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Falls Run Nursing and Rehabilitation
140 Brimley Drive, Fredericksburg, VA 22406 (opens Google Maps) · Stafford County · (540) 752-0111· 90 certified beds · avg 87 residents/day · certified since Oct 21, 2010 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: SABER HEALTHCARE GROUP (126 facilities, chain avg rating 2.9★)
3/5
Health inspection rating (on-site)
inspected Mar 16, 2023
0
Serious findings on record
$0
Fines, last 3 years
3.40
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 28 inspection findings. Open the full record below to read every finding.
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. F-0656
The facility did not provide safe and appropriate pain management for a resident who needed it. F-0697
The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. F-0757
View all 28 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 16, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Mar 16, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Mar 16, 2023 | E · Potential for more than minimal harm, pattern | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
| Mar 16, 2023 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585 |
| Mar 16, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Mar 16, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Mar 16, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Mar 16, 2023 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Mar 16, 2023 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Aug 26, 2021 | E · Potential for more than minimal harm, pattern | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Aug 26, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Aug 26, 2021 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Aug 26, 2021 | D · Potential for more than minimal harm, isolated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| Aug 26, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Aug 26, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Aug 26, 2021 | D · Potential for more than minimal harm, isolated | The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730 |
| Aug 26, 2021 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
| Aug 26, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Sep 6, 2019 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Sep 6, 2019 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Sep 6, 2019 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Sep 6, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0622 |
| Sep 6, 2019 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Sep 6, 2019 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Sep 6, 2019 | D · Potential for more than minimal harm, isolated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| Sep 6, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Sep 6, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Sep 6, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0700 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 9).
All citationsSerious citations (G–L)
2019
All citations: 10
Serious citations (G–L): 0
2021
All citations: 9
Serious citations (G–L): 0
2023
All citations: 9
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 10 | 0 | E |
| 2021 | 9 | 0 | E |
| 2023 | 9 | 0 | E |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityVirginia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.40
Virginia average: 3.67
U.S. average: 3.95
Registered Nurse hours
This facility: 0.73
Virginia average: 0.66
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.03
Virginia average: 3.21
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 47% in Virginia; bottom 31% in the U.S. |
| Registered Nurse hours | 0.73 | 0.66 | 0.69 | top 20% in Virginia; top 33% in the U.S. |
| Weekend total nurse staffing | 3.03 | 3.21 | 3.50 | top 42% in Virginia; bottom 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.65 | 0.46 | 0.48 | top 13% in Virginia; top 19% in the U.S. |
| Total nursing staff turnover (%) | 48.6 | 48.1 | 45.8 | bottom 48% in Virginia; bottom 40% in the U.S. |
| RN turnover (%) | 42.9 | 48.2 | 42.9 | top 38% in Virginia; bottom 49% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.73, RN 0.80, weekend 3.33.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.73 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Falls Run Nursing and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ahmad, Imran | Individual | ADP of the SNF | NOT APPLICABLE | 01/08/2026 |
| Bundle Tenant LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/05/2026 |
| Citrin Cooperman Advisors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/22/2010 |
| Kulp, Jeffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/09/2017 |
| Kulp, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 10/09/2017 |
| Ms Stafford, L.P. | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2015 |
| Nicoluzakis, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2019 |
| Nicoluzakis, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2019 |
| Saber Governance LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Saber Healthcare Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/21/2010 |
| SHG Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| SHG Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| TCF National Bank | Organization | ADP of the SNF | NOT APPLICABLE | 07/19/2019 |
| Volpe, Benjamin | Individual | Corporate Director | NOT APPLICABLE | 03/01/2019 |
| Volpe, Benjamin | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2019 |
| Volpe, Benjamin | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2019 |
| Walker & Associates PC | Organization | ADP of the SNF | NOT APPLICABLE | 09/22/2010 |
| Weisberg, William | Individual | Corporate Director | NOT APPLICABLE | 03/01/2019 |
| Weisberg, William | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2019 |
| Weisberg, William | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/02/2026 |
Showing 20 of 21 parties CMS has on file for this facility; 1 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Saber Healthcare Group — 126 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Farmville Health & Rehab Center — Farmville, VA · overall 3/5
- Forest Health & Rehab Center — Lynchburg, VA · overall 4/5
- Hampton Health & Rehab Center, LLC — Hampton, VA · overall 3/5
- Hillsville Health & Rehab Center — Hillsville, VA · overall 5/5
- Kempsville Health & Rehab Center — Virginia Beach, VA · overall 2/5
- Liberty Ridge Health & Rehab — Lynchburg, VA · overall 4/5
- Monroe Health & Rehab Center — Charlottesville, VA · overall 3/5
- Nova Health and Rehab — Weber City, VA · overall 5/5
Listed by state, then facility name — not a ranking. Showing 8 of the 125 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 49% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 21 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Berea Health & Rehab Center | 0.0 mi | Fredericksburg, VA | ★★☆☆☆ | 2/5 | |
| Fredericksburg Health and Rehab | 5.4 mi | Fredericksburg, VA | ★★☆☆☆ | 2/5 | |
| Woodmont Center | 5.5 mi | Fredericksburg, VA | ★☆☆☆☆ | 1/5 | |
| Carriage Hill Health & Rehab Center | 5.8 mi | Fredericksburg, VA | ★★★☆☆ | 3/5 | |
| Heritage Hall King George | 18.2 mi | King George, VA | ★★☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 495407.
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