Nursing Care Index

Louisa Health & Rehabilitation Center

Louisa, Louisa County, Virginia · CCN 495282 · For-profit (LLC) · part of Lifeworks Rehab (64 facilities, chain average 2.1 stars)

CMS rates Louisa Health & Rehabilitation Center 3 of 5 overall as of August 2026. 90 certified beds, 87 residents a day on average. 22 citations on record from the current inspection cycles; no fines on record.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay5 / 3 of 5

Staffing

Total nurse staffing3.43216 hours per resident per day
Registered nurses0.47356 hours per resident per day
Weekend total3.24489 hours per resident per day
Nursing staff turnover45.8% (registered nurses 30%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-05-28
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2025-05-14
2025-05-28
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-25
2023-01-26 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-03-07
2023-01-26 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-03-07
2023-01-26 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-03-07
2023-01-26 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.
Pharmacy Service Deficiencies · tag F0758
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-03-07
2023-01-26 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-07
2023-01-26 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-07
2023-01-26 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-07
2023-01-26 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-07
2023-01-26 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-07
2023-01-26 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-07
2021-04-22 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-05-28
2021-04-22 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-05-28
2021-04-22 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · tag F0557
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-28
2021-04-22 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-28
2021-04-22 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-28
2021-04-22 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-28
2021-04-22 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-28
2018-10-04 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2018-10-19
2018-10-04 Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · tag F0567
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2018-10-19
2018-10-04 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2018-10-19

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Louisa Holdings I LLC
Organization
5% or greater direct ownership interest100%2021-05-28
Ak 2003 Family Trust
Organization
5% or greater indirect ownership interest2021-05-28
Al 2003 Family Trust
Organization
5% or greater indirect ownership interest2021-05-28
Central Bay LLC
Organization
5% or greater indirect ownership interest2021-05-28
Charles 1994 Family Grantor Trust
Organization
5% or greater indirect ownership interest2021-05-28
Edward 1998 Family Grantor Trust
Organization
5% or greater indirect ownership interest2021-05-28
Golden 2017 LLC
Organization
5% or greater indirect ownership interest2021-05-28
Matt 2002 LLC
Organization
5% or greater indirect ownership interest2021-05-28
Mrcz Central LLC
Organization
5% or greater indirect ownership interest2021-05-28
Nathan 5604 & Family LLC
Organization
5% or greater indirect ownership interest2021-05-28
Nathan 5604 LLC
Organization
5% or greater indirect ownership interest2021-05-28
Pivotal Central LLC
Organization
5% or greater indirect ownership interest2021-05-28
Sas 1998 Family Trust
Organization
5% or greater indirect ownership interest2021-05-28
Saul 2012 Family Grantor Trust
Organization
5% or greater indirect ownership interest2021-05-28
Rybst Central Manager LLC
Organization
operational/managerial control2021-05-28
Scholes, Monique
Individual
w-2 managing employee2023-09-13

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Louisa County.