Nursing homeFAID #12527
Oakhurst Health & Rehabilitation
4238 JAMES MADSON HIGHWAY, FORK UNION, VA, 23055
(434) 842-2916
60 licensed beds
★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
60
CMS facility ID
495230
Care type
Nursing home
County
Fluvanna
Facility name
Oakhurst Health & Rehabilitation
Street address
4238 JAMES MADSON HIGHWAY
City / state / ZIP
Fork Union, VA 23055
Phone
(434) 842-2916
About this facility — Oakhurst Health & Rehabilitation
Oakhurst Health & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Fork Union, Virginia. It is licensed for 60 beds — below the median for skilled nursing facilities in Virginia (117 beds).
It is one of 1 senior care facility in Fork Union and 289 skilled nursing facilities across Virginia. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Oakhurst Health & Rehabilitation 82 times across 10 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $18,590 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Hill Valley Healthcare
Ownership type
For profit - Corporation
Registered owners & officers
Va 6 Snf Operations Holdings Llc
Direct owner — 100% stake — since 2022
Idels, Shimon
Officer — since 2022
Neal-donald, Abriana
Managing employee — since 2022
Regulatory standing
Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1991-02-21
CMS overall rating
1 of 5 stars
Health deficiencies
27 at the last standard inspection
Federal fines
$18,590 total
Last standard inspection
2024-02-22
Nurse staffing
3.0 hours per resident per day
Cost & payer profile (FY2024 cost report)
Average billed charges
$313 per day (≈ $9,520/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
89% Medicaid · 4% Medicare · 7% private/other
Occupancy
89% (fiscal year 2024)
Vs. state median
22% below the VA median of $401/day — full state cost breakdown
Services & coverage
Licensed beds
60
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-02Health inspectionComplaint-triggered5 citations
F-0580
E · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-07-29
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2026-07-29
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-07-29
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-07-29
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-07-29
2025-09-10Health inspectionComplaint-triggered5 citations
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-12-08
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-08
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-12-08
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-12-08
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-08
7 earlier / fire-safety inspections (72 citations)
2025-04-29Health inspectionComplaint-triggered6 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-03
F-0658
E · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-03
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-03
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-06-03
F-0812
D · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-12
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-06-12
2024-02-22Health inspection17 citations
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-04-15
F-0584
E · No harm found
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.
Corrected 2024-04-15
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-04-15
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-15
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-15
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-15
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-15
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-15
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-15
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-04-15
F-0745
D · No harm found
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-04-15
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-04-15
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-04-15
F-0761
D · No harm found
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.
Corrected 2024-04-15
F-0772
D · No harm found
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Corrected 2024-04-15
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-15
F-0887
F · No harm found
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-04-15
2023-12-13Health inspectionComplaint-triggered2 citations
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-01-22
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-22
2021-10-06Health inspection14 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2021-11-02
F-0584
D · No harm found
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.
Corrected 2021-11-02
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2021-11-02
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-11-02
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2021-11-02
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-11-02
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-11-02
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-11-02
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-11-02
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-11-02
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2021-11-02
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-11-09
F-0887
D · No harm found
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2021-11-02
F-0909
E · No harm found
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2021-11-02
2019-03-21Health inspection16 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-05-01
F-0585
D · No harm found
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2019-05-01
F-0607
D · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-05-01
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2019-05-01
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2019-05-01
F-0625
D · No harm found
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2019-05-01
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2019-05-01
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-05-01
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-05-01
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-05-01
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-05-01
F-0740
G · Actual harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2019-05-01
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-05-01
F-0800
E · No harm foundFood safety
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2019-05-01
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-05-01
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-05-01
2021-10-06Fire-safety inspection12 citations
E-0006
C · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2021-11-02
E-0013
C · No harm found
Develop Emergency Preparedness policies and procedures.
Corrected 2021-11-02
E-0029
C · No harm found
Develop a communication plan.
Corrected 2021-11-02
E-0030
C · No harm found
List the names and contact information of those in the facility.
Corrected 2021-11-02
E-0031
C · No harm found
Provide emergency officials' contact information.
Corrected 2021-11-02
E-0032
C · No harm found
Provide primary/alternate means for communication.
Corrected 2021-11-02
E-0036
C · No harm found
Establish emergency prep training and testing.
Corrected 2021-11-02
E-0037
C · No harm found
Establish staff and initial training requirements.
Corrected 2021-11-02
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2021-11-02
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2021-11-02
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2021-11-02
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-11-02
2019-03-21Fire-safety inspection5 citations
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2019-05-20
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-05-20
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-05-20
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-05-20
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2019-05-20
Federal penalties
2025-04-29Fine$18,590
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 495230.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 82 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered