Virginia Nursing Homes: Violations, Fines and Worst Records

Among nursing homes reporting staffing data in Virginia, 210 of the 282 logged lower nurse hours than their residents were expected to receive. The 289 homes statewide averaged 3.76 hours of nursing care per resident per day, below the 3.86 average for the nation. These Virginia figures come from CMS, the federal Medicare agency, through its public data on nursing homes. The data also indicate that 48.1% of nursing staff in Virginia left their jobs within a year, against 45.8% for the nation as a whole. Companies run for profit operate 222 of the state's facilities, and Lifeworks Rehab, with 35 homes, is the largest chain.

During the past three inspection cycles, Virginia homes drew 11,179 citations from state inspectors; 420 involved resident harm or immediate danger. Among harm-level findings, the rules most cited in Virginia concerned accident hazards and supervision, with 101 citations statewide. Federal regulators have levied $6,845,748 in fines at 103 Virginia facilities since September 2023. Issued in February 2026 to Old Dominion Rehabilitation and Nursing in Newport News, the $368,040 penalty is the state's largest single federal fine.

Approved plans of correction and survey reports for any certified facility are available to families through the Nursing Home & ICF/IID Inspection and Report Library maintained by the Virginia Department of Health. Every Virginia home is listed on Medicare Care Compare, a federal search site formerly named Nursing Home Compare. That page lets readers open a facility's federal inspection records, filed as Form CMS-2567 deficiency statements; these cover the 21.2% of Virginia citations arising from complaint inspections.

Families can use the state complaint unit page or call 1-800-955-1819 to tell the state agency, Virginia Department of Health, Office of Licensure and Certification, about a care problem at a facility. Help with facility disputes is available to residents and relatives through the Office of the State Long-Term Care Ombudsman at 800-552-5019, hosted by the Virginia Department for Aging and Rehabilitative Services. Call Adult Protective Services at (888) 832-3858 if an older adult in Virginia may be facing neglect, abuse, or exploitation. An online safety report can also be sent to the state.