Gainesville Health and Rehab Center

Name: Gainesville Health and Rehab Center
Address: 7501 HERITAGE VILLAGE PLAZA, Gainesville, VA, 20155, US
Telephone: 5712486100

7501 Heritage Village Plaza, Gainesville, VA 20155 · Prince William County · 120 certified beds · avg 113 residents/day · certified since Jul 12, 2006

Part of chain: COMMONWEALTH CARE OF ROANOKE (12 facilities, chain avg rating 3.6★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.59

Nurse hours/resident/day (adjusted)

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.

All citations in the current public record (46)

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 1, 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.
Mar 1, 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.
Mar 1, 2023	E · Potential for harm, repeated	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
Mar 1, 2023	E · Potential for harm, repeated	The facility did not bring in qualified outside professionals to provide a required service when it didn't have a qualified professional on staff.
Mar 1, 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.
Mar 1, 2023	D · Potential for harm, one-off	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.
Mar 1, 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.
Mar 1, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 1, 2023	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 1, 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.
Mar 1, 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.
Mar 1, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Mar 1, 2023	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.
Mar 1, 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 16, 2021	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.
Sep 16, 2021	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Sep 16, 2021	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 16, 2021	E · Potential for harm, repeated	The facility did not provide safe and appropriate pain management for a resident who needed it.
Sep 16, 2021	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.
Sep 16, 2021	D · Potential for harm, one-off	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.
Sep 16, 2021	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Sep 16, 2021	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Sep 16, 2021	D · Potential for harm, one-off	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.
Sep 16, 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.
Sep 16, 2021	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Sep 16, 2021	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Sep 16, 2021	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 16, 2021	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Sep 16, 2021	D · Potential for harm, one-off	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.
Sep 16, 2021	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.
Sep 16, 2021	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.
Sep 16, 2021	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 24, 2020	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Jan 24, 2020	E · Potential for harm, repeated	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.
Jan 24, 2020	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.
Jan 24, 2020	D · Potential for harm, one-off	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.
Jan 24, 2020	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Jan 24, 2020	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.
Jan 24, 2020	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 24, 2020	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.
Jan 24, 2020	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Jan 24, 2020	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.
Jan 24, 2020	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jan 24, 2020	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.
Jan 24, 2020	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.
Jan 24, 2020	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (18 → 14).

Year	Citations	Worst severity that year
2020	14	E
2021	18	E
2023	14	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)

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)	3.59	3.67	3.95	top 35% in Virginia; bottom 41% in the U.S.
Registered Nurse hours	0.54	0.66	0.69	top 45% in Virginia; bottom 44% in the U.S.
Weekend total nurse staffing	3.26	3.21	3.50	top 30% in Virginia; bottom 45% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.37	0.46	0.48	top 40% in Virginia; bottom 47% in the U.S.
Total nursing staff turnover (%)	36.4	48.1	45.8	top 22% in Virginia; top 27% in the U.S.
RN turnover (%)	57.9	48.2	42.9	bottom 32% in Virginia; bottom 24% 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 3.57, RN 0.54, weekend 3.24. Staffing rating: 3/5.

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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Alesantrino, Joe	Individual	Corporate Officer	NOT APPLICABLE	06/01/2019
Commonwealth Care of Roanoke INC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/26/2006
Coons, Amanda	Individual	W-2 Managing Employee	NOT APPLICABLE	03/06/2018
Petrine, Deborah	Individual	Corporate Officer	NOT APPLICABLE	10/05/2005
Tucker, David	Individual	Corporate Officer	NOT APPLICABLE	07/01/2007

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 coordinate and monitor care for residents who receive dialysis?"
"How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
"For services you don't staff in-house, which outside professionals do you contract with?"
"How do you keep residents' medical records accurate, complete, and secure?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"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
Lake Manassas Health & Rehabilitation Center	3.0 mi	Gainesville, VA	★★★☆☆	2/5
Manassas Health and Rehab Center	5.8 mi	Manassas, VA	★★★☆☆	3/5
Birmingham Green	8.4 mi	Manassas, VA	★★★★★	5/5
Brookside Rehab & Nursing Center	11.6 mi	Warrenton, VA	★☆☆☆☆	1/5	abuse
Poplar Hill Health and Rehab	12.6 mi	Warrenton, VA	★★☆☆☆	2/5
Dulles Health & Rehab Center	13.1 mi	Herndon, VA	★★★★☆	3/5
Fair Oaks Health & Rehabilitation	13.1 mi	Fairfax, VA	★☆☆☆☆	1/5
Fairfax Rehabilitation and Nursing Center	15.9 mi	Fairfax, VA	★★☆☆☆	2/5
Burke Health & Rehabilitation Center	17.6 mi	Burke, VA	★★★★☆	3/5
Ashby Ponds INC	17.7 mi	Ashburn, VA	★★★★☆	3/5
The Boulevard Post Acute	18.8 mi	Fairfax, VA	★★★☆☆	3/5
Potomac Falls Health & Rehab Center	19.1 mi	Sterling, VA	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Gainesville →

Facility data as of CMS processing date 2026-08-01. CCN 495388.

The Care File

Visit checklist — Gainesville Health and Rehab Center

7501 Heritage Village Plaza, Gainesville, VA 20155 · 5712486100

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

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
☐ "For services you don't staff in-house, which outside professionals do you contract with?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "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 495388 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)