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Lee Health and Rehab Center
208 Health Care Drive, Pennington Gap, VA 24277 (opens Google Maps) · Lee County · (276) 546-4566· 110 certified beds · avg 107 residents/day · certified since Aug 2, 2001 · 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: COMMONWEALTH CARE OF ROANOKE (12 facilities, chain avg rating 3.6★)
5/5
Health inspection rating (on-site)
inspected Mar 6, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.15
Nurse hours/resident/day (adjusted)
Every record stays on this page.
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: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
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.
Inspection findings in the public record
Showing the latest 3 of 7 inspection findings. Open the full record below to read every finding.
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 F-0580
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
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. F-0812
View all 7 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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 8, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0580 |
| Mar 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Mar 6, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
| Jun 2, 2022 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Jan 9, 2020 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jan 9, 2020 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Jan 9, 2020 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 2).
All citationsSerious citations (G–L)
2020
All citations: 3
Serious citations (G–L): 0
2022
All citations: 1
Serious citations (G–L): 0
2025
All citations: 2
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 3 | 0 | D |
| 2022 | 1 | 0 | D |
| 2025 | 2 | 0 | D |
| 2026 | 1 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityVirginia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.15
Virginia average: 3.67
U.S. average: 3.95
Registered Nurse hours
This facility: 0.38
Virginia average: 0.66
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.72
Virginia average: 3.21
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 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 3.47, RN 0.42, weekend 3.00.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.47 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Lee Health and Rehab Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 / 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 |
All 5 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 Commonwealth Care of Roanoke — 12 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.
- Manassas Health and Rehab Center — Manassas, VA · overall 3/5
- Potomac Falls Health & Rehab Center — Sterling, VA · overall 3/5
- Radford Health and Rehab Center — Radford, VA · overall 4/5
- River View on the Appomattox Health & Rehab Center — Hopewell, VA · overall 1/5abuse
- The Woodlands Health and Rehab Center — Clifton Forge, VA · overall 5/5
- Abingdon Health & Rehab Center — Abingdon, VA · overall 5/5
- Carriage Hill Health & Rehab Center — Fredericksburg, VA · overall 3/5
- Chase City Health and Rehab Center — Chase City, VA · overall 5/5
Listed by state, then facility name — not a ranking. Showing 8 of the 11 others, continuing from this facility's own place in that list.
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?"
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 39% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 495352.
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