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Oakhurst Health & Rehabilitation

Nursing Home Facility

4238 James Madson Highway, Fork Union, VA 23055

Nursing Home Care Senior Living
Oakhurst Health & Rehabilitation

Oakhurst Health & Rehabilitation is a senior care community located in Fork Union, VA. It provides nursing home care and senior living for older adults in the Fork Union area. To learn more or schedule a tour, call (434) 842-2916.

Operated by Hill Valley Healthcare, which runs 34 communities in our directory.

Employer rating 2.6 out of 5 32 reviews from their own employees on Indeed. See what they say.

Oakhurst Health & Rehabilitation is licensed for 60 beds.

Federal reporting puts occupancy at about 92% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in February 2024 and recorded 27 deficiencies.

Residents receive about 3.0 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 82%, which is high and can affect continuity of care.

The community is located in Fluvanna County, VA.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 3/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 65 problems at Oakhurst Health & Rehabilitation. 4 findings involved harm to a resident. 18 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $18,590.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Resident Rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Inspected July 2026, after a complaint. Corrected by July 29, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Inspected July 2026, after a complaint. Corrected by July 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected July 2026, after a complaint. Corrected by July 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected July 2026, after a complaint. Corrected by July 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected July 2026, after a complaint. Corrected by July 29, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Inspected September 2025, after a complaint. Corrected by December 8, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected September 2025, after a complaint. Corrected by December 8, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected September 2025, after a complaint. Corrected by December 8, 2025.

Show 19 more
  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected September 2025, after a complaint. Corrected by December 8, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected September 2025, after a complaint. Corrected by December 8, 2025.

  • Could cause more than minimal harm, widespread Infection Control

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Inspected February 2024. Corrected by April 15, 2024.

  • Could cause more than minimal harm, a pattern Resident Rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Inspected February 2024. Corrected by April 15, 2024.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected February 2024. Corrected by April 15, 2024.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected February 2024. Corrected by April 15, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected February 2024. Corrected by April 15, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected February 2024. Corrected by April 15, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected February 2024. Corrected by April 15, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected February 2024. Corrected by April 15, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected February 2024. Corrected by April 15, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected February 2024. Corrected by April 15, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care or services that was trauma informed and/or culturally competent.

    Inspected February 2024. Corrected by April 15, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Inspected February 2024. Corrected by April 15, 2024.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Inspected February 2024. Corrected by April 15, 2024.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected February 2024. Corrected by April 15, 2024.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected February 2024. Corrected by April 15, 2024.

  • Could cause more than minimal harm, one or a few residents Administration

    Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

    Inspected February 2024. Corrected by April 15, 2024.

  • Minimal harm or the potential for it, widespread Resident Rights

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Inspected February 2024. Corrected by April 15, 2024.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Oakhurst Health & Rehabilitation offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 60
  • Occupancy 92%
  • Nursing hours per resident/day 3.0
  • Annual staff turnover 82%
  • Last health inspection February 2024

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