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Nursing HomeMedicaid Top Rated

The Springs Nursing & Rehab Center

Strong Medicare quality ratings; families often praise clean, well-maintained facility. Still worth an in-person visit.

167 Spring Street, Tate Springs · Hot Springs, VA 2444560 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 130 Google reviews

5
4
3
2
1
The Springs Nursing & Rehab Center Nursing Home in Hot Springs, VA — Street View
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What this means for your family

Tate Springs has a strong rehabilitation team and many families report a welcoming, clean environment. However, the facility has a history of inconsistent care, particularly regarding weekend staffing and communication. We strongly recommend visiting during off-hours and asking for a clear plan on how they handle medical updates and medication management for your loved one.

Google Reviews

Google Reviews

130 reviews on Google
Tate Springs Health & Rehab presents a polarized experience for families, with many recent reviewers praising the facility's cleanliness, friendly staff, and welcoming atmosphere. However, significant concerns persist regarding inconsistent care, including reports of neglect, poor communication, and inadequate staffing levels on nights and weekends. Families should weigh the positive reports of therapy and nursing care against serious allegations of medical oversight and hygiene issues.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean7.0Activities8.0Meds2.0Memory4.0Comms3.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • Friendly and compassionate nursing staff
  • Effective physical and occupational therapy
  • Welcoming, home-like environment

Concerns

  • Inadequate staffing levels on nights and weekends (mentioned by 5 reviewers)
  • Poor communication with families regarding medical events (mentioned by 4 reviewers)
  • Unsanitary conditions and poor hygiene practices (mentioned by 5 reviewers)
  • Medication management errors and delays (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'19(5)'21(4)'24(25)'26(46)

Distribution · 159 analyzed

5
110
4
11
3
5
2
6
1
27
14 reviews posted between Dec 14, 2025Dec 20, 2025 · 12 were 5-star
13 reviews posted between Feb 16, 2026Feb 21, 2026 · 11 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve daily operations and communication?
  • 2Given that some families have expressed concerns about communication during medical events, what is your specific process for keeping us updated if a change in health status occurs?
  • 3How do you ensure consistent staffing coverage and quality of care during nights and weekends compared to your weekday shifts?
  • 4With medication management being a priority for us, could you walk us through your current system for ensuring timely and accurate administration of prescriptions?
  • 5What steps are you taking to maintain high standards of hygiene and cleanliness throughout the facility to ensure a healthy living environment?
  • 6Since we are interested in the dining experience, could you tell us about the current meal options and how you accommodate individual preferences or dietary needs?

Personalized based on this facility's data


Key Review Excerpts

The nursing staff is compassionate, attentive, and always willing to go the extra mile. Administration is professional, approachable, and clearly dedicated to creating a positive, well-run environment.

Local Guide · 2025★★★★★

My mom was improperly handled by her rehab lady and a CNA, was dropped once on her bed and once on her knees. It was reported she tried to get up on her own when in fact the two women didn't have her belted when handling her.

Family member · 2025★★☆☆☆

My dad had medical 'events' in this place and my siblings and I were not informed.

Family member · 2025★★★★★
Source: 130 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.80hrs
OK
Registered nurses for medical care
Total Nursing
3.62hrs
88%
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility31.8%
Worse than Avg
Here
31.8%
US
19.5%
VA
20.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
93.4%
VA
91.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.3%
Worse than Avg
Here
27.3%
US
19.4%
VA
22.0%
💉

Residents vaccinated for the flu

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

Residents needing more daily help over time

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
14.4%
VA
15.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility20.0%
Worse than Avg
Here
20.0%
US
15.5%
VA
14.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility87.0%
Better than Avg
Here
87.0%
US
81.8%
VA
73.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.8%
Worse than Avg
Here
3.8%
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

5deficiencies
Well below state avg (14.5)

The Springs has a concerning pattern of recurring deficiencies across multiple surveys, with issues in fire safety systems, care planning, and resident protection appearing repeatedly. Most problematic are ongoing deficiencies in resident assessment and care planning, fire safety equipment maintenance, and protection from abuse and neglect that have persisted across 2021-2023 surveys. While the facility reports correcting these issues, the recurrence of similar problems suggests systemic challenges that families should investigate thoroughly during visits.

Sep 20, 2023Routine
7
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.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

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

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

Aug 10, 2022Routine
13
0761Potential for harm · Widespread

Miscellaneous Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0324Potential for harm · Pattern

Smoke Deficiencies

Provide properly protected cooking facilities.

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.

0222Potential for harm · PatternCorrected

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.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0563Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Mar 23, 2021Routine
9
0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

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

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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

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.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Springs Nursing & Rehab Center

Organization Type

nonprofit

Chain Affiliation

Chain Name

Kissito Healthcare

Chain Size

6 facilities nationwide

Chain avg rating: 4.3/5 · Rank 2 of 6 (Best)

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

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

References & Resources

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