Loudoun County, Virginia · Nursing home
Loudoun Rehabilitation and Nursing Center
2 of 5 overall from CMS
235 Old Waterford Road, Northwest, Leesburg, VA 20176
At a glance
- Overall rating 2 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.92 hours Above the state average of 3.76
- Nursing staff who left in a year 45.3% Below the state average of 48.1%
- Health citations, last 3 inspection cycles 76 3 at the harm level or above
- Fines in 3 years $123,589 3 fines
- Certified beds in use 92.4% of 100 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.
Loudoun Rehabilitation and Nursing Center is a 100-bed nursing home in Leesburg, Virginia (Loudoun County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.92 nurse staffing hours per resident per day, above the Virginia average of 3.76. CMS lists 3 fines totaling $123,589 in the past three years.
- Certified beds
- 100
- Residents per day (average)
- 92.4
- Certified since
- 1993 (33 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Green Tree Health Management (8 homes)
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.
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 Loudoun Rehabilitation and Nursing Center
Chosen from this home's public data.
- CMS lists 3 fines totaling $123,589 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 26 health deficiencies in the latest inspection cycle (the standard inspection on Dec 1, 2023 plus complaint and infection-control inspections); the Virginia average is 14.3. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 3.41 hours per resident on weekends against 3.92 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Virginia average 3.0
- Health inspections 1 of 5 Virginia average 2.7
- Staffing 2 of 5 Virginia average 2.4
- Quality measures 5 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 3.92 h Virginia average 3.76
- Nurse aides 2.06 h Virginia average 2.07
- Licensed practical nurses 1.21 h Virginia average 1.00
- Registered nurses 0.65 h Virginia average 0.69
- All staff, weekends 3.41 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 turnover45.3%
- Virginia average48.1%
- Registered nurse turnover50.0%
- Virginia average48.2%
- Administrators who left2
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 | 16.3% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.1% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.8% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.5% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 13.3% | 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 | 4.1% | 3.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% | 90.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 13.3% | 15.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.1% | 20.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.8% | 94.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 9.2% | 4.7% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.7% | 21.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 11.5% | 14.2% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.02 | 1.52 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.78 | 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 | 91.8% | 73.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.7% | 73.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.8% | 22.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 2.7% | 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 76 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 38 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on May 21, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Dec 1, 2023 | 26 | 1 |
| Apr 26, 2022 | 42 | 2 |
| Mar 21, 2019 | 8 | 4 |
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 (76)
-
LImmediate jeopardy, widespread
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 17, 2025)
-
FPotential for more than minimal harm, widespread
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 17, 2025)
-
EPotential for more than minimal harm, pattern
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 17, 2025)
-
EPotential for more than minimal harm, pattern
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 17, 2025)
-
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 17, 2025)
Show 25 more
-
EPotential for more than minimal harm, pattern
Observe each nurse aide's job performance and give regular training.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 17, 2025)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jul 25, 2025)
-
EPotential for more than minimal harm, pattern
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 17, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 17, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 17, 2025)
-
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 17, 2025)
-
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 17, 2025)
-
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 17, 2025)
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 17, 2025)
-
DPotential for more than minimal harm, isolated
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 17, 2025)
-
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 (Jun 17, 2025)
-
DPotential for more than minimal harm, isolated
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 (Jun 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 17, 2025)
-
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 17, 2025)
-
DPotential for more than minimal harm, isolated
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 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 17, 2025)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jun 17, 2025)
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DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jun 17, 2025)
-
DPotential for more than minimal harm, isolated
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 17, 2025)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 17, 2025)
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DPotential for more than minimal harm, isolated
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 17, 2025)
-
DPotential for more than minimal harm, isolated
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 17, 2025)
-
GActual harm, isolated
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 (Jan 7, 2025)
-
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 7, 2025)
Showing the 30 most recent of 76.
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 21, 2025 | Fine | $27,373 |
| Dec 5, 2024 | Fine | $29,370 |
| Dec 1, 2023 | Fine | $66,846 |
| Dec 1, 2023 | Payment Denial | 110 days |
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
- Size170 of 289 by certified beds
- Virginia average residents per day99.5
- ChainGreen Tree Health Management
- Chain average overall rating3.1 of 5
- Resident or family councilBoth
- Homes in Loudoun County5
Common questions
What is the CMS star rating for Loudoun Rehabilitation and Nursing Center?
Loudoun Rehabilitation and Nursing Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 5.
How many beds does Loudoun Rehabilitation and Nursing Center have?
Loudoun Rehabilitation and Nursing Center has 100 certified beds. It averages 92.4 residents per day, about 92.4% of its certified beds.
How much nursing care do residents get at Loudoun Rehabilitation and Nursing Center?
The home reports 3.92 hours of nurse staffing per resident per day, including 0.65 hours from registered nurses. The Virginia average is 3.76 hours and 0.69 hours from registered nurses.
Has Loudoun Rehabilitation and Nursing Center been fined?
Yes. CMS lists 3 fines totaling $123,589 in the past three years. It also lists 1 payment denial.
Does Loudoun 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
- 5 of 5 Heritage Hall-Leesburg 164beds 90.7%in use 3.37nurse hours a day
- 4 of 5 Ashby Ponds Inc 44beds 95.5%in use 4.82nurse hours a day
- 5 of 5 Johnson Cntr/falcons Landing 60beds 80.0%in use 4.55nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Loudoun 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 495275. 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.