The Culpeper
12425 Village Loop, Culpeper, VA 22701 · Culpeper County · 47 certified beds · avg 40 residents/day · certified since Feb 1, 2010
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
⚠ 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Feb 18, 2021 · F-0686
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Mar 22, 2021 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 |
|---|---|---|
| Oct 18, 2023 | E · Potential for harm, repeated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Oct 18, 2023 | E · Potential for harm, repeated | 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. |
| Oct 18, 2023 | 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. |
| Oct 18, 2023 | 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. |
| Oct 18, 2023 | 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. |
| Oct 18, 2023 | 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. |
| Oct 18, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Oct 18, 2023 | 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. |
| Oct 18, 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. |
| Oct 18, 2023 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Apr 7, 2022 | 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 7, 2022 | E · Potential for harm, repeated | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Apr 7, 2022 | D · Potential for harm, one-off | 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. |
| Apr 7, 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. |
| Apr 7, 2022 | 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. |
| Feb 18, 2021 | ▲ G · Actual 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. |
| Feb 18, 2021 | 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. |
| Feb 18, 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. |
| Feb 18, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 4 | 1 | G ▲ |
| 2022 | 5 | 0 | F |
| 2023 | 10 | 0 | E |
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) | 6.27 | 3.67 | 3.95 | top 4% in Virginia; top 3% in the U.S. |
| Registered Nurse hours | 1.47 | 0.66 | 0.69 | top 5% in Virginia; top 5% in the U.S. |
| Weekend total nurse staffing | 5.33 | 3.21 | 3.50 | top 4% in Virginia; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.24 | 0.46 | 0.48 | top 3% in Virginia; top 3% in the U.S. |
| Total nursing staff turnover (%) | 20.0 | 48.1 | 45.8 | top 3% in Virginia; top 3% in the U.S. |
| RN turnover (%) | 9.1 | 48.2 | 42.9 | top 2% in Virginia; top 3% 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 5.69, RN 1.33, weekend 4.83. Staffing rating: 5/5.
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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Albritton, Tracey | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2021 |
| Bales, James | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
| Brooks, Sharon | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Browning, Herbert | Individual | Corporate Director | NOT APPLICABLE | 08/01/2009 |
| Carlton, Daniel | Individual | Corporate Officer | NOT APPLICABLE | 12/31/2021 |
| Carter, Valerie | Individual | Corporate Director | NOT APPLICABLE | 02/01/2018 |
| Cave, R | Individual | Corporate Director | NOT APPLICABLE | 12/31/2021 |
| Cliftonlarsonallen LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2012 |
| Cook, Jonathan | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| Franks, Tiffany | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Functional Pathways of Tennessee LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Harris, Charles | Individual | Corporate Director | NOT APPLICABLE | 08/01/2009 |
| Hawthorne, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 06/14/2021 |
| Jacobsen, James | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/01/2018 |
| Jung, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Keck, Michael | Individual | Corporate Director | NOT APPLICABLE | 08/01/2009 |
| Marchello, Sallie | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Markwith, Christopher | Individual | Corporate Officer | NOT APPLICABLE | 01/31/2018 |
| Moran, Christine | Individual | Corporate Officer | NOT APPLICABLE | 03/31/2021 |
| Oakey, Samuel | Individual | Corporate Director | NOT APPLICABLE | 08/01/2009 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you track that every resident's quarterly assessment happens on time?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "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 |
|---|---|---|---|---|---|
| Culpeper Health & Rehabilitation Center | 1.1 mi | Culpeper, VA | ★★☆☆☆ | 1/5 | |
| Mountain View Nursing Home | 12.4 mi | Aroda, VA | ★★★★★ | 4/5 | |
| Dogwood Village of Orange County Health and Rehab | 14.1 mi | Orange, VA | ★★★★☆ | 3/5 | |
| Autumn Care of Madison | 17.1 mi | Madison, VA | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 495400.