Federal inspection record · CMS data as of October 1, 2026
APPOMATTOX HEALTH & REHABILITATiON CENTER
235 Evergreen Ave, Appomattox, VA · (434) 352-7420
- Certified beds
- 60
- Residents per day
- 54
- Ownership
- For-Profit
- Chain
- Lifeworks Rehab
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 7, 1989
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
APPOMATTOX HEALTH & REHABILITATiON CENTER carries 97 inspection points. That is fewer than 34% of Virginia's 287 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–45 pts
- 3★ 45–76.5 pts
- 2★ 76.5–168.75 pts
- 1★ over 168.75 pts
Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
39 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Quality of Life and Care13E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide enough food/fluids to maintain a resident's health.
- E
Provide or obtain dental services for each resident.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning11E
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Pharmacy Service3E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
Resident Rights3D
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2023-05-10
17 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2021-07-29
19 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
2019-03-07
3 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 29 min of nursing staff time a day, 53 min of it from a registered nurse.
This home
3 h 29 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 67% of nursing staff and 64% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$18,636 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-13 | Fine | $8,278 |
| 2025-08-13 | Fine | $10,358 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.3 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 1.9 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.9 pts worse | 90.3% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.6 pts worse | 86.7% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 3.0% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.7 pts worse | 27.2% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.3 pts better | 0.0% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.9 pts worse | 21.6% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.9 pts better | 12.3% | 14.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.7 pts better | 11.5% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.1 pts worse | 16.6% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.0% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 0.7% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.2 pts worse | 30.5% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 4.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.2 pts worse | 59.0% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.6 pts worse | 16.1% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine35.9 pts worse | 37.4% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.2 pts worse | 26.2% | 22.0% | 23.4% |
·
Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Appomattox Holdings I LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Ak 2003 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Al 2003 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Charles 1994 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 40 facilities |
| Cook Ii, Timothy | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Cook Ii, Timothy | Corporate Director · Individual | 0% | 1 facilities |
| Edward 1998 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 38 facilities |
| Golden 2017 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Golden 2017 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Matt 2002 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Matt 2002 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Mrcz Central LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Nathan 5604 & Family LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Nathan 5604 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Nathan 5604 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Pivotal Central LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Rybst Central Manager LLC | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Sas 1998 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Saul 2012 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 39 facilities |
| Silverstone East LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 18 facilities |
·
Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D
Have proper openings in smoke barrier doors.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have an enclosure around a vertical opening shaft.
- E
Install an approved automatic sprinkler system.
Services3F
- E
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress1E
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Miscellaneous1D
- D
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
·
Other homes nearby
-
Guggenheimer Health And Rehab Center
Lynchburg, VA · Hill Valley Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 30 min
- Fines
- $76,681
-
Liberty Ridge Health & Rehab
Lynchburg, VA · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 25 min
- Fines
- $10,033
-
Forest Health & Rehab Center
Lynchburg, VA · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 30 min
- Fines
- $0