Manassas, VA

Manassas Health And Rehab Center

3-star overall rating with 3-star inspections with $16,376 in total fines with 6 recent health deficiencies

8575 Rixlew Lane, Manassas, VA

(703) 257-9770

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

116

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Commonwealth Care Of Roanoke

Operator or chain grouping

Approved since

1979-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 4 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.50

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

1.12

Licensed practical nurse staffing · state 1.00 · national 0.87

Aide hours / resident day

1.82

Nurse aide staffing · state 2.12 · national 2.35

Total nurse hours

3.44

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.62

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

2.99

Weekend nurse staffing · state 3.31 · national 3.43

Weekend RN hours

0.28

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

3.59

CMS adjusted total nurse staffing hours

Case-mix index

1.31

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 49% · national 45%

Total nurse turnover

36%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,352

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

44.77

Composite VBP score used to determine payment impact.

Payment multiplier

0.9979

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.46

Baseline 21.09% · Performance 20.76% · Measure score 1.46 · Achievement 1.46 · Improvement 0.32

Healthcare-associated infections

4.44

Baseline 6.28% · Performance 6.51% · Measure score 4.44 · Achievement 4.44 · Improvement 0

Total nurse turnover

Baseline 34.69% · Performance 20.48% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

2.01

Baseline 3.49 hours · Performance 3.65 hours · Measure score 2.01 · Achievement 2.01 · Improvement 0.21

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.6%	10.72% 0.9 pts worse	No Different than the National Rate · Eligible stays 272 · Observed rate 12.5% · Lower 95% interval 8.79%
Discharge to community	59.47%	50.57% 8.9 pts better	Better than the National Rate · Eligible stays 271 · Observed rate 53.14% · Lower 95% interval 52.81%
Medicare spending per beneficiary	0.89	1.02 0.1 pts better
Drug regimen review with follow-up	97.16%	95.27% 1.9 pts better	Numerator 137 · Denominator 141
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 141
Discharge self-care score	21.5%	53.69% 32.2 pts worse	Numerator 23 · Denominator 107
Discharge mobility score	20.56%	50.94% 30.4 pts worse	Numerator 22 · Denominator 107
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 136 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.51%	7.12% 0.6 pts better	No Different than the National Rate · Eligible stays 175 · Observed rate 5.71% · Lower 95% interval 4.3%
Staff COVID-19 vaccination coverage	0.88%	8.2% 7.3 pts worse	Numerator 1 · Denominator 113
Staff flu vaccination coverage	44.17%	42% 2.2 pts better	Numerator 53 · Denominator 120
Discharge function score	18.69%	56.45% 37.8 pts worse	Numerator 20 · Denominator 107
Transfer of health information to provider	97.25%	95.95% 1.3 pts better	Numerator 106 · Denominator 109
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	11.86%	25.2% 13.3 pts worse	Numerator 7 · Denominator 59

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.6	1.5 0.9 pts better	1.9 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.7 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	1.4 0.3 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.1%	91.2% 7.9 pts better	93.4% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 97.6% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.0% 6 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.2%	3.6% 0.4 pts better	3.3% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.6% · Q3 3.4% · Q4 2.2% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.6%	15.7% 10.1 pts better	11.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 4.2% · Q3 7.5% · Q4 5.9% · 4Q avg 5.6%
Percentage of long-stay residents who lose too much weight	5.3%	5.7% 0.4 pts better	5.4% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 7.3% · Q3 1.2% · Q4 2.3% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.1%	20.2% 0.1 pts better	19.6% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 20.5% · Q3 18.8% · Q4 18.2% · 4Q avg 20.1%
Percentage of long-stay residents who received an antipsychotic medication	28.5%	15.0% 13.5 pts worse	16.7% 11.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 29.0% · Q3 29.9% · Q4 29.3% · 4Q avg 28.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	19.5%	17.5% 2 pts worse	16.3% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 16.1% · Q3 17.4% · Q4 18.6% · 4Q avg 19.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	22.7%	15.7% 7 pts worse	14.9% 7.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 20.8% · Q3 17.1% · Q4 25.0% · 4Q avg 22.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	1.6% 1 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.3%	22.2% 2.1 pts worse	19.8% 4.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 26.5% · Q3 18.7% · Q4 27.9% · 4Q avg 24.3%
Percentage of long-stay residents with pressure ulcers	2.0%	5.2% 3.2 pts better	5.1% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.2% · Q3 1.8% · Q4 1.7% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.8%	74.6% 17.2 pts better	81.7% 10.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 91.7% · Q2 93.3% · Q3 91.0% · Q4 91.4% · 4Q avg 91.8%
Percentage of short-stay residents who had an outpatient emergency department visit	9.5%	11.7% 2.2 pts better	12.0% 2.5 pts better	Short Stay · 20240701-20250630 · Adjusted 9.5% · Observed 9.5% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.0%	1.2% 0.8 pts worse	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.8% · Q3 2.7% · Q4 1.9% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.4%	73.6% 20.8 pts better	79.7% 14.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.1%	22.0% 2.9 pts better	23.9% 4.8 pts better	Short Stay · 20240701-20250630 · Adjusted 19.1% · Observed 18.9% · Expected 23.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-03-10 · Fire 2022-03-10

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2021-03-05 · Fire 2021-03-05

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-06-20 · Fire 2019-06-20

17 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2019-06-20

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2019-08-13

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-22

F627 · Resident Rights Deficiencies

Health

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Not marked corrected

G · Actual harm 2024-02-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-03-26

G · Actual harm 2024-02-13

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-03-26

D · Potential for more than minimal harm 2024-02-13

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-03-26

D · Potential for more than minimal harm 2024-02-13

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-03-26

D · Potential for more than minimal harm 2024-02-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-26

D · Potential for more than minimal harm 2024-02-13

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-03-26

E · Potential for more than minimal harm 2022-03-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-04-19

E · Potential for more than minimal harm 2022-03-10

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2022-04-19

D · Potential for more than minimal harm 2022-03-10

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-04-19

D · Potential for more than minimal harm 2022-03-10

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-04-19

D · Potential for more than minimal harm 2022-03-10

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-04-19

F · Potential for more than minimal harm 2021-03-05

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2021-04-14

E · Potential for more than minimal harm 2021-03-05

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-04-14

D · Potential for more than minimal harm 2021-03-05

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2021-04-14

D · Potential for more than minimal harm 2021-03-05

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2021-04-14

D · Potential for more than minimal harm 2021-03-05

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2021-04-14

D · Potential for more than minimal harm 2021-03-05

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2021-04-14

D · Potential for more than minimal harm 2021-03-05

F700 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2021-04-14

E · Potential for more than minimal harm 2019-06-20