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C
Below Standard

OAKHURST HEALTH & REHABILITATION

4238 JAMES MADSON HIGHWAY · FORK UNION, VA 23055

4348422916 · For profit - Corporation

60 beds52 residents200 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

OAKHURST HEALTH & REHABILITATION receives an overall staffing grade of C (Below Standard). With 3.0258 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.7387 HPRD, below the recommended 0.75. It is 0.87 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.16% compared to weekdays. The facility relies heavily on temporary agency staff (43.21% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0258 HPRD — needs 0.45 more hours per resident per day.
⚠️RN staffing (0.7387 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️43.21% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.0258hrs/resident/day▼ 0.87
CMS benchmark: 3.48
RN HPRD
0.7387hrs/resident/day▲ 0.06
Recommended: 0.75
Weekend Drop-off
14.16%
3.1519 weekday → 2.7057 weekend
Agency Staff
43.21%
45.61% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7205hrs/resident/day
Direct care aides
LPN HPRD
0.5665hrs/resident/day
Licensed practical nurses
Consistency
0.3789std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Fluvanna County Average+0.00 HPRD
3.03
03.03 HPRD
vs. Virginia State Average-0.80 HPRD
3.83
03.03 HPRD
vs. National Average-0.87 HPRD
3.90
03.03 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
OAKHURST HEALTH & REHABILITATION ★
FORK UNION · This facility
—
C
3.02580.7387★☆☆☆☆
CHELSEA REHABILITATION AND HEALTHCARE CENTER
GOOCHLAND
15.7 mi
C
3.23060.5655★★★☆☆
HERITAGE HALL DILLWYN
DILLWYN
20.8 mi
D
2.97990.5361★★★★☆
LOUISA HEALTH & REHABILITATION CENTER
LOUISA
20.8 mi
C
3.37160.5012★★★☆☆
WESTMINSTER CANTERBURY BLUE RI
CHARLOTTESVILLE
21.7 mi
A+
5.52791.381★★★★★
COLONNADES HEALTH CARE CENTER
CHARLOTTESVILLE
25 mi
A+
6.90971.4617★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
60
Total Deficiencies
$18,590
Fines Assessed
Sep 10, 2025Health
5 deficiencies cited
▼
Apr 29, 2025Health
6 deficiencies cited· Includes actual harm
▼
Feb 22, 2024Health
17 deficiencies cited
▼
Dec 13, 2023Health
2 deficiencies cited
▼
Oct 6, 2021Health
14 deficiencies cited· Includes actual harm
▼
Mar 21, 2019Health
16 deficiencies cited· Includes actual harm
▼

Penalty History

Apr 29, 2025Fine
$18,590
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.