Berea Health & Rehab Center

Name: Berea Health & Rehab Center
Address: 55 BRIMLEY DRIVE, Fredericksburg, VA, 22406, US
Telephone: 5407019480

55 Brimley Drive, Fredericksburg, VA 22406 · Stafford County · 90 certified beds · avg 83 residents/day · certified since Jan 21, 2022

Part of chain: SABER HEALTHCARE GROUP (126 facilities, chain avg rating 2.9★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.40

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jun 2, 2023 · F-0580

The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.

Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jul 6, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jun 2, 2023 · F-0658

The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.

Why it matters: Care that falls below professional standards can directly harm a resident's health and recovery.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jul 6, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jun 2, 2023 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Nov 30, 2022 (Past Non-Compliance)

All citations in the current public record (33)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 5, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 5, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 5, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 5, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 5, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 5, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 5, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 5, 2026	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Mar 5, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 5, 2026	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Dec 4, 2025	E · Potential for harm, repeated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Dec 4, 2025	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jul 17, 2024	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint
Jun 2, 2023	▲ G · Actual harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Jun 2, 2023	▲ G · Actual harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jun 2, 2023	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 2, 2023	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 2, 2023	E · Potential for harm, repeated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jun 2, 2023	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jun 2, 2023	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Jun 2, 2023	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Jun 2, 2023	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Jun 2, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jun 2, 2023	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Jun 2, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 2, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jun 2, 2023	D · Potential for harm, one-off	The facility did not provide or arrange for a doctor to be available for emergencies 24 hours a day.
Jun 2, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 2, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jun 2, 2023	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jan 12, 2022	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jan 12, 2022	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 12, 2022	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (17 → 10).

Year	Citations	Serious (G–L)	Worst severity that year
2022	3	0	F
2023	17	3	G ▲
2024	1	0	D
2025	2	0	E
2026	10	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Virginia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.40	3.67	3.95	top 46% in Virginia; bottom 32% in the U.S.
Registered Nurse hours	0.61	0.66	0.69	top 36% in Virginia; top 47% in the U.S.
Weekend total nurse staffing	3.03	3.21	3.50	top 43% in Virginia; bottom 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.45	0.46	0.48	top 27% in Virginia; top 40% in the U.S.
Total nursing staff turnover (%)	65.4	48.1	45.8	bottom 12% in Virginia; bottom 9% in the U.S.
RN turnover (%)	64.3	48.2	42.9	bottom 21% in Virginia; bottom 16% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.01, RN 0.71, weekend 3.56. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Benjamin N. Volpe Family Dynasty Trust (dated December 29, 2020)	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2023
BNV Dynasty LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2023
Decanted William I. Weisberg Family Dynasty Trust (dated Sept 30, 2020	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2023
Saber Healthcare Holdings LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	11/15/2021
Wiw Dynasty LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2023
Bebars, Hosameldin	Individual	ADP of the SNF	NOT APPLICABLE	01/31/2025
Benjamin N. Volpe Family Dynasty Trust (dated December 29, 2020)	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2023
Berea Re Group, LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2023
BNV Dynasty LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2023
Citrin Cooperman Advisors LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/15/2021
Decanted William I. Weisberg Family Dynasty Trust (dated Sept 30, 2020	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2023
Hopkins, Joseph	Individual	Operational/Managerial Control	NOT APPLICABLE	05/08/2023
Hopkins, Joseph	Individual	ADP of the SNF	NOT APPLICABLE	05/08/2023
Nicoluzakis, Gregory	Individual	Corporate Officer	NOT APPLICABLE	11/15/2021
Nicoluzakis, Gregory	Individual	ADP of the SNF	NOT APPLICABLE	11/15/2021
Saber Governance LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/15/2021
Saber Healthcare Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/15/2021
SHG Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/15/2021
SHG Management LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/15/2021
Volpe, Benjamin	Individual	Corporate Officer	NOT APPLICABLE	11/15/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Falls Run Nursing and Rehabilitation	0.0 mi	Fredericksburg, VA	★★★★☆	3/5
Fredericksburg Health and Rehab	5.4 mi	Fredericksburg, VA	★★☆☆☆	2/5
Woodmont Center	5.6 mi	Fredericksburg, VA	★☆☆☆☆	1/5
Carriage Hill Health & Rehab Center	5.9 mi	Fredericksburg, VA	★★★☆☆	3/5
Heritage Hall King George	18.2 mi	King George, VA	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Fredericksburg →

Facility data as of CMS processing date 2026-08-01. CCN 495431.

The Care File

Visit checklist — Berea Health & Rehab Center

55 Brimley Drive, Fredericksburg, VA 22406 · 5407019480

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ Jun 2, 2023 (F-0580, Actual harm, one-off): The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
▲ Jun 2, 2023 (F-0658, Actual harm, one-off): The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
▲ Jun 2, 2023 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 495431 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)