • High RN turnover (64%)

Bottom 25% in VA · Critically understaffed (RN) · Worst in LIFEWORKS REHAB chain · $119,223 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility has a highly regarded therapy department that can be excellent for recovery, but families must be vigilant regarding daily care. We strongly recommend visiting at different times of the day to observe cleanliness and staff responsiveness, as these are the most frequently cited concerns.

Google Reviews

Google Reviews

258 reviews on Google
Harrisonburg Health & Rehab Center receives highly polarized feedback, with many families praising the dedicated therapy team and specific staff members, while others report severe concerns regarding neglect, hygiene, and understaffing. While some visitors describe a clean and welcoming environment, a significant number of reviewers cite issues with slow response times, poor food quality, and a lack of basic care for residents. Families considering this facility should be aware of these inconsistencies and perform a thorough, in-person assessment.

Quality Themes

Tap a score for details
Food2.0Staff6.0Clean2.0Activities8.0Meds2.0MemoryN/AComms4.0Value2.0

Strengths

  • Highly skilled and encouraging physical/occupational therapy team
  • Specific staff members noted for exceptional compassion
  • Responsive and involved administrative leadership
  • Active and engaging social/activities programs

Concerns

  • Severe understaffing leading to neglected hygiene and slow call-bell response (mentioned by 18 reviewers)
  • Poor cleanliness, including odors, dirty floors, and stained linens (mentioned by 12 reviewers)
  • Poor food quality, including cold meals and lack of variety (mentioned by 8 reviewers)
  • Medication management errors or delays (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

2344.6'19(13)3.53.7'21(25)2.83.9'23(26)3.93.8'25(32)4.2'26(49)

Distribution · 213 analyzed

5
128
4
19
3
7
2
6
1
53
15 reviews posted between Jan 28, 2026Jan 31, 2026 · 12 were 5-star
11 reviews posted between Sep 19, 2023Sep 22, 2023 · 10 were 5-star

How They Respond to Reviews

93%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I've heard wonderful things about the compassion of your staff and the skill of the therapy team; how do you ensure that level of care remains consistent across all shifts?
  • 2We want to make sure our loved one stays active; could you tell us more about the social programs and specific activities available to residents?
  • 3How does the facility manage call-bell responses and hygiene care to ensure residents' needs are met promptly throughout the day?
  • 4What specific steps are being taken to improve the dining experience, particularly regarding meal temperature and variety?
  • 5Can you walk us through your protocols for medication management to ensure there are no delays or errors in administration?
  • 6What is the process for handling medical emergencies or changes in health status after regular business hours?

Personalized based on this facility's data


Key Review Excerpts

The only thing good about this place is some of the OT/PT staff, the rest leaves a lot to be desired. The bed was horrible and extremely uncomfortable. The food was horrible and sometimes inedible.

Rehab patient · 2022☆☆☆☆

It is so amazing that in the worst time of your life you can have kindness and most compassiobate people not only become your caregivers but also your friends. These men and woman that look after you are pure joy.

Rehab patient · 2025★★★★★

The therapy women and men were absolutely awesome! I walk with no assistance at all! I credit this to the skills I was taught. They take their jobs very seriously!!

Rehab patient · 2024★★★★★
Source: 258 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.30hrs
41%
Registered nurses for medical care
Total Nursing
3.11hrs
76%
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)
RN Turnover
67%
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

11

measures

Worse Than Avg

6

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility38.0%
Worse than Avg
Here
38.0%
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 Facility4.2%
Better than Avg
Here
4.2%
US
14.4%
VA
15.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.0%
Better than Avg
Here
6.0%
US
15.3%
VA
16.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.7%
Worse than Avg
Here
25.7%
US
19.5%
VA
20.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.6%
Worse than Avg
Here
24.6%
US
19.4%
VA
22.0%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
5.3%
VA
5.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility84.9%
Better than Avg
Here
84.9%
US
81.8%
VA
73.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility83.2%
Better than Avg
Here
83.2%
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

25deficiencies
2penalties
Well above state avg (14.5)
34 complaint-triggered
$119,223 in fines

This facility has a concerning pattern of 32 complaint-triggered deficiencies, indicating families have repeatedly reported serious problems including abuse and neglect issues that prompted multiple investigations. Recurring problems span medication management, care planning, basic daily care assistance, and facility safety and cleanliness. While all violations show correction dates, the pattern of ongoing complaints across multiple years through 2025 suggests persistent quality issues that families should carefully evaluate before considering placement.

Apr 15, 2026Complaint
1
0584Potential for harm · PatternCorrected

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.

Feb 13, 2026Complaint
1
0584Potential for harm · PatternCorrected

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.

Sep 24, 2025Complaint
5
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

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.

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.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Jun 5, 2025Complaint
2
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.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

Apr 11, 2025Complaint
19
0689Immediate jeopardy · 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.

0600Immediate jeopardy · 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.

0690Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0692Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0925Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0584Potential for harm · PatternResolved (past non-compliance)

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.

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

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

0949Potential for harm · PatternCorrected

Administration Deficiencies

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

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.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · IsolatedCorrected

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.

0943Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

0945Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Jul 2, 2024Complaint
2
0921Potential for harm · PatternCorrected

Environmental Deficiencies

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

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Federal Penalties

Fine

Feb 13, 2026

$9,720

Fine

Apr 11, 2025

$119,223

Ownership & Operations

Who Operates This Facility

Owner / Operator

Harrisonburg Hlth & Rehab Cntr

Organization Type

government

Chain Affiliation

Chain Name

Lifeworks Rehab

Chain Size

66 facilities nationwide

Chain avg rating: 2.1/5 · Rank 35 of 57 (Worst)

Ownership & Management

Owners

Harrisonburg Holdings I LLC

Owner · Organization

100%

America West LLC

Owner (parent company) · Organization

Charles 1994 & Family LLC

Owner (parent company) · Organization

Charles 1994 Family Grantor Trust

Owner (parent company) · Organization

Charles 1994 LLC

Owner (parent company) · Organization

Edward 1998 Family Grantor Trust

Owner (parent company) · Organization

Kss 2000 Family Trust

Owner (parent company) · Organization

Ml 2000 Family Trust

Owner (parent company) · Organization

Mrv West LLC

Owner (parent company) · Organization

Redrock West LLC

Owner (parent company) · Organization

Saul 2012 Family Grantor Trust

Owner (parent company) · Organization

Saul 2012 LLC

Owner (parent company) · Organization

Key personnel

Brooks, MatthewW-2 Managing EmployeeRczbm West Manager LLCManager
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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