Average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Williamsburg Health & Rehabilitation Center during CMS and state inspections, most recent first.
Unlabeled and undated food items were found in the 100 Unit and 300 Unit refrigerators. The 300 Unit refrigerator contained two containers of homemade food, and the 100 Unit refrigerator contained two opened soda bottles and an opened bottle of ranch dressing. An LPN did not know who the items belonged to, and the DM stated dietary staff were expected to check the refrigerators and ensure items were labeled with resident names and dates.
A resident with severe cognitive impairment was verbally abused by a staff member during a transfer, including disparaging and sarcastic remarks made after the resident became combative and experienced discomfort. The incident was witnessed by another staff member and confirmed through interviews and facility policy review.
The facility failed to provide written notifications of hospital transfers to three residents and their representatives, as well as ombudsman notifications. Despite the facility's policy, residents and their families did not receive written notices for transfers due to severe knee pain, lethargy, hypoxia, inability to eat or drink, and a fall with hip pain. Interviews with staff revealed confusion about the notification process, and the Administrator could not provide evidence of ombudsman notifications.
The facility failed to provide written bed hold notifications to residents or their representatives during hospital transfers, affecting three residents. Notifications lacked details on the cost and duration of bed holds, and there was no evidence they were consistently sent. Residents with intact cognition did not recall receiving the notifications, and the Business Office Manager confirmed that notifications were sent to responsible parties, not directly to residents.
A facility failed to complete an Admission MDS assessment within 14 days for a resident, as required by policy and CMS guidelines. The resident's electronic medical record showed no evidence of a completed MDS by the deadline. Interviews with the MDS Coordinator, DON, and Administrator confirmed the expectation for timely completion to ensure a comprehensive care plan.
A resident's care plan failed to include smoking-related documentation, despite the resident's decision to smoke and the need for supervision. The facility's policy requires comprehensive care plans, but the resident's plan lacked updates to reflect smoking, as confirmed by the MDS Coordinator and DON.
The facility failed to ensure proper disposal of PPE for a resident on contact precautions. Observations showed two CNAs doffed PPE at the room's threshold and disposed of it in a hallway trash can, contrary to facility policy. Interviews with staff revealed a misunderstanding of proper PPE disposal protocol, as the expectation was for PPE to be discarded inside the resident's room to prevent contamination.
A facility failed to maintain an effective antibiotic stewardship program when a resident was prescribed Cefdinir for a UTI without waiting for culture results, which later showed resistance. The NP prescribed the antibiotic based on urinalysis, despite the resident not meeting criteria for prescription before culture results. The NP acknowledged awareness of stewardship requirements, and the DON and Administrator expected adherence to provider orders and education on standards.
Unlabeled and Undated Food Items in Unit Refrigerators
Penalty
Summary
The facility failed to label and date food items in the 100 Unit and 300 Unit refrigerators. A facility policy titled, Protocol for Foods Brought in From Family/Visitors, stated that the resident's nurse would label and date all home cooked food containers with the resident's name and date if they were to be stored in the unit refrigerator, and that all items should be discarded at the end of the 3rd day by dietary personnel. The Dietary Manager stated that dietary staff maintained the unit refrigerators, stocked them daily, and kept track of the items in them. On observation, the 300 Unit refrigerator contained two unlabeled and undated plastic containers with homemade food, and an LPN stated she did not know who they belonged to. The 100 Unit refrigerator contained two opened, unlabeled and undated plastic bottles of soda and one unlabeled, undated, opened, almost empty bottle of ranch dressing; an LPN stated she did not know who the soda or ranch dressing belonged to and discarded the items. The Dietary Manager stated dietary staff checked the unit refrigerators three times a day and expected staff to ensure food items were labeled with dates and resident names. A Dietary Aide stated she checked the unit refrigerators before 10:00 AM and did not remember whether there were any opened, unlabeled, or undated food items. An LPN later stated the containers in the 300 Unit refrigerator belonged to two residents but did not know which residents.
Resident Subjected to Verbal Abuse During Transfer
Penalty
Summary
A resident with Alzheimer's disease and severe cognitive impairment was subjected to verbal abuse by a staff member during a transfer to bed. The incident occurred when the resident became combative, causing a walker to be pushed over and nearly resulting in a staff member falling. During the transfer, the resident's knee was caught under the bedrail, and after being alerted by another staff member, the staff member in question moved the rail and made a disparaging remark to the resident, stating, "That's what your bratty [curse word] gets." The same staff member also made a sarcastic comment, "See, you lived," after the resident complained of leg pain. These comments were made in a sarcastic and giggling manner, as observed by another staff member present during the incident. The facility's policy strictly prohibits all forms of abuse, including verbal abuse, and defines it as the use of language that includes disparaging or derogatory terms directed at residents. Interviews and witness statements confirmed that the staff member's remarks were inappropriate and met the facility's definition of verbal abuse. The resident, due to severe cognitive impairment, was unable to recall the specifics of the incident but did remember that something mean was said. The incident was reported by a witness to the charge nurse, and the facility's investigation substantiated the occurrence of verbal abuse based on their policy.
Failure to Provide Written Transfer Notifications
Penalty
Summary
The facility failed to provide written notification of a facility-initiated transfer to the resident and responsible party, and did not document ombudsman notification for three residents reviewed for hospitalization. The facility's policy required that during business hours, the office designee should talk with the resident or attempt to reach the responsible party regarding the transfer and bed hold status, and mail them a copy of the notice. However, the facility did not adhere to this policy, as evidenced by the lack of written notices for the transfers of Residents 22, 27, and 68. Resident 22, with intact cognition, was transferred to the hospital twice, once for severe knee pain and once for lethargy and hypoxia. In both instances, there was no documentation of written notice provided to the resident or their representative. Similarly, Resident 27, also with intact cognition, was transferred to the hospital for the inability to eat or drink, but did not receive any paperwork regarding the transfer. Interviews with the residents confirmed they did not recall receiving any written notices. Resident 68 was discharged to the hospital following a fall with left hip pain, but neither the resident nor their family received a written transfer notification. Interviews with facility staff, including the LPN Unit Supervisor, Business Office Manager, and Administrator, revealed a lack of clarity and responsibility regarding the notification process. The Administrator admitted to sending encrypted emails to the ombudsman monthly but could not provide evidence of these notifications.
Failure to Provide Bed Hold Notifications
Penalty
Summary
The facility failed to provide written notification regarding the bed hold policy to residents or their representatives during hospital transfers, affecting three residents reviewed for hospitalization. The facility's policy required that a bed hold notification be mailed to the resident or their representative at the time of transfer, and again if the transfer occurred after business hours. However, there was no evidence that these notifications were consistently sent, as demonstrated by the cases of Residents 68, 22, and 27. Resident 68, who had intact cognition, was discharged to the hospital following a fall and returned to the facility without recalling receiving a bed hold notification. The Business Office Manager (BOM) could not provide evidence that the notification was mailed. Similarly, Resident 22, who also had intact cognition, was transferred to the hospital twice, with the bed hold notifications lacking details on the cost of holding the bed. Resident 22 did not remember receiving the bed hold policy and was unaware of the duration or cost of the bed hold. Resident 27, with intact cognition, was transferred to the hospital and did not receive any papers regarding the bed hold. The BOM stated that notifications were sent to the responsible parties, not the residents, and the cost per day was not explicitly written on the notifications. The Administrator confirmed that the bed hold policy was reviewed on admission, but the notifications upon hospital discharge did not include the daily room charges, which were communicated verbally.
Failure to Complete Timely Admission MDS Assessment
Penalty
Summary
The facility failed to complete an Admission Minimum Data Set (MDS) assessment within 14 days of admission for a resident, as required by both the facility's policy and the Centers for Medicare & Medicaid Services' Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual. The resident was admitted to the facility, but a review of their electronic medical record revealed no documented evidence of a completed admission MDS by the required deadline. This oversight was confirmed during interviews with the MDS Coordinator, the Director of Nursing, and the Administrator, all of whom acknowledged the expectation that the MDS should have been completed within the specified timeframe. The MDS Coordinator stated that the admission MDS should have been completed within 14 days of the resident's admission, which did not occur. The Director of Nursing emphasized the importance of timely completion of the MDS to ensure a comprehensive care plan could be formulated. Similarly, the Administrator confirmed the expectation that the admission MDS would be completed according to the RAI Manual guidelines. The failure to complete the MDS assessment in a timely manner placed the resident at risk for unmet care needs due to the lack of a comprehensive assessment.
Failure to Develop Smoking Care Plan for Resident
Penalty
Summary
The facility failed to develop a person-centered care plan for a resident who began smoking, which increased the risk of smoking-related hazards. The facility's policy requires a comprehensive care plan for each resident, including measurable objectives and timetables to meet their needs. However, the resident's care plan did not include any documentation related to smoking, despite the resident's decision to smoke and the requirement for supervision as noted in the Smoking/Vaping/Tobacco Safety Evaluation. The resident was observed smoking in a vented room with staff supervision, and the resident's admission and quarterly Minimum Data Set assessments did not initially reflect tobacco use. The MDS Coordinator acknowledged that the resident's care plan should have been updated to reflect the choice to smoke. The Director of Nursing confirmed the absence of a smoking-related care plan and emphasized the importance of including smoking in the care plan to ensure safety and respect the resident's personal choice.
Improper PPE Disposal for Resident on Contact Precautions
Penalty
Summary
The facility failed to ensure proper disposal of Personal Protective Equipment (PPE) for a resident on Transmission Based Precautions (TBP). The facility's policy required PPE to be discarded inside the resident's room to prevent the spread of infection. However, observations revealed that two Certified Nurse Aides (CNAs) doffed their PPE at the threshold of the resident's door and disposed of it in a trash can located in the hallway outside the room. This practice was confirmed by the CNAs, who stated they were instructed to dispose of PPE in this manner. Interviews with facility staff, including a Registered Nurse (RN), the Infection Preventionist (IP), the Director of Nursing (DON), and the Administrator, revealed a misunderstanding of the proper protocol for PPE disposal. The IP, DON, and Administrator all stated that their expectation was for the trash can to be inside the resident's room and for PPE to be discarded there to prevent contamination outside the room. The deficiency was identified during the care of a resident who was on contact precautions due to organisms found in her urine.
Inadequate Antibiotic Stewardship for UTI Treatment
Penalty
Summary
The facility failed to maintain an effective antibiotic stewardship program, as evidenced by the inappropriate prescription of antibiotics for a resident with a urinary tract infection (UTI). The facility's policy required the use of McGeer Surveillance Criteria to assess signs and symptoms of infection before prescribing antibiotics. However, a Nurse Practitioner (NP) prescribed Cefdinir for a resident without waiting for the urinalysis culture results, which later showed resistance to the prescribed antibiotic. The resident's laboratory results indicated that the organism in the urine was resistant to Cefdinir, and a new order for Levaquin, which was susceptible to the organism, was placed after the culture results were received. Interviews with the Infection Preventionist and the NP revealed that the NP prescribed the antibiotic based on the urinalysis indicating a UTI, despite the resident not meeting the criteria for antibiotic prescription before culture results. The NP acknowledged awareness of the antibiotic stewardship requirement and the potential negative outcomes of prescribing a resistant antibiotic. The Director of Nursing and the Administrator expressed expectations for staff to follow provider orders and for providers to be educated on antibiotic stewardship standards, but the deficiency occurred due to the initial prescription of an ineffective antibiotic.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Williamsburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Beech Tree Health And Rehabilitation | 11.4 mi | ★★★★★ | 0 | 0 |
| Corbin Health And Rehabilitation Center | 12.5 mi | ★★★★★ | 0 | 0 |
| The Heritage Nursing And Rehabilitation Facility | 12.7 mi | ★★★★★ | 0 | 0 |
| Signature Healthcare Of Mccreary County Rehab And | 15.8 mi | ★★★★★ | 0 | 0 |
| Christian Health Center Corbin | 16.1 mi | ★★★★★ | 4 | 3 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.