Hopewell City County, Virginia · Nursing home
Wonder City Rehabilitation and Nursing Center
1 of 5 overall from CMS
905 Cousins Avenue, Hopewell, VA 23860
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 2.75 hours Below the state average of 3.76
- Nursing staff who left in a year 68.4% Above the state average of 48.1%
- Health citations, last 3 inspection cycles 93 8 at the harm level or above
- Fines in 3 years $74,210 1 fine
- Certified beds in use 94.1% of 130 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Wonder City Rehabilitation and Nursing Center is a 130-bed nursing home in Hopewell, Virginia (Hopewell City County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 2.75 nurse staffing hours per resident per day, below the Virginia average of 3.76. CMS lists 1 fine totaling $74,210 in the past three years.
- Certified beds
- 130
- Residents per day (average)
- 122.3
- Certified since
- 1981 (45 yrs)
For profit - Corporation Participates in Medicare and MedicaidCMS Special Focus: SFF Candidate
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Wonder City Rehabilitation and Nursing Center
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 1 fine totaling $74,210 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 59 health deficiencies in the latest inspection cycle (the standard inspection on Jul 14, 2023 plus complaint and infection-control inspections); the Virginia average is 14.3. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Virginia average 3.0
- Health inspections 1 of 5 Virginia average 2.7
- Staffing 1 of 5 Virginia average 2.4
- Quality measures 2 of 5 Virginia average 3.9
The vertical line marks the Virginia average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 2.75 h Virginia average 3.76
- Nurse aides 1.41 h Virginia average 2.07
- Licensed practical nurses 1.14 h Virginia average 1.00
- Registered nurses 0.20 h Virginia average 0.69
- All staff, weekends 2.42 h Virginia average 3.29
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Virginia average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover68.4%
- Virginia average48.1%
- Registered nurse turnover75.0%
- Virginia average48.2%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Virginia and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Virginia | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 11.0% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.7% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.4% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 71.2% | 18.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% | 3.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.3% | 90.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 6.4% | 15.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.2% | 20.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 77.7% | 94.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.9% | 4.7% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.4% | 21.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 15.3% | 14.2% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.20 | 1.52 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.23 | 1.48 | 1.78 |
Short-stay residents
| Measure | This home | Virginia | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 54.1% | 73.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 49.4% | 73.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.7% | 22.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 13.1% | 11.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 93 health deficiencies in the three most recent inspection cycles. Of these, 5 were at the immediate jeopardy level and 3 involved actual harm; the rest were graded as no actual harm. 36 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on May 7, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 14, 2023 | 59 | 14 |
| May 6, 2021 | 11 | 2 |
| Aug 9, 2018 | 23 | 0 |
Virginia homes averaged 14.3 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (93)
-
KImmediate jeopardy, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 21, 2026)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 21, 2026)
-
FPotential for more than minimal harm, widespread
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jun 21, 2026)
-
FPotential for more than minimal harm, widespread
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jun 21, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Aug 4, 2026)
Show 25 more
-
FPotential for more than minimal harm, widespread
Hire a qualified full-time social worker in a facility with more than 120 beds.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 21, 2026)
-
FPotential for more than minimal harm, widespread
Keep all essential equipment working safely.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Jun 21, 2026)
-
FPotential for more than minimal harm, widespread
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Jun 21, 2026)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 4, 2026)
-
EPotential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 21, 2026)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 21, 2026)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 21, 2026)
-
EPotential for more than minimal harm, pattern
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 21, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 21, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 21, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 21, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 21, 2026)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 21, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 21, 2026)
-
DPotential for more than minimal harm, isolated
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 21, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jun 21, 2026)
-
JImmediate jeopardy, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 4, 2024)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 4, 2024)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jan 4, 2024)
-
EPotential for more than minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jan 4, 2024)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 4, 2024)
-
EPotential for more than minimal harm, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Jan 4, 2024)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jan 4, 2024)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 4, 2024)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 4, 2024)
Showing the 30 most recent of 93.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| May 7, 2026 | Fine | $74,210 |
Virginia homes averaged 0.5 fines and $23,688 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Virginia
- Size77 of 289 by certified beds
- Virginia average residents per day99.5
- ChainNone listed
- Resident or family councilResident
- Homes in Hopewell City County2
Common questions
What is the CMS star rating for Wonder City Rehabilitation and Nursing Center?
Wonder City Rehabilitation and Nursing Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 2.
How many beds does Wonder City Rehabilitation and Nursing Center have?
Wonder City Rehabilitation and Nursing Center has 130 certified beds. It averages 122.3 residents per day, about 94.1% of its certified beds.
How much nursing care do residents get at Wonder City Rehabilitation and Nursing Center?
The home reports 2.75 hours of nurse staffing per resident per day, including 0.20 hours from registered nurses. The Virginia average is 3.76 hours and 0.69 hours from registered nurses.
Has Wonder City Rehabilitation and Nursing Center been fined?
Yes. CMS lists 1 fine totaling $74,210 in the past three years.
Does Wonder City Rehabilitation and Nursing Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 River View on the Appomattox Health & Rehab Center 124beds 90.7%in use 3.51nurse hours a day
- 1 of 5 Colonial Heights Rehabilitation and Nursing Center 196beds 77.9%in use 3.00nurse hours a day
- 2 of 5 Petersburg Healthcare Center 120beds 89.0%in use 3.27nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Hopewell City County
Who to call in Virginia
These offices serve residents of every nursing home in Virginia.
- Long-term care ombudsman Virginia Long-Term Care Ombudsman Program (Office of the State Long-Term Care Ombudsman) 800-552-5019 (Toll-free. Also 804-565-1600.) An advocate for residents and their families.
- File a complaint about a nursing home VDH Office of Licensure and Certification (OLC) Complaint Unit 1-800-955-1819 (Metro Richmond (804) 367-2106. Messages left after hours, on weekends or holidays are returned the next business day. An online complaint portal is also available.) The state agency that inspects nursing homes.
Virginia staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 495123. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.