Monroe Health & Rehab Center
1150 Northwest Drive, Charlottesville, VA 22901 · Albemarle County · 180 certified beds · avg 132 residents/day · certified since Feb 27, 1998
Part of chain: SABER HEALTHCARE GROUP (126 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Aug 21, 2025 · F-0689 · triggered by a complaint
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: Sep 29, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (32)
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 23, 2026 | F · Potential for harm, facility-wide | 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. |
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 23, 2026 | D · Potential for harm, one-off | 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 23, 2026 | 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 23, 2026 | 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. |
| Apr 23, 2026 | 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. |
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. |
| Apr 23, 2026 | 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. |
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Apr 23, 2026 | 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. |
| Aug 21, 2025 | ▲ 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. · from a complaint |
| Aug 21, 2025 | F · Potential for harm, facility-wide | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint |
| Aug 21, 2025 | D · Potential for harm, one-off | The 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. · from a complaint |
| Aug 21, 2025 | 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. · from a complaint |
| Aug 21, 2025 | 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. · from a complaint |
| Aug 21, 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. · from a complaint |
| Aug 21, 2025 | 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. · from a complaint |
| Aug 21, 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 |
| Jul 30, 2024 | 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. · from a complaint |
| Jul 30, 2024 | 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 |
| Jul 21, 2022 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 21, 2022 | D · Potential for harm, one-off | The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. |
| Jul 21, 2022 | D · Potential for harm, one-off | 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. |
| Jul 21, 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. |
| Jul 21, 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. |
| Jul 21, 2022 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Jul 21, 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. |
| Mar 12, 2020 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 12, 2020 | 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. |
| Mar 12, 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. |
| Mar 12, 2020 | 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. |
| Mar 12, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 5 | 0 | E |
| 2022 | 7 | 0 | E |
| 2024 | 2 | 0 | D |
| 2025 | 8 | 1 | G ▲ |
| 2026 | 10 | 0 | F |
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)
1 fine totaling $10,539.
| Date | Type | Amount / length |
|---|---|---|
| Aug 21, 2025 | Fine | $10,539 |
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) | 3.18 | 3.67 | 3.95 | bottom 35% in Virginia; bottom 21% in the U.S. |
| Registered Nurse hours | 0.45 | 0.66 | 0.69 | bottom 36% in Virginia; bottom 30% in the U.S. |
| Weekend total nurse staffing | 2.68 | 3.21 | 3.50 | bottom 32% in Virginia; bottom 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.46 | 0.48 | bottom 33% in Virginia; bottom 24% in the U.S. |
| Total nursing staff turnover (%) | 45.0 | 48.1 | 45.8 | top 39% in Virginia; bottom 50% in the U.S. |
| RN turnover (%) | 61.1 | 48.2 | 42.9 | bottom 26% in Virginia; bottom 20% 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 3.28, RN 0.47, weekend 2.77. 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: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| WWBV Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 09/30/2019 |
| Adkins, Kenneth | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/30/2023 |
| Cibc Bank USA | Organization | ADP of the SNF | NOT APPLICABLE | 02/26/2021 |
| Citrin Cooperman Advisors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2018 |
| Evans, Jonathan | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2018 |
| Monroe Real Estate Group, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 02/26/2021 |
| Morriss, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/07/2020 |
| Morriss, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 12/07/2020 |
| Nicoluzakis, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2019 |
| Saber Governance LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| SHG Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| The Huntington National Bank | Organization | ADP of the SNF | NOT APPLICABLE | 06/28/2019 |
| Volpe, Benjamin | Individual | Corporate Director | NOT APPLICABLE | 03/01/2019 |
| Volpe, Benjamin | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2019 |
| Walker & Associates PC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2018 |
| Weisberg, William | Individual | Corporate Director | NOT APPLICABLE | 03/01/2019 |
| Weisberg, William | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2019 |
| Weisberg, William | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 01/22/2026 |
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?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How often does each resident's doctor visit and review their care in person?"
- "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 |
|---|---|---|---|---|---|
| The Laurels of Charlottesville | 0.8 mi | Charlottesville, VA | ★★★☆☆ | 2/5 | |
| Colonnades Health Care Center | 0.9 mi | Charlottesville, VA | ★★☆☆☆ | 1/5 | abuse |
| Cedars Healthcare Center | 1.0 mi | Charlottesville, VA | ★★☆☆☆ | 2/5 | |
| Our Lady of Peace INC | 1.1 mi | Charlottesville, VA | ★★★☆☆ | 2/5 | |
| Charlottesville Health & Rehabilitation Center | 1.3 mi | Charlottesville, VA | ★★☆☆☆ | 2/5 | |
| Westminster Canterbury Blue Ri | 4.1 mi | Charlottesville, VA | ★★★★★ | 3/5 | |
| Albemarle Health & Rehabilitation Center | 5.1 mi | Charlottesville, VA | ★★☆☆☆ | 1/5 | |
| Greene Acres Rehabilitation and Nursing | 15.7 mi | Stanardsville, VA | ★★★☆☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 495326.