Lee Health and Rehab Center

Name: Lee Health and Rehab Center
Address: 208 HEALTH CARE DRIVE, Pennington Gap, VA, 24277, US
Telephone: 2765464566

208 Health Care Drive, Pennington Gap, VA 24277 · Lee County · 110 certified beds · avg 107 residents/day · certified since Aug 2, 2001

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

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.15

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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 (7)

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 8, 2026	D · Potential for harm, one-off	The 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. · from a complaint
Mar 6, 2025	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.
Mar 6, 2025	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.
Jun 2, 2022	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.
Jan 9, 2020	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.
Jan 9, 2020	D · Potential for harm, one-off	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.
Jan 9, 2020	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 2).

Year	Citations	Worst severity that year
2020	3	D
2022	1	D
2025	2	D
2026	1	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)	3.15	3.67	3.95	bottom 34% in Virginia; bottom 19% in the U.S.
Registered Nurse hours	0.38	0.66	0.69	bottom 22% in Virginia; bottom 20% in the U.S.
Weekend total nurse staffing	2.72	3.21	3.50	bottom 34% in Virginia; bottom 17% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.46	0.48	bottom 32% in Virginia; bottom 23% in the U.S.
Total nursing staff turnover (%)	39.3	48.1	45.8	top 29% in Virginia; top 35% in the U.S.
RN turnover (%)	38.5	48.2	42.9	top 32% in Virginia; top 44% 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 3.47, RN 0.42, weekend 3.00. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

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	06/14/2007
Petrine, Deborah	Individual	Corporate Officer	NOT APPLICABLE	08/07/2001
Rehnborg, Charles	Individual	W-2 Managing Employee	NOT APPLICABLE	01/13/2022
Tucker, David	Individual	Corporate Officer	NOT APPLICABLE	07/01/2006

Questions to ask on your visit

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

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Ridgecrest Manor Nursing & Rehabilitation	13.3 mi	Duffield, VA	★★★★☆	4/5
Tri Cities Rehabilitation and Healthcare Center	15.0 mi	Cumberland, KY	★★☆☆☆	2/5
Harlan Health and Rehabilitation Center	15.1 mi	Harlan, KY	★☆☆☆☆	2/5
Hancock Manor Nursing Home	17.7 mi	Sneedville, TN	★★★★☆	4/5
Heritage Hall Big Stone Gap	18.4 mi	Big Stone Gap, VA	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Pennington Gap →

Facility data as of CMS processing date 2026-08-01. CCN 495352.

The Care File

Visit checklist — Lee Health and Rehab Center

208 Health Care Drive, Pennington Gap, VA 24277 · 2765464566

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

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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 495352 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)