Federal inspection record · CMS data as of October 1, 2026
Falls Run Nursing And Rehabilitation
140 Brimley Drive, Fredericksburg, VA · (540) 752-0111
- Certified beds
- 90
- Residents per day
- 84
- Ownership
- For-Profit
- Chain
- Saber Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 21, 2010
1
How this home got 4 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.
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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
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Falls Run Nursing And Rehabilitation carries 47 inspection points. That is fewer than 63% 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
28 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning7E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 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
Ensure each resident receives an accurate assessment.
- 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.
Quality of Life and Care7E
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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 and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- 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.
Resident Rights7E
- 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.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Keep residents' personal and medical records private and confidential.
- 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
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Pharmacy Service3E
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1D
- D
Observe each nurse aide's job performance and give regular training.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2023-03-16
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2021-08-26
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2019-09-06
10 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 50 min of nursing staff time a day, 49 min of it from a registered nurse.
This home
3 h 50 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 46% 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
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 days0.2 pts better | 1.2 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 0.7 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.8 pts better | 100.0% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts better | 98.2% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts better | 1.4% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.5 pts worse | 30.0% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight4 pts better | 1.3% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.7 pts better | 19.0% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.8 pts better | 5.4% | 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 worsened8.7 pts worse | 22.9% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.7 pts better | 6.8% | 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 infection1.6 pts better | 0.0% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts better | 21.0% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.4 pts better | 0.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine25.7 pts better | 99.9% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.2 pts better | 6.3% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.1% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22 pts better | 95.3% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.7 pts better | 19.3% | 22.0% | 23.4% |
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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 |
|---|---|---|---|
| Ahmad, Imran | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bundle Tenant LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Citrin Cooperman Advisors LLC | Adp Of The SNF · Organization | 0% | 110 facilities |
| Kulp, Jeffrey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kulp, Jeffrey | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ms Stafford, L.p. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Nicoluzakis, Gregory | Corporate Officer · Individual | 0% | 121 facilities |
| Nicoluzakis, Gregory | Adp Of The SNF · Individual | 0% | 121 facilities |
| Saber Governance LLC | Adp Of The SNF · Organization | 0% | 120 facilities |
| Saber Healthcare Group LLC | Adp Of The SNF · Organization | 0% | 77 facilities |
| Shg Management LLC | Operational/Managerial Control · Organization | 0% | 104 facilities |
| Shg Management LLC | Adp Of The SNF · Organization | 0% | 104 facilities |
| Tcf National Bank | Adp Of The SNF · Organization | 0% | 28 facilities |
| Volpe, Benjamin | Corporate Director · Individual | 0% | 121 facilities |
| Volpe, Benjamin | Corporate Officer · Individual | 0% | 121 facilities |
| Volpe, Benjamin | Adp Of The SNF · Individual | 0% | 121 facilities |
| Walker & Associates Pc | Adp Of The SNF · Organization | 0% | 47 facilities |
| Weisberg, William | Corporate Director · Individual | 0% | 123 facilities |
| Weisberg, William | Corporate Officer · Individual | 0% | 123 facilities |
| Weisberg, William | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 123 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress2F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke2F
- F
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems1D
- D
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Services1D
- D
Have elevators that firefighters can control in the event of a fire.
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Other homes nearby
-
Berea Health & Rehab Center
Fredericksburg, VA · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h
- Fines
- $0
-
Fredericksburg Health And Rehab
Fredericksburg, VA · Trio Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 30 min
- Fines
- $0
-
Woodmont Center
Fredericksburg, VA · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 32 min
- Fines
- $75,712