All states › Virginia › Leesburg › Loudoun Rehabilitation and Nursing Center
235 Old Waterford Road, Northwest Leesburg, VA 20176 · Loudoun County
All 2 nursing homes in Leesburg, VA (2 take Medicaid)
CMS certification number 495275 · See this home on Medicare Care Compare
Is Loudoun Rehabilitation and Nursing Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Loudoun Rehabilitation and Nursing Center as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Virginia average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.76 hours per resident per day at Loudoun Rehabilitation and Nursing Center, above the Virginia median of 3.57 (US median: 3.72). About 0.63 of those hours are from registered nurses. On weekends it falls to 3.33 hours, 11% below its all-week average. 53.7% of nursing staff left within a year (Virginia median 47.7%). 3 administrators left in the past year.
About this nursing home
Paying for care at Loudoun Rehabilitation and Nursing Center: Medicare and Medicaid
Loudoun Rehabilitation and Nursing Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Virginia's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 1, 2023 and found 18 deficiencies, plus 8 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 76 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 76 citations at Loudoun Rehabilitation and Nursing Center across 5 inspection dates, 38 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 21, 2025 (complaint inspection). The most common areas cited were quality of life and care (16) and resident assessment and care planning (16). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level L, May 21, 2025). 6 citations were under CMS's abuse, neglect and exploitation rules.
May 21, 2025 · 28 citations · includes complaint inspection
LEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
EImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ENot hire anyone with a finding of abuse, neglect, exploitation, or theft.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EObserve each nurse aide's job performance and give regular training.
EProvide and implement an infection prevention and control program.
EProvide behavior health training consistent with the requirements and as determined by a facility assessment.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
DEnsure 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.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DEnsure 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
December 5, 2024 · 2 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
December 1, 2023 · 26 citations, includes immediate jeopardy · includes complaint inspection
JEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
FProvide and implement an infection prevention and control program.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ERegularly 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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DAllow residents to self-administer drugs if determined clinically appropriate.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DKeep residents' personal and medical records private and confidential.
DHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DEnsure each resident receives an accurate assessment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide care or services that was trauma informed and/or culturally competent.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure medication error rates are not 5 percent or greater.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
April 26, 2022 · 12 citations
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DImplement 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
BEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
March 21, 2019 · 8 citations
ENot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DKeep residents' personal and medical records private and confidential.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe and appropriate respiratory care for a resident when needed.
Questions to ask on a tour of Loudoun Rehabilitation and Nursing Center
- Inspectors cited the home at the immediate-jeopardy level on May 21, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 21, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Several administrators left in the past year. What has changed for residents since then?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
4 penalties in the last three years, including $123,589 in fines.
| Date | Type | Amount or length |
|---|---|---|
| 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 of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 1/5 | 2/5 | 5/5 |
| August 2026 | 2/5 | 1/5 | 2/5 | 5/5 |
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Location
Hospitals near Loudoun Rehabilitation and Nursing Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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5.8 mi
Inova Loudoun Hospital LeesburgEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 54m for patients treated and sent home
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12.5 mi
Stonesprings Hospital Center DullesEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 1m for patients treated and sent home
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15.4 mi
Reston Hospital Center RestonEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 12m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Loudoun Rehabilitation and Nursing Center › All nursing homes in Leesburg ›
Compare Loudoun Rehabilitation and Nursing Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Heritage Hall-Leesburg · Leesburg · 5 stars · 0.3 mi
- Ashby Ponds · Ashburn · 4 stars · 8.7 mi
Other Green Tree Health Management nursing homes in Virginia
- Poplar Hill Health and Rehab · Warrenton · 3 stars
- Maimonides Health Center of Virginia Beach · Virginia Beach · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 8 Green Tree Health Management nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.