The Springs Nursing & Rehab Center

167 Spring Street, Hot Springs, VA 24445 (opens Google Maps) · Bath County · (540) 839-2299· 60 certified beds · avg 55 residents/day · certified since Sep 28, 1990 · 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 →

4/5

Health inspection rating (on-site)

inspected Sep 20, 2023

Serious findings on record

Fines, last 3 years

4.61

Nurse hours/resident/day (adjusted)

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: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →

⚠ 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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.

Sep 20, 2023E · Potential for more than minimal harm, pattern
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
Sep 20, 2023E · Potential for more than minimal harm, pattern
The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. F-0883
Sep 20, 2023D · Potential for more than minimal harm, isolated
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. F-0607

View all 16 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
Sep 20, 2023	E · Potential for more than minimal harm, pattern	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
Sep 20, 2023	E · Potential for more than minimal harm, pattern	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Sep 20, 2023	D · Potential for more than minimal harm, isolated	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. · F-0607
Sep 20, 2023	D · Potential for more than minimal harm, isolated	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. · F-0656
Sep 20, 2023	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
Aug 10, 2022	E · Potential for more than minimal harm, pattern	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
Aug 10, 2022	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to receive the visitors they choose, at the times they choose. · F-0563
Aug 10, 2022	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Aug 10, 2022	D · Potential for more than minimal harm, isolated	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644
Aug 10, 2022	D · Potential for more than minimal harm, isolated	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. · F-0656
Aug 10, 2022	D · Potential for more than minimal harm, isolated	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693
Mar 23, 2021	D · Potential for more than minimal harm, isolated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · F-0600
Mar 23, 2021	D · Potential for more than minimal harm, isolated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610
Mar 23, 2021	D · Potential for more than minimal harm, isolated	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · F-0622
Mar 23, 2021	D · Potential for more than minimal harm, isolated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Mar 23, 2021	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 stayed about the same across the last two inspection cycles (6 → 5).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2021

2022

2023

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Worst severity that year
2021	5	D
2022	6	E
2023	5	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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityVirginia averageU.S. average

Total nurse staffing (hours per resident per day)

4.61

3.67

3.95

Registered Nurse hours

0.91

0.66

0.69

Weekend total nurse staffing

4.11

3.21

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)	4.61	3.67	3.95	top 17% in Virginia; top 20% in the U.S.
Registered Nurse hours	0.91	0.66	0.69	top 14% in Virginia; top 20% in the U.S.
Weekend total nurse staffing	4.11	3.21	3.50	top 16% in Virginia; top 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.46	0.46	0.48	top 26% in Virginia; top 38% in the U.S.
Total nursing staff turnover (%)	47.4	48.1	45.8	top 47% in Virginia; bottom 43% in the U.S.
RN turnover (%)	63.6	48.2	42.9	bottom 23% in Virginia; bottom 17% 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 3.91, RN 0.78, weekend 3.49.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.91 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for The Springs Nursing & 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 →

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

All 1 owning or managing party CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What are your visiting policies — can family visit any time the resident wants?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 47% 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
The Woodlands Health and Rehab Center	10.9 mi	Clifton Forge, VA	★★★★★	4/5
Alleghany Health and Rehab	11.1 mi	Clifton Forge, VA	★☆☆☆☆	1/5
Brian Center of Alleghany	12.9 mi	Low Moor, VA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Hot Springs →

Facility data as of CMS processing date 2026-08-01. CCN 495220.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — The Springs Nursing & Rehab Center

167 Spring Street, Hot Springs, VA 24445 · (540) 839-2299

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What are your visiting policies — can family visit any time the resident wants?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 47% 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?"

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 495220 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)