Potomac Falls Health & Rehab Center
Strong Medicare quality ratings; families often praise highly skilled and motivating physical and occupational therapy team. Still worth an in-person visit.
based on 278 Google reviews
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What this means for your family
This facility offers a strong rehabilitation program with skilled therapists, which is a major asset for post-surgical recovery. However, the recurring reports of slow response times and hygiene neglect are serious red flags; we strongly recommend that you visit unannounced and observe the response time to call bells before committing to admission.
Google Reviews
Google Reviews
278 reviews on Google“Potomac Falls Health & Rehab Center receives polarized feedback, with many families praising the physical therapy department and specific nursing staff for their dedication to recovery. However, a significant number of reviewers report critical failures in basic care, including long wait times for assistance, hygiene neglect, and inconsistent staffing levels that impact patient safety. Families should be aware that while some report excellent experiences, others describe severe lapses in communication and responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Highly skilled and motivating physical and occupational therapy team
- Clean and well-maintained facility environment
- Responsive and helpful admissions and administrative staff
- Specific nursing staff noted for compassion and attentiveness
Concerns
- Chronic understaffing leading to slow response times for call bells (mentioned by 7 reviewers)
- Inconsistent hygiene care, including failure to change linens or assist with bathing (mentioned by 6 reviewers)
- Poor communication and difficulty reaching nursing staff for updates (mentioned by 4 reviewers)
- Inadequate nutritional support or assistance with feeding (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 205 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1It is wonderful to see how much the administration engages with the community through their responses; how does the leadership team work with families to ensure communication stays consistent and timely?
- 2We have heard great things about the physical and occupational therapy teams here; can you tell us more about how they tailor their programs to help residents regain independence?
- 3With the facility being so well-maintained and clean, what specific protocols are in place to ensure that personal hygiene and linen changes are handled consistently for every resident?
- 4How does the nursing team manage call bell responses during busier shifts to ensure that residents aren't waiting too long for assistance?
- 5Could you describe the dining experience and how the staff assists residents who might need extra help with nutrition or feeding during meal times?
- 6What kind of daily activities or social events are organized to keep the residents engaged and motivated throughout the week?
Personalized based on this facility's data
Key Review Excerpts
“The PT and OT, are especially skilled and motivate him, especially challenged due to PD, to exercise so that he can sit up and relearn how to transfer himself to a wheelchair.”
“My mother was left in the same clothes for 72 + hours, and was almost always found in a soaking wet bed when my family arrived each evening. She went 24 hours without food.”
“I hesitated to bring my mom to Potomac Falls for skilled nursing due to the bad reviews, but I was very pleasantly surprised at the care she is receiving. The nurses are very caring and attentive and listen to my concerns.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
11
measures
4
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents vaccinated for the flu
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has had significant deficiency patterns across three surveys, with recurring issues in resident rights, care planning, and safety systems. The most frequent problems involve properly accommodating resident needs, developing complete care plans, and maintaining fire safety equipment. While all 47 deficiencies show correction dates, the persistence of similar issues across multiple years (2017-2021) suggests ongoing challenges with consistent compliance and quality management systems.
Dec 2, 2021Routine16
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Oct 11, 2018Routine16
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Meet other general requirements that are deficient.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Mar 23, 2017Routine15
Environmental Deficiencies
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Quality of Life and Care Deficiencies
Provide necessary care and services to maintain or improve the highest well being of each resident .
Nutrition and Dietary Deficiencies
Store, cook, and serve food in a safe and clean way.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Environmental Deficiencies
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
Environmental Deficiencies
Have a program that investigates, controls and keeps infection from spreading.
Nursing and Physician Services Deficiencies
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Administration Deficiencies
Train all employees on what to do in an emergency, and carry out unannounced staff drills.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Ownership & Operations
Who Operates This Facility
Potomac Falls Health & Rehab Center
for profit
Chain Affiliation
Commonwealth Care of Roanoke
12 facilities nationwide
Chain avg rating: 3.6/5 · Rank 10 of 12
Ownership & Management
Owners
Nova Care LLC
Owner · Organization
Bdsheffer LLC
Owner (parent company) · Organization
Dj Petrine LLC
Owner (parent company) · Organization
Goodall, Lury
Owner (parent company)
Stallard, Patricia
Owner (parent company)
Tucker, David
Owner (parent company)
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
278 reviews from families & visitors
Official Website
Visit commonwealth-care.com
Medicare data downloads
Original nursing home datasets
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