01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2023-10-18 | 10 | 2023-10-18 | 0 |
| Cycle 2 | 2022-04-07 | 5 | 2022-04-07 | 1 |
| Cycle 3 | 2021-02-18 | 4 | 2021-02-18 | 0 |
CMS CCN 4954002026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
The Culpeper
12425 Village Loop · Culpeper, VA 22701 · Culpeper County
Certified beds47CMS provider file
Recent citation rows20current 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.
02 / CITATION DETAIL
20 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2023-10-18 · HEALTHF0638Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Correction field: Deficient, Provider has date of correction · 2023-12-012023-10-18 · HEALTHF0640Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2023-12-012023-10-18 · HEALTHF0656Severity D · isolated; 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 · 2023-12-012023-10-18 · 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 · 2023-12-012023-10-18 · 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 · 2023-12-012023-10-18 · 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 · 2023-12-012023-10-18 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2023-12-012023-10-18 · HEALTHF0810Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Correction field: Deficient, Provider has date of correction · 2023-12-012023-10-18 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-12-012023-10-18 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2023-12-012022-04-07 · 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 · 2022-04-222022-04-07 · 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 · 2022-04-222022-04-07 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2022-04-222022-04-07 · HEALTHF0697Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2022-04-222022-04-07 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2022-04-222022-04-07 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2022-05-172021-02-18 · HEALTHF0656Severity D · isolated; 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 · 2021-03-222021-02-18 · 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 · 2021-03-222021-02-18 · 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 · 2021-03-222021-02-18 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2021-03-2203 / 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.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- JACOBSEN, JAMESIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 02/01/2018
- BALES, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2019
- BROOKS, SHARONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- BROWNING, HERBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2009
- CARTER, VALERIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2018
- CAVE, RIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/31/2021
- FRANKS, TIFFANYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- HARRIS, CHARLESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2009
- JUNG, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- KECK, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2009
- MARCHELLO, SALLIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2018
- OAKEY, SAMUELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2009
- OWENS, ARNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- POATS, JIMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- POMA, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- SCOTT, MATTHEWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2018
- THOMSON, GARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- ALBRITTON, TRACEYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2021
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 hours5.69per resident day
RN hours1.33per resident day
Weekend nurse hours4.83per resident day
Staff turnover20.0%CMS reported field
06 / LOCAL RECORDS
Open the Culpeper ledger →