Virginia ›Gainesville

Lake Manassas Health & Rehabilitation Center

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14935 Holly Knoll Lane, Gainesville, VA 20155 (opens Google Maps) · Prince William County · (703) 743-3999· 120 certified beds · avg 117 residents/day · certified since Oct 26, 2017 · 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: LIFEWORKS REHAB (64 facilities, chain avg rating 2.1★)

2/5
Health inspection rating (on-site)
inspected Apr 17, 2024
1
Serious findings on record
most recent Apr 10, 2026
$22,509
Fines, last 3 years
3.07
Nurse hours/resident/day (adjusted)

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: ★★☆☆☆2/5 · CMS overall rating: 3/5 · 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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Apr 10, 2026 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 28, 2026 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 48 inspection findings. Open the full record below to read every finding.

  1. J · Immediate jeopardy, isolated

    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 F-0684

  2. F · Potential for more than minimal harm, widespread

    The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint F-0865

  3. D · Potential for more than minimal harm, isolated

    The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint F-0628

View all 48 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.

DateSeverityWhat the facility was cited for
Apr 10, 2026▲ J · Immediate jeopardy, isolatedThe 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 · F-0684
Apr 10, 2026F · Potential for more than minimal harm, widespreadThe facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint · F-0865
Apr 10, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint · F-0628
Apr 10, 2026D · Potential for more than minimal harm, isolatedThe facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. · from a complaint · F-0710
Apr 10, 2026D · Potential for more than minimal harm, isolatedThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726
Feb 19, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0677
Feb 19, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0755
Apr 17, 2024E · Potential for more than minimal harm, patternThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Apr 17, 2024D · Potential for more than minimal harm, isolatedThe facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554
Apr 17, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0580
Apr 17, 2024D · Potential for more than minimal harm, isolatedThe 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
Apr 17, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0625
Apr 17, 2024D · Potential for more than minimal harm, isolatedThe 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
Apr 17, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Apr 17, 2024D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Apr 17, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0677
Apr 17, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Apr 17, 2024D · Potential for more than minimal harm, isolatedThe 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
Apr 17, 2024D · Potential for more than minimal harm, isolatedThe 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
Apr 17, 2024D · Potential for more than minimal harm, isolatedThe facility did not bring in qualified outside professionals to provide a required service when it didn't have a qualified professional on staff. · F-0840
Apr 17, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Apr 17, 2024D · Potential for more than minimal harm, isolatedThe 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
Jul 14, 2022E · Potential for more than minimal harm, patternThe 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
Jul 14, 2022E · Potential for more than minimal harm, patternThe 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
Jul 14, 2022D · Potential for more than minimal harm, isolatedThe 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
Jul 14, 2022D · Potential for more than minimal harm, isolatedThe 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
Jul 14, 2022D · Potential for more than minimal harm, isolatedThe 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
Jul 14, 2022D · Potential for more than minimal harm, isolatedThe 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
Jul 14, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0625
Jul 14, 2022D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jul 14, 2022D · Potential for more than minimal harm, isolatedThe 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
Jul 14, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Jul 14, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0677
Jul 14, 2022D · Potential for more than minimal harm, isolatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Jul 14, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0756
Jul 14, 2022D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Jul 14, 2022D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Feb 27, 2020E · Potential for more than minimal harm, patternThe 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
Feb 27, 2020E · Potential for more than minimal harm, patternThe 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
Feb 27, 2020E · Potential for more than minimal harm, patternThe 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
Feb 27, 2020D · Potential for more than minimal harm, isolatedThe 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
Feb 27, 2020D · Potential for more than minimal harm, isolatedThe 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. · F-0600
Feb 27, 2020D · Potential for more than minimal harm, isolatedThe 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
Feb 27, 2020D · Potential for more than minimal harm, isolatedThe 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
Feb 27, 2020D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Feb 27, 2020D · Potential for more than minimal harm, isolatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Feb 27, 2020D · Potential for more than minimal harm, isolatedThe facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · F-0740
Feb 27, 2020C · Potential for minimal harm, widespreadThe facility did not dispose of garbage and refuse properly. · F-0814

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (15 → 15).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2020
All citations: 11
Serious citations (G–L): 0
2022
All citations: 15
Serious citations (G–L): 0
2024
All citations: 15
Serious citations (G–L): 0
2025
All citations: 2
Serious citations (G–L): 0
2026
All citations: 5
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2020110E
2022150E
2024150E
202520D
202651J ▲

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)

How to file a complaint about care →

1 fine totaling $22,509.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Apr 10, 2026Fine$22,509

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityVirginia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.07
Virginia average: 3.67
U.S. average: 3.95
Registered Nurse hours
This facility: 0.68
Virginia average: 0.66
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.76
Virginia average: 3.21
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityVirginia avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.073.673.95bottom 29% in Virginia; bottom 16% in the U.S.
Registered Nurse hours0.680.660.69top 24% in Virginia; top 39% in the U.S.
Weekend total nurse staffing2.763.213.50bottom 37% in Virginia; bottom 19% in the U.S.
Weekend RN hours (not acuity-adjusted)0.610.460.48top 16% in Virginia; top 22% in the U.S.
Total nursing staff turnover (%)58.148.145.8bottom 27% in Virginia; bottom 19% in the U.S.
RN turnover (%)43.848.242.9top 41% in Virginia; bottom 46% 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 3.93, RN 0.86, weekend 3.54.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.93 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

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 Lake Manassas Health & Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.

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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 - Limited Liability company

Owner / managerTypeRoleStakeSince
Charles 1994 Family Grantor TrustOrganization5% or Greater Indirect Ownership Interest—05/28/2021
Chesapeake East LLCOrganization5% or Greater Indirect Ownership Interest—05/28/2021
Edward 1998 Family Grantor TrustOrganization5% or Greater Indirect Ownership Interest—05/28/2021
Ek 2005 Family TrustOrganization5% or Greater Indirect Ownership Interest—05/28/2021
Fay 2014 Family Grantor TrustOrganization5% or Greater Indirect Ownership Interest—05/28/2021
Fay 2014 LLCOrganization5% or Greater Indirect Ownership Interest—05/28/2021
Lak Manassas Holdings LLCOrganization5% or Greater Direct Ownership Interest100%05/28/2021
LL 2013 Family TrustOrganization5% or Greater Indirect Ownership Interest—05/28/2021
MMS 2008 Family TrustOrganization5% or Greater Indirect Ownership Interest—05/28/2021
MZR East LLCOrganization5% or Greater Indirect Ownership Interest—05/28/2021
Saul 2012 Family Grantor TrustOrganization5% or Greater Indirect Ownership Interest—05/28/2021
Silverstone East LLCOrganization5% or Greater Indirect Ownership Interest—05/28/2021
Sol 2000 Family Grantor TrustOrganization5% or Greater Indirect Ownership Interest—05/28/2021
Sol 2000 LLCOrganization5% or Greater Indirect Ownership Interest—05/28/2021
Stevens 3920 & Family LLCOrganization5% or Greater Indirect Ownership Interest—05/28/2021
Stevens 3920 Family Grantor TrustOrganization5% or Greater Indirect Ownership Interest—05/28/2021
Stevens 3920 LLCOrganization5% or Greater Indirect Ownership Interest—05/28/2021
Greene, BeverlyIndividualW-2 Managing EmployeeNOT APPLICABLE09/12/2023
Rylbss East Manager LLCOrganizationOperational/Managerial ControlNOT APPLICABLE05/28/2021

All 19 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Lifeworks Rehab — 64 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.

Listed by state, then facility name — not a ranking. Showing 8 of the 63 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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

  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
  • "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
  • "Who would be my family member's attending doctor here, and how often would they be seen?"
  • "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
  • "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
  • "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
  • "How do you coordinate and monitor care for residents who receive dialysis?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Virginia midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 58% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 19 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)

FacilityDistanceCityOverallInspectionFlags
Gainesville Health and Rehab Center3.0 miGainesville, VA★★★☆☆3/5
Manassas Health and Rehab Center8.1 miManassas, VA★★★☆☆3/5
Brookside Rehab & Nursing Center8.5 miWarrenton, VA★☆☆☆☆1/5abuse
Poplar Hill Health and Rehab9.6 miWarrenton, VA★★☆☆☆2/5
Birmingham Green10.8 miManassas, VA★★★★★5/5
Dulles Health & Rehab Center16.1 miHerndon, VA★★★★☆3/5
Fair Oaks Health & Rehabilitation16.1 miFairfax, VA★☆☆☆☆1/5
Fairfax Rehabilitation and Nursing Center18.9 miFairfax, VA★★☆☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Prince William, VA — 4 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Gainesville →

Facility data as of CMS processing date 2026-08-01. CCN 495424.

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