Louisa Health & Rehabilitation Center

Name: Louisa Health & Rehabilitation Center
Address: 210 ELM STREET, Louisa, VA, 23093, US
Telephone: 5409672250

210 Elm Street, Louisa, VA 23093 · Louisa County · 90 certified beds · avg 87 residents/day · certified since Oct 1, 1993

Part of chain: LIFEWORKS REHAB (64 facilities, chain avg rating 2.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.94

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 (22)

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
May 28, 2025	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
May 28, 2025	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. · from a complaint
Jan 26, 2023	E · Potential for harm, repeated	The 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.
Jan 26, 2023	E · Potential for harm, repeated	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.
Jan 26, 2023	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Jan 26, 2023	E · Potential for harm, repeated	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.
Jan 26, 2023	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.
Jan 26, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jan 26, 2023	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.
Jan 26, 2023	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 26, 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.
Jan 26, 2023	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.
Apr 22, 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.
Apr 22, 2021	E · Potential for harm, repeated	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.
Apr 22, 2021	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Apr 22, 2021	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.
Apr 22, 2021	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.
Apr 22, 2021	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.
Apr 22, 2021	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Oct 4, 2018	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.
Oct 4, 2018	C · Minimal risk, facility-wide	The facility did not honor residents' right to manage their own money and financial affairs.
Oct 4, 2018	B · Minimal risk, repeated	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 10).

Year	Citations	Worst severity that year
2018	3	D
2021	7	E
2023	10	E
2025	2	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)	2.94	3.67	3.95	bottom 19% in Virginia; bottom 12% in the U.S.
Registered Nurse hours	0.41	0.66	0.69	bottom 27% in Virginia; bottom 23% in the U.S.
Weekend total nurse staffing	2.78	3.21	3.50	bottom 39% in Virginia; bottom 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.46	0.46	0.48	top 25% in Virginia; top 38% in the U.S.
Total nursing staff turnover (%)	45.8	48.1	45.8	top 43% in Virginia; bottom 48% in the U.S.
RN turnover (%)	30.0	48.2	42.9	top 19% in Virginia; top 29% 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 3.43, RN 0.47, weekend 3.24. 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: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Ak 2003 Family Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Al 2003 Family Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Central Bay LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Charles 1994 Family Grantor Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Edward 1998 Family Grantor Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Golden 2017 LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Louisa Holdings I LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/28/2021
Matt 2002 LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
MRCZ Central LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Nathan 5604 & Family LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Nathan 5604 LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Pivotal Central LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Sas 1998 Family Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Saul 2012 Family Grantor Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Rybst Central Manager LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/28/2021
Scholes, Monique	Individual	W-2 Managing Employee	NOT APPLICABLE	09/13/2023

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 keep residents' medical records accurate, complete, and secure?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"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
Dogwood Village of Orange County Health and Rehab	17.2 mi	Orange, VA	★★★★☆	3/5
Chelsea Rehabilitation and Healthcare Center	19.6 mi	Goochland, VA	★★★☆☆	2/5	abuse

Compare this facility with the 2 closest →

All facilities in Louisa →

Facility data as of CMS processing date 2026-08-01. CCN 495282.

The Care File

Visit checklist — Louisa Health & Rehabilitation Center

210 Elm Street, Louisa, VA 23093 · 5409672250

Health inspection rating 3/5 · CMS overall 3/5· 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 keep residents' medical records accurate, complete, and secure?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "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 495282 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)