Carriage Hill Health and Rehab Center
6106 Health Center Lane, Fredericksburg VA 22407 · (540) 785-1120 · 93.66% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Carriage Hill Health and Rehab Center is one of four facilities located in Fredericksburg, Virginia. Featuring an overall score of B+. After grading the other alternatives in Fredericksburg, this looks like a higher quality option than the majority of them. Based on our assessment, this nursing home has quite a bit going for it. The best aspect of this facility's impressive profile is its inspection grade. We discuss inspections in the next section
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 150 Beds
CCRC :
For profit - Partnership
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
One of the reasons this turned out to be a quality nursing home is that it received a very impressive inspection rating. In fact, inspections turned out to be its best category grade. In this area, we gave this facility an A. We weigh several aspects of a nursing home's inspection report in determining these inspection ratings. One critical factor is health deficiencies. You should keep in mind that the severity of deficiencies is usually more important than the number of deficiencies, as some are relatively insignificant. This place received 5 deficiencies on its inspection report, but fortunately none were considered severe. This indicates that the inspectors did not consider any of these deficiencies an imminent risk to patient safety or health. We should point out that deficiency-free inspections are rare in the industry.
Long-term Care Quality
An additional quality feature for this facility is that it was awarded an impressive long-term care grade. Indeed, this ended up being its second best category score. In this category, we awarded this nursing home a B+. Long-term care ratings in this range generally require both around the clock care from nurses and aids, as well as quality routine medical care. After looking at the amount of care provided by nurses and other staff, we then analyzed the nursing home's vaccination data. This facility vaccinated 98.23678 percent of its patients against pneumonia, which is much higher than the average nursing home. Finally, we looked at the nursing home's number of hospitalizations. With 1.79 hospitalizations per 1,000 long-term resident days, this nursing home is close to average in this area.
Short-term Care Quality
Turning to the third category, this facility also received a score of B+ for its short-term care rating. This is an above average grade in this area. In determining our short-term care ratings, we assess the facility's levels of highly skilled nursing services, which includes registered nurses, physical therapists occupational therapists and other highly skilled individuals. This grade is generally a fair measure of a facility's rehabilitation services. Fortunately, this nursing home offers both physical therapists and registered nurses. Not all facilities offer both. Lastly, we looked at the number of patients who were able to return to the community from this nursing home, which as an area this facility performed much more favorably. It outperformed the vast majority of facilities in the country with 59 percent of its residents returning home. This is a significantly higher rate than most nursing homes.
Nurse Quality
The final category we rated is this nursing home's worst category. However, even in its worst category we still gave it a decent grade of B- for nursing. Our nursing score weighs a handful of subcategories, most of which are tied to levels of nurse staffing. Based on the CMS data, this nursing home offers 3.4 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based measures, such as avoiding major falls. This facility performed better than average in this area. This is usually a good indicator of how carefully a facility's nursing staff is tending to its patients. Major falls can typically be avoided if more nurses aids and better safety protocols are used.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Carriage Hill Health and Rehab Center Quality Metrics
Minimizes Pressure Ulcers
This indicates the percentage of residents who have had a pressure ulcer. Pressure ulcers are damage to the skin resulting from staying in one position for an excessive period of time.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This metric tells you the percentage of long-term stay patients who have suffered a fall leading to severe injury. Falls can arise for a variety of reasons, but high rates of falls resulting in injuries may be an indicator of lower quality nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This figure measures the percentage of long-term residents who suffered from urinary tract infections. UTI's could be an indication of a facility with worst hygiene practices. Nevertheless, this datapoint can be skewed for some facilities due to different reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This figure gauges the percentage of long-term patients taking antipsychotic medications. While antipsychotic medications play an important role in caring for many residents, it is important to make sure these drugs are being used only where medically required. In limited cases, excessive reliance on these medications may mean that a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percentage of patients who were given antianxiety medications. These drugs are generally used to treat patients experiencing anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This tells you the percentage of patients who are exhibiting depressive symptoms.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This metric measures the percentage of long-term care residents that were vaccinated against pneumonia and flu.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percent of patients that required more assistance with activities of daily living over time. High levels of dependence on staff for assistance with activities of daily living could be a sign of the erosion of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric measures the percent of long-term care residents who were able to retain mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This metric tracks the number of times residents are hospitalized per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of times residents are rehospitalized per thousand days of short-term care. There is a correlation between reduced hospitalizations and a nursing homes short-term rehabilitation performance.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
Measures the number of emergency room visits per thousand days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
Measures the percentage of short-term residents that experienced functional improvements.
Percentage of Resident
Higher is Better