OAKHURST HEALTH & REHABILITATION

4238 JAMES MADSON HIGHWAY, FORK UNION, VA 23055 · CCN 495230 · 60 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections2 of 5CMS staffing1 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2025-04-29 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-04-29 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2021-10-06 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2019-03-21 ACTUAL HARM (tag F0740, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Staffing, from payroll records

Nursing hours / resident / day

2.76

state median 3.10

Weekend staffing gap

−3%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.32

registered nurses only

Contract (agency) staff

41%

share of all nursing hours

Days with zero RN hours reported

2

with residents present

Nursing staff turnover

82%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $18,590 in fines.

DateTypeAmount
2025-04-29Fine$18,590

Ownership

Ownership type: For profit - Corporation. Part of the HILL VALLEY HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 4 · Potential for more than minimal harm: 55

Survey dateTagCategorySeverityCorrected
2025-09-10F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-09-10F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-09-10F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-09-10F0677Quality of Life and Care DeficienciesDnot recorded
2025-09-10F0684Quality of Life and Care DeficienciesDnot recorded
2025-04-29F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2025-04-29F0658Resident Assessment and Care Planning DeficienciesEnot recorded
2025-04-29F0686Quality of Life and Care DeficienciesGnot recorded
2025-04-29F0804Nutrition and Dietary DeficienciesEnot recorded
2025-04-29F0812Nutrition and Dietary DeficienciesDnot recorded
2025-04-29F0880Infection Control DeficienciesDnot recorded
2024-02-22F0577Resident Rights DeficienciesCnot recorded
2024-02-22F0584Resident Rights DeficienciesEnot recorded
2024-02-22F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-02-22F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-02-22F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2024-02-22F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-02-22F0677Quality of Life and Care DeficienciesDnot recorded
2024-02-22F0684Quality of Life and Care DeficienciesDnot recorded
2024-02-22F0695Quality of Life and Care DeficienciesDnot recorded
2024-02-22F0699Quality of Life and Care DeficienciesDnot recorded
2024-02-22F0745Quality of Life and Care DeficienciesDnot recorded
2024-02-22F0756Pharmacy Service DeficienciesDnot recorded
2024-02-22F0758Pharmacy Service DeficienciesDnot recorded
2024-02-22F0761Pharmacy Service DeficienciesDnot recorded
2024-02-22F0772Administration DeficienciesDnot recorded
2024-02-22F0842Resident Assessment and Care Planning DeficienciesEnot recorded
2024-02-22F0887Infection Control DeficienciesFnot recorded
2023-12-13F0725Nursing and Physician Services DeficienciesEnot recorded
2023-12-13F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2021-10-06F0554Resident Rights DeficienciesDnot recorded
2021-10-06F0584Resident Rights DeficienciesDnot recorded
2021-10-06F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2021-10-06F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2021-10-06F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2021-10-06F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2021-10-06F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2021-10-06F0684Quality of Life and Care DeficienciesEnot recorded
2021-10-06F0686Quality of Life and Care DeficienciesDnot recorded
2021-10-06F0689Quality of Life and Care DeficienciesGnot recorded
2021-10-06F0690Quality of Life and Care DeficienciesDnot recorded
2021-10-06F0812Nutrition and Dietary DeficienciesEnot recorded
2021-10-06F0887Infection Control DeficienciesDnot recorded
2021-10-06F0909Environmental DeficienciesEnot recorded
2019-03-21F0550Resident Rights DeficienciesDnot recorded
2019-03-21F0585Resident Rights DeficienciesDnot recorded
2019-03-21F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2019-03-21F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2019-03-21F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2019-03-21F0625Resident Rights DeficienciesDnot recorded
2019-03-21F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2019-03-21F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2019-03-21F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2019-03-21F0684Quality of Life and Care DeficienciesDnot recorded
2019-03-21F0689Quality of Life and Care DeficienciesDnot recorded
2019-03-21F0740Quality of Life and Care DeficienciesGnot recorded
2019-03-21F0759Pharmacy Service DeficienciesDnot recorded
2019-03-21F0800Nutrition and Dietary DeficienciesEnot recorded
2019-03-21F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2019-03-21F0880Infection Control DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “OAKHURST HEALTH & REHABILITATION, FORK UNION” at medicare.gov/care-compare.