Jamestown Health and Rehabilitation
1811 Jamestown Road, Williamsburg, VA 23185 · James City County · 90 certified beds · avg 84 residents/day · certified since May 10, 1989
Part of chain: AVARDIS HEALTH (38 facilities, chain avg rating 2.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
⚠ 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, 2022 · 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: Jun 15, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (29)
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 |
|---|---|---|
| Apr 25, 2024 | 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. · from a complaint |
| Apr 25, 2024 | 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. · from a complaint |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| May 12, 2022 | ▲ 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. |
| May 12, 2022 | E · Potential for harm, repeated | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| May 12, 2022 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| May 12, 2022 | E · Potential for harm, repeated | The facility did not perform required COVID-19 testing on residents and staff. |
| May 12, 2022 | 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. |
| May 12, 2022 | 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. |
| May 12, 2022 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 12, 2022 | 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. |
| May 12, 2022 | 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. |
| May 12, 2022 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| May 12, 2022 | 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. |
| May 12, 2022 | D · Potential for harm, one-off | The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. |
| May 12, 2022 | 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. |
| May 12, 2022 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Mar 5, 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. |
| Mar 5, 2020 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Mar 5, 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. |
| Mar 5, 2020 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Mar 5, 2020 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Mar 5, 2020 | 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. |
| Mar 5, 2020 | 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. |
| Mar 5, 2020 | B · Minimal risk, repeated | 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. |
| Mar 5, 2020 | B · Minimal risk, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (14 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 9 | 0 | D |
| 2022 | 14 | 1 | G ▲ |
| 2024 | 6 | 0 | D |
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) | 3.68 | 3.67 | 3.95 | top 30% in Virginia; bottom 46% in the U.S. |
| Registered Nurse hours | 0.35 | 0.66 | 0.69 | bottom 17% in Virginia; bottom 16% in the U.S. |
| Weekend total nurse staffing | 3.40 | 3.21 | 3.50 | top 24% in Virginia; top 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.46 | 0.48 | bottom 21% in Virginia; bottom 15% in the U.S. |
| Total nursing staff turnover (%) | 44.3 | 48.1 | 45.8 | top 38% in Virginia; top 48% in the U.S. |
| RN turnover (%) | 33.3 | 48.2 | 42.9 | top 22% in Virginia; top 33% 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 3.37, RN 0.32, weekend 3.11. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| James City Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2025 |
| Vaop Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2025 |
| Williamsburg Parentco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2025 |
| Adams, Sebastian | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Adams, Sebastian | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Hoback, Tiffany | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2025 |
| Hoback, Tiffany | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Hoback, Tiffany | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Jones, Tequilla | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Jones, Tequilla | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Morgan, Daniel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2025 |
| Morgan, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Morgan, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Reid, Lori | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Reid, Lori | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| SNF Mgr LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| SNF Mgr LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/18/2025 |
| Walters, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Walters, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
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 does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you make sure residents — especially those who can't ask — get enough fluids throughout the day?"
- "Who oversees residents' therapeutic diets, and how do the doctor and dietitian work together on them?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "Where do you post your latest state inspection results and the ombudsman's contact information?"
- "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 |
|---|---|---|---|---|---|
| Woodhaven Hall at Williamsburg Landing | 2.0 mi | Williamsburg, VA | ★★★☆☆ | 2/5 | |
| Riverside Lifelong Health & Rehabilitation Patri | 2.7 mi | Williamsburg, VA | ★★★★☆ | 4/5 | |
| Williamsburg Post Acute & Rehabilitation | 3.6 mi | Williamsburg, VA | ★★★☆☆ | 4/5 | |
| Windsormeade of Williamsburg | 6.0 mi | Williamsburg, VA | ★★★★★ | 4/5 | |
| Old Dominion Rehabilitation and Nursing | 15.4 mi | Newport News, VA | ★☆☆☆☆ | 1/5 | abuse |
| York Post Acute | 15.4 mi | Yorktown, VA | ★★☆☆☆ | 2/5 | abuse |
| Riverside Lifelong H & R Warwick Forest | 15.6 mi | Newport News, VA | ★☆☆☆☆ | 1/5 | |
| Newport News Nursing & Rehab | 17.0 mi | Newport News, VA | ★☆☆☆☆ | 1/5 | abuse |
| Regency Health and Rehabilitation Center | 17.4 mi | Yorktown, VA | ★★☆☆☆ | 3/5 | |
| Walter Reed Post Acute | 17.4 mi | Gloucester, VA | ★★★★☆ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 495190.