Nursing homes › Virginia › Loudoun Rehabilitation and Nursing Center
235 Old Waterford Road, Northwest, Leesburg, VA 20176 · 7037712841 · 100 certified beds
Per CMS filings, this facility is affiliated with Green Tree Health Management, a group operating 7 facilities in 4 states. Group record: average rating 2.9/5, 2 abuse citation icons, 0 facilities on the Special Focus list, $151,215 in federal fines. This facility rates below its group average (2.9/5).
Total nurse staffing: 3.92 (Virginia median: 3.45). RN hours: 0.65. Weekend total: 3.41. Nursing staff turnover: 45%.
All-time on record: 76 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-05-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | complaint | corrected 2025-06-17 |
| 2025-05-21 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | complaint | corrected 2025-06-17 |
| 2025-05-21 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | complaint | corrected 2025-06-17 |
| 2025-05-21 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | E | complaint | corrected 2025-06-17 |
| 2025-05-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2025-06-17 |
| 2025-05-21 | Observe each nurse aide's job performance and give regular training. | E | complaint | corrected 2025-06-17 |
| 2025-05-21 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-07-25 |
| 2025-05-21 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | complaint | corrected 2025-06-17 |
| 2025-05-21 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | 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. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | 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. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | complaint | corrected 2025-06-17 |
| 2025-05-21 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | complaint | corrected 2025-06-17 |
| 2024-12-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2025-01-07 |
| 2024-12-05 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-01-07 |
| 2023-12-01 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | complaint | corrected 2024-01-15 |
| 2023-12-01 | Provide and implement an infection prevention and control program. | F | complaint | corrected 2024-01-15 |
| 2023-12-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-02-16 |
| 2023-12-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2024-01-15 |
| 2023-12-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-02-16 |
| 2023-12-01 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Health | corrected 2024-01-15 |
| 2023-12-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-02-16 |
| 2023-12-01 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-02-16 |
| 2023-12-01 | 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. | D | Health | corrected 2024-01-15 |
| 2023-12-01 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2024-01-15 |
| Date | Type | Amount |
|---|---|---|
| 2025-05-21 | Fine | $27,373 |
| 2024-12-05 | Fine | $29,370 |
| 2023-12-01 | Fine | $66,846 |
| 2023-12-01 | Payment Denial | 110 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LOUDOUN VA OPCO HOLDCO LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2023 |
| LOUDON920LLC | 5% Or Greater Indirect Ownership Interest | Organization | 37% | since 04/01/2023 |
| 3539 FILLMORE IRREVOCABLE TRUST | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 04/01/2023 |
| STERN, SIMON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/01/2023 |
| STERN, SIMON | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2023 |
| CLARK, PAMELA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/08/2025 |
| STERN, SIMON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 495275. Corrections: data@carerecords.org.