• CMS rates this facility 2/5 stars (below average)
• Has 100 certified beds with an average of 93.7 residents per day (94% occupancy)
• Last health inspection found 54 deficiencies (inspected Dec 1, 2023)
• Has been fined a total of $101,928 across 3 fine(s)
• Total nursing staff: 4.28 hours per resident per day
• Staff turnover rate: 24.0%
Loudoun Rehabilitation and Nursing Center is a 2-star Medicare and Medicaid certified nursing home in Leesburg, Virginia with 100 certified beds. It has been operating since 1993. The facility scored below average compared to Virginia facilities.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide safe and appropriate respiratory care for a resident when needed.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Observe each nurse aide's job performance and give regular training.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Allow residents to self-administer drugs if determined clinically appropriate.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
+ 46 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| LOUDOUN VA OPCO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2023 |
| LOUDON920LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 37% | Apr 1, 2023 |
| PC8 CAPITAL GROUP LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 26% | Dec 26, 2024 |
| SJ HEALTHCARE CAPITAL LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 26% | Dec 26, 2024 |
| HG DANZ LLC | GENERAL PARTNERSHIP INTEREST | Organization | N/A | Apr 4, 2023 |
| CLARK, PAMELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 8, 2025 |
| STERN, SIMON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2023 |
| STERN, SIMON | CORPORATE OFFICER | Individual | N/A | Apr 1, 2023 |