CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4953962026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Carriage Hill Health & Rehab Center

6106 Health Center Lane · Fredericksburg, VA 22407 · Spotsylvania County

CMS OVERALL RATING★★★☆☆3/5CMS field—not our score or recommendation
Certified beds150CMS provider file
Recent citation rows63current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12023-06-07122023-06-070
Cycle 22022-01-27162022-01-278
Cycle 32019-08-08142019-08-0813
02 / CITATION DETAIL

63 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 13 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-11-19 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-01-20 · complaint
2025-11-19 · HEALTHF0686Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-01-20 · complaint
2024-12-12 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-01-06 · complaint
2024-12-12 · HEALTHF0684Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-01-06 · complaint
2024-12-12 · HEALTHF0921Severity D · isolated; potential for more than minimal harm

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Correction field: Deficient, Provider has date of correction · 2025-01-06 · complaint
2023-06-07 · HEALTHF0578Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2023-07-22
2023-06-07 · HEALTHF0622Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Correction field: Deficient, Provider has date of correction · 2023-07-22
2023-06-07 · HEALTHF0625Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Correction field: Deficient, Provider has date of correction · 2023-07-22
2023-06-07 · HEALTHF0656Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-07-22
2023-06-07 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-07-22
2023-06-07 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-07-22
2023-06-07 · HEALTHF0686Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-07-22
2023-06-07 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2023-07-22
2023-06-07 · HEALTHF0690Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction field: Deficient, Provider has date of correction · 2023-07-22
2023-06-07 · HEALTHF0698Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Correction field: Deficient, Provider has date of correction · 2023-07-22
2022-01-27 · HEALTHF0563Severity F · widespread; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Correction field: Deficient, Provider has date of correction · 2022-03-08
2022-01-27 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2022-03-08
2022-01-27 · HEALTHF0607Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2022-03-08
2022-01-27 · HEALTHF0609Severity E · pattern; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2022-03-08
2022-01-27 · HEALTHF0610Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Correction field: Deficient, Provider has date of correction · 2022-03-08
2022-01-27 · HEALTHF0623Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Correction field: Deficient, Provider has date of correction · 2022-03-08
2022-01-27 · HEALTHF0625Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Correction field: Deficient, Provider has date of correction · 2022-03-08
2022-01-27 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2022-03-08
2022-01-27 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2022-03-08
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • SEVIER, JOHNIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 09/10/2012
  • ALESANTRINO, JOEIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/01/2019
  • PETRINE, DEBORAHIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 09/30/2008
  • TUCKER, DAVIDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 10/01/2008
  • COMMONWEALTH CARE OF ROANOKE INCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/30/2008

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.80per resident day
RN hours0.49per resident day
Weekend nurse hours3.38per resident day
Staff turnover48.7%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.