Kings Daughters Community Health & Rehab
A nursing home in Staunton, Virginia 24401
1410 North Augusta Street, Staunton, Virginia 24401. (540) 886-6233.
- Cited for abuse (CMS flag)
- Not fully inspected in over two years (CMS flag)
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 30 health citations at the latest inspection cycle Virginia average: 14.0
- 2.69 nurse hours per resident per day Virginia average: 3.88
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
30 health citations at the latest inspection cycle
The Virginia average is 14.0.
Last standard inspection Feb 2, 2023.
Most serious in three years: immediate jeopardy to health or safety (K), at a complaint inspection on May 15, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
54 citations in 4 months of the last 36. Last cited May 2026. Most serious: immediate jeopardy to health or safety (L). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 60 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 60 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 15, 2026: complaint inspection17 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide safe, appropriate pain management for a resident who requires such services.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Ensure each resident receives an accurate assessment.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Post nurse staffing information every day.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Provide and implement an infection prevention and control program.
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Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident’s needs; or 5) adequate closet space.
Dec 17, 2025: complaint inspection5 citations
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
Jul 24, 2024: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Apr 17, 2024: complaint inspection31 citations
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Respond appropriately to all alleged violations.
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Provide enough food/fluids to maintain a resident’s health.
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Reasonably accommodate the needs and preferences of each resident.
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Honor the resident’s right to receive visitors of his or her choosing, at the time of his or her choosing.
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
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Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.
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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.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Ensure each resident receives an accurate assessment.
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
Ensure services provided by the nursing facility meet professional standards of quality.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
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Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Have a plan that describes the process for conducting QAPI and QAA activities.
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Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Nov 29, 2023: complaint inspection6 citations
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Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
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Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Keep all essential equipment working safely.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Mar 1, 2000.
- Not on CMS’s special focus list.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 117 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $61,711 in all.
- No Medicare payment denials in the last three years.
- 60 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| May 15, 2026 | Fine | $61,711 |
Who does the caring?
2.69 nurse hours per resident per day
The Virginia average is 3.88.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Virginia average |
|---|---|---|
| Nurse hours per resident per day | 2.69 | 3.88 |
| Of which registered nurses | 0.40 | 0.71 |
| At weekends | 2.09 | 3.35 |
| Nursing staff turnover | 57.1% | 47.5% |
| Registered nurse turnover | 90% | 46.5% |
| Administrators who left | 3 | Not given |
Who owns it?
- Staunton Parentco LLC owns 100% directly since May 1, 2025.
- 14 owners or officers are people: Chad Breach (runs it (operational or managerial control)); Chad Breach (additional disclosable party (controls, leases property to, or provides services to the home)); Alyssa L Clark (runs it (operational or managerial control)); Alyssa L Clark (on the governing body (managing control)); Alyssa L Clark (additional disclosable party (controls, leases property to, or provides services to the home)); Patrick E Baroco (runs it (operational or managerial control)); Patrick E Baroco (additional disclosable party (controls, leases property to, or provides services to the home)); Tanaya A Chaput (runs it (operational or managerial control)); Tanaya A Chaput (additional disclosable party (controls, leases property to, or provides services to the home)); Tiffany Hoback (runs it (operational or managerial control)); Tiffany Hoback (on the governing body (managing control)); Tiffany Hoback (additional disclosable party (controls, leases property to, or provides services to the home)); Tequilla Jones (runs it (operational or managerial control)); Tequilla Jones (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Avardis Health (38 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- A real-estate investment trust is among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Nas Holdco LLC | Owns 5% or more through other companies | 100% | May 1, 2025 |
| SNF Care Centers LLC | Owns 5% or more through other companies | 100% | May 1, 2025 |
| Staunton Parentco LLC | Owns 5% or more directly | 100% | May 1, 2025 |
| Vaop Holdco LLC | Owns 5% or more through other companies | 100% | May 1, 2025 |
| Zenith Holdco II LLC | Owns 5% or more through other companies | 100% | May 1, 2025 |
| Zenith Holdco LLC | Owns 5% or more through other companies | 100% | May 1, 2025 |
| Nu C II Irrevocable Trust | Owns 5% or more through other companies | 50% | May 1, 2025 |
| Nu C Irrevocable Trust | Owns 5% or more through other companies | 50% | May 1, 2025 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 26, 2025 | |
| SNF Mgr LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 21, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 14, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 14, 2025 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Virginia average 4.0).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 24.6 miles, this one had the 1st most health citations at the latest inspection cycle (30; the middle value was 12).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Kings Daughters Community Health & Rehab This nursing home | 30 | |
| Staunton Post Acute & Rehabilitation | 0.5 | 17 |
| Augusta Medical Ctr Skilled CA | 6.4 | 2 |
| Shenandoah Nursing Home | 6.7 | 8 |
| Augusta Nursing and Rehabilitation | 7.5 | 22 |
| River Edge Rehabilitation and Nursing | 10.2 | 14 |
| Summit Square | 11.2 | 5 |
| Bridgewater Home , Inc. | 16.1 | 10 |
| Blue Ridge Rehabilitation and Nursing | 21.3 | 24 |
| Sunnyside Presbyterian Retirement Community | 22.0 | 1 |
| Harrisonburg Hlth & Rehab Cntr | 22.3 | 26 |
| Vmrc, Complete Living Care | 24.6 | 5 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.