Franklin Health and Rehabilitation Center
720 Orchard Avenue, Rocky Mount, VA 24151 · Franklin County · 120 certified beds · avg 115 residents/day · certified since Feb 5, 1990
Part of chain: LIFEWORKS REHAB (64 facilities, chain avg rating 2.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
⚠ 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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 12, 2026 · F-0689 · triggered by a complaint
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: Apr 10, 2026 (Past Non-Compliance)
All citations in the current public record (16)
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 |
|---|---|---|
| May 12, 2026 | ▲ 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. · from a complaint |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Sep 22, 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. |
| Sep 22, 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. · from a complaint |
| Sep 22, 2023 | 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. |
| Sep 22, 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. |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Sep 22, 2023 | D · Potential for harm, one-off | 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. |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Sep 22, 2023 | 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. |
| Sep 22, 2023 | D · Potential for harm, one-off | 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. · from a complaint |
| Jul 22, 2021 | 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. |
| Jul 22, 2021 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Sep 20, 2018 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Sep 20, 2018 | 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. |
| Sep 20, 2018 | 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 increased between the last two inspection cycles (2 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 3 | 0 | E |
| 2021 | 2 | 0 | D |
| 2023 | 10 | 0 | D |
| 2026 | 1 | 1 | G ▲ |
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) | 3.01 | 3.67 | 3.95 | bottom 24% in Virginia; bottom 14% in the U.S. |
| Registered Nurse hours | 0.47 | 0.66 | 0.69 | bottom 41% in Virginia; bottom 34% in the U.S. |
| Weekend total nurse staffing | 2.56 | 3.21 | 3.50 | bottom 22% in Virginia; bottom 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.19 | 0.46 | 0.48 | bottom 17% in Virginia; bottom 10% in the U.S. |
| Total nursing staff turnover (%) | 59.0 | 48.1 | 45.8 | bottom 25% in Virginia; bottom 18% in the U.S. |
| RN turnover (%) | 66.7 | 48.2 | 42.9 | bottom 19% in Virginia; bottom 15% 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 3.30, RN 0.52, weekend 2.81. Staffing rating: 1/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ak 2003 Family Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Al 2003 Family Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| America West LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Charles 1994 & Family LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Charles 1994 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Charles 1994 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Edward 1998 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Edward 1998 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Franklin Holdings I LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/28/2021 |
| KSS 2000 Family Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| ML 2000 Family Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| MRV West LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Redrock West LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Sas 1998 Family Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Saul 2012 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Saul 2012 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Rajchenbach, Moshe | Individual | Corporate Officer | NOT APPLICABLE | 05/28/2021 |
| RCZBM West Manager LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/28/2021 |
| Spiegel, Hindy | Individual | Corporate Officer | NOT APPLICABLE | 05/28/2021 |
| Spiegel, Hindy | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/28/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
- "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 | Flags |
|---|---|---|---|---|---|
| Rocky Mount Health & Rehab Center | 1.0 mi | Rocky Mount, VA | ★★★☆☆ | 2/5 | |
| Friendship Health and Rehab Center - South | 16.1 mi | Roanoke, VA | ★★★☆☆ | 3/5 | |
| Pheasant Ridge Nursing and Rehabilitation | 16.9 mi | Roanoke, VA | ★★☆☆☆ | 2/5 | |
| South Roanoke Nursing and Rehabilitation | 17.7 mi | Roanoke, VA | ★★★☆☆ | 2/5 | |
| King's Grant Lacy Health Center | 17.8 mi | Martinsville, VA | ★★★★★ | 5/5 | |
| Stanleytown Health and Rehabilitation Center | 18.0 mi | Bassett, VA | ★★★★☆ | 4/5 | |
| Old Southwest Health and Rehabilitation | 19.1 mi | Roanoke, VA | ★☆☆☆☆ | 1/5 | |
| Berkshire Health & Rehabilitation Center | 19.6 mi | Vinton, VA | ★★★★☆ | 4/5 | |
| Raleigh Court Health and Rehabilitation Center | 19.7 mi | Roanoke, VA | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 495207.