Charlottesville Health & Rehab: Staffing Failures - VA
The unit manager said the goal is four CNAs per twelve-hour shift. That does not always happen. On March 8 and 9, it was two.
One of the aides who worked that weekend told inspectors what it looked like from inside. Each aide had thirty residents. Showers did not get done. She and the other aide helped each other get through hygiene and shortened bed baths, leaned on nursing staff to help feed residents, and kept moving. "Showers are not considered," she said, when staffing drops that low. She said there were no falls, no unmet needs, and that it had been better since the facility started allowing agency staff in.
The director of nursing told inspectors she had no staff coordinator at the time of the inspection and was handling that role herself. She said normal staffing runs four to five CNAs on unit one for both the day and overnight shifts. The administrator said the facility had seen heavy turnover and frequent call-outs, especially on weekends, and had recently begun using agency workers to fill gaps.
Payroll records showed the weekend understaffing was not an anomaly. The facility's own Payroll Based Journal data reflected excessively low weekend staffing across the entire January through March 2025 quarter.
The administrator told inspectors the facility's assessment called for four to five nursing assistants per shift, based on census, acuity, and budget. The unit manager said the same. Neither disputed that the March weekend fell well short of that.
Incident logs, grievance records, and resident council minutes showed no documented complaints tied to the low staffing. The resident council president's only concern during the inspection was wanting her shower moved to earlier in the morning so she could hand out daily menus after breakfast.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Charlottesville Health & Rehabilitation Center from 2025-09-04 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
CHARLOTTESVILLE HEALTH & REHABILITATION CENTER in CHARLOTTESVILLE, VA was cited for violations during a health inspection on September 4, 2025.
The unit manager said the goal is four CNAs per twelve-hour shift.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.