Federal inspection record · CMS data as of October 1, 2026
Augusta Nursing and Rehabilitation
83 Crossroad Lane, Fishersville, VA · (540) 885-8424
- Certified beds
- 112
- Residents per day
- 83
- Ownership
- For-Profit
- Chain
- Avardis Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 25, 1999
1
How this home got 1 star
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
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Staffing
★★★★★no change (already 1)
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.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Augusta Nursing and Rehabilitation carries 361.25 inspection points. That is fewer than 6% 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
81 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 (7)
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
K
Respond appropriately to all alleged violations.
-
K
Honor each resident's preferences, choices, values and beliefs.
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
H
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Everything else, by area of care
Resident Assessment and Care Planning15E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 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 services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 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 services provided by the nursing facility meet professional standards of quality.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights14E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Allow residents to self-administer drugs if determined clinically appropriate.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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.
- E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care12E
- E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
Nutrition and Dietary11F
- F
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- C
Dispose of garbage and refuse properly.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Pharmacy Service7E
- D
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.
- 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.
- E
Ensure medication error rates are not 5 percent or greater.
- 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.
- E
Ensure medication error rates are not 5 percent or greater.
- D
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.
- 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.
Freedom from Abuse, Neglect, and Exploitation6E
- 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.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nursing and Physician Services3E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Observe each nurse aide's job performance and give regular training.
Administration3E
- E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- D
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- D
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental1E
- E
Keep all essential equipment working safely.
Inspection history
2023-02-28
22 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (6 deficiencies)
2022-04-07
27 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2019-08-29
32 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 53 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
2 h 53 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 56% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.
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
$398,322 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-09-03 | Fine | $195,030 |
| 2024-08-06 | Fine | $203,292 |
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 days0.5 pts better | 0.9 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 0.8 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine11 pts worse | 80.2% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.8 pts worse | 87.5% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts worse | 6.0% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.7 pts better | 17.8% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts worse | 6.3% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts worse | 20.8% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.8 pts better | 6.4% | 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 worsened7.8 pts worse | 22.0% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.3 pts worse | 18.8% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.3% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.8% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence14.5 pts worse | 35.8% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts worse | 6.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine36.5 pts worse | 37.7% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.4 pts worse | 14.9% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine36.2 pts worse | 37.1% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.3 pts worse | 26.3% | 22.0% | 23.4% |
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Who owns and runs it
21 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 |
|---|---|---|---|
| Fisherville Parentco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Staunwayne Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 1 facilities |
| Baroco, Patrick | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Baroco, Patrick | Adp Of The SNF · Individual | 0% | 4 facilities |
| Clark, Alyssa | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Clark, Alyssa | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Clark, Alyssa | Adp Of The SNF · Individual | 0% | 9 facilities |
| Hoback, Tiffany | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Hoback, Tiffany | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Hoback, Tiffany | Adp Of The SNF · Individual | 0% | 45 facilities |
| Jackson, Karen | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Jackson, Karen | Adp Of The SNF · Individual | 0% | 3 facilities |
| Jones, Tequilla | Operational/Managerial Control · Individual | 0% | 40 facilities |
| Jones, Tequilla | Adp Of The SNF · Individual | 0% | 40 facilities |
| Joyce, David | Corporate Officer · Individual | 0% | 1 facilities |
| Joyce, David | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Joyce, David | Adp Of The SNF · Individual | 0% | 1 facilities |
| Maughan, Wendy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Maughan, Wendy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Snf Mgr LLC | Operational/Managerial Control · Organization | 0% | 43 facilities |
| Snf Mgr LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke1F
- F
Install a fire alarm system that can be heard throughout the facility.
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Other homes nearby
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Shenandoah Nursing Home
Fishersville, VA · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 31 min
- Fines
- $0
-
Augusta Medical Ctr Skilled Ca
Fishersville, VA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 6 h 33 min
- Fines
- $0
-
River Edge Rehabilitation And Nursing
Waynesboro, VA · Eastern Healthcare Group · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 20 min
- Fines
- $59,022