Federal inspection record · CMS data as of October 1, 2026
Lake Manassas Health & Rehabilitation Center
14935 Holly Knoll Lane, Gainesville, VA · (703) 743-3999
- Certified beds
- 120
- Residents per day
- 115
- Ownership
- For-Profit
- Chain
- Lifeworks Rehab
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 26, 2017
1
How this home got 3 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.
-
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
★★★★★+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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Lake Manassas Health & Rehabilitation Center carries 144.25 inspection points. That is fewer than 24% 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
48 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)
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care12E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
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
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.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Resident Rights11D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- 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
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
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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 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
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.
- D
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
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning11E
- 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.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 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
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.
- 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.
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 each resident’s drug regimen must be free from unnecessary 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.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
Administration2F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- D
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Nursing and Physician Services2D
- D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nutrition and Dietary2E
- 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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspection history
2024-04-17
20 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2022-07-14
17 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2020-02-27
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 3 min of nursing staff time a day, 56 min of it from a registered nurse.
This home
4 h 3 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 43% 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
$14,631 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-10 | Fine | $14,631 |
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 days0.4 pts better | 1.0 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 0.5 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine14.1 pts worse | 77.1% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.6 pts worse | 90.7% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts worse | 5.0% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.8 pts worse | 33.3% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts better | 4.2% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.9 pts better | 12.8% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.4 pts better | 2.8% | 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 worsened5.8 pts better | 8.4% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.6 pts better | 6.9% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.5% | 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 incontinence6.4 pts better | 14.9% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts worse | 5.4% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine27.1 pts worse | 47.1% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.8 pts better | 10.7% | 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 vaccine13.6 pts worse | 59.7% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.1 pts worse | 22.1% | 22.0% | 23.4% |
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Who owns and runs it
19 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 |
|---|---|---|---|
| Lak Manassas Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Charles 1994 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 40 facilities |
| Chesapeake East LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Edward 1998 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 38 facilities |
| Ek 2005 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Fay 2014 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Fay 2014 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Greene, Beverly | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Ll 2013 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Mms 2008 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Mzr East LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Rylbss East Manager LLC | Operational/Managerial Control · Organization | 0% | 9 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 |
| Sol 2000 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Sol 2000 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Stevens 3920 & Family LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Stevens 3920 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Stevens 3920 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Construction1E
- E
Meet other general requirements.
Egress1D
- D
Install emergency lighting that can last at least 1 1/2 hours.
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Other homes nearby
-
Gainesville Health And Rehab Center
Gainesville, VA · Commonwealth Care Of Roanoke
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 23 min
- Fines
- $0
-
Manassas Health And Rehab Center
Manassas, VA · Commonwealth Care Of Roanoke
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 43 min
- Fines
- $16,376
-
Brookside Rehab & Nursing Center
Warrenton, VA · Hill Valley Healthcare · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 12 min
- Fines
- $109,725