Federal inspection record · CMS data as of October 1, 2026
Louisa Health & Rehabilitation Center
210 Elm Street, Louisa, VA · (540) 967-2250
- Certified beds
- 90
- Residents per day
- 84
- Ownership
- For-Profit
- Chain
- Lifeworks Rehab
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1993
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.
-
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Louisa Health & Rehabilitation Center carries 53 inspection points. That is fewer than 60% 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
22 health citations on record since 2018. 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 Rights5D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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 be treated with respect and dignity and to retain and use personal possessions.
- C
Honor the resident's right to manage his or her financial affairs.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning5E
- 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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care3E
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service3E
- E
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.
- 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 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.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- 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.
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.
Inspection history
2023-01-26
10 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2021-04-22
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2018-10-04
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 33 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 33 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 33% 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 days1.1 pts better | 0.3 | 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 injury0.5 pts worse | 4.0% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms23.5 pts worse | 44.0% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.7 pts better | 1.6% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.2 pts better | 18.5% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.8 pts worse | 25.0% | 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 worsened8.9 pts better | 5.3% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7 pts better | 7.5% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 1.1% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 1.1% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.1 pts worse | 21.4% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts worse | 5.9% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.6 pts better | 96.8% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.9 pts better | 6.6% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.3 pts worse | 3.6% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.3 pts better | 83.6% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts worse | 25.7% | 22.0% | 23.4% |
·
Who owns and runs it
16 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 |
|---|---|---|---|
| Louisa 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 |
| Edward 1998 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 38 facilities |
| Golden 2017 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 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 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 |
| Scholes, Monique | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Silverstone East LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 18 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems3E
- E
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Emergency Preparedness2C
- C
List the names and contact information of those in the facility.
- C
Provide emergency officials' contact information.
Egress1D
- D
Install emergency lighting that can last at least 1 1/2 hours.
·
Other homes nearby
-
★★★★★
- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 4 min
- Fines
- $0
-
Chelsea Rehabilitation And Healthcare Center
Goochland, VA · Marquis Health Services · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 10 min
- Fines
- $10,033
-
Oakhurst Health & Rehabilitation
Fork Union, VA · Hill Valley Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 54 min
- Fines
- $18,590