Federal inspection record · CMS data as of October 1, 2026
Jamestown Health and Rehabilitation
1811 Jamestown Road, Williamsburg, VA · (757) 229-9991
- Certified beds
- 90
- Residents per day
- 85
- Ownership
- For-Profit
- Chain
- Avardis Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 10, 1989
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
Jamestown Health and Rehabilitation carries 46.5 inspection points. That is fewer than 64% 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
29 health citations on record since 2020. 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 (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights8E
- E
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- B
Reasonably accommodate the needs and preferences of each resident.
- B
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.
Quality of Life and Care6D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- 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
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control4E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Perform COVID19 testing on residents and staff.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Nutrition and Dietary3D
- D
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
- 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.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Assessment and Care Planning2D
- 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.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Administration1D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspection history
2024-04-25
4 health deficiencies · 6 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2022-05-12
14 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2020-03-05
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 22 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 22 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 56% 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
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 days0.9 pts better | 0.5 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0.6 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.4 pts better | 99.6% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.7 pts better | 100.0% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 1.9% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms19.7 pts better | 0.8% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.3 pts worse | 7.6% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.3 pts worse | 21.0% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.5 pts worse | 15.7% | 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 worsened6 pts better | 8.2% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.8 pts better | 7.7% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.2% | 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 incontinence6 pts better | 15.3% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts worse | 6.9% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23.3 pts better | 97.5% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.8 pts worse | 13.3% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 0.5% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.4 pts better | 94.7% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.1 pts worse | 24.1% | 22.0% | 23.4% |
·
Who owns and runs it
18 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 |
|---|---|---|---|
| James City Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 1 facilities |
| Williamsburg Parentco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Adams, Sebastian | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Adams, Sebastian | Adp Of The SNF · Individual | 0% | 1 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 |
| Jones, Tequilla | Operational/Managerial Control · Individual | 0% | 40 facilities |
| Jones, Tequilla | Adp Of The SNF · Individual | 0% | 40 facilities |
| Morgan, Daniel | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Morgan, Daniel | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Morgan, Daniel | Adp Of The SNF · Individual | 0% | 10 facilities |
| Reid, Lori | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Reid, Lori | 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 |
| Walters, Robert | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Walters, Robert | Adp Of The SNF · Individual | 0% | 3 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous3E
- E
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- B
Provide a written emergency evacuation plan.
Smoke2E
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Meet other general requirements.
Gas, Vacuum, and Electrical Systems2E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Egress1D
- D
Install emergency lighting that can last at least 1 1/2 hours.
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Other homes nearby
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Woodhaven Hall at Williamsburg Landing
Williamsburg, VA
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 53 min
- Fines
- $36,374
-
Riverside Lifelong Health & Rehabilitation Patriot
Williamsburg, VA · Riverside Health System
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 8 min
- Fines
- $0
-
Williamsburg Post Acute & Rehabilitation
Williamsburg, VA · Hill Valley Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 7 min
- Fines
- $0