Carriage Hill Health & Rehab Center

    6106 Health Center Lane, Fredericksburg, VA, 22407
    2.4 · 20 reviews
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Inadequate staffing, inconsistent, unsafe care

    I had mixed feelings: some nurses, CNAs and therapy staff were professional, attentive, and caring, and the public areas and décor are pleasant. But staffing is chronically inadequate and inconsistent - I experienced delays, refused/late medications, poor communication, missed hygiene/therapy, mishandled laundry and meals, and even safety incidents requiring ER calls. Cleanliness and room setup varied (some areas clean, some smelled), and administration/billing was unresponsive. I can't recommend this place until leadership fixes staffing, care oversight, and billing issues.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.40 · 20 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.3
    • Staff

      2.6
    • Meals

      2.1
    • Amenities

      3.5
    • Value

      1.0

    Pros

    • Skilled and supportive nursing staff in many cases
    • Caring, professional physical and occupational therapy team
    • Rehab-focused programs and successful therapy outcomes
    • Friendly, family-like staff relationships reported by some families
    • Clean public areas and generally well-kept facility in some reports
    • Bright, welcoming decor and comfortable common spaces
    • Convenient location
    • On-call physician and hospital partnerships mentioned
    • Planned activities and monthly programs available
    • Separate dining area and spacious central lounge with large TV
    • Hand sanitizer/COVID precautions present
    • Adequate room size for one person in many rooms
    • Some residents and families very satisfied and would recommend

    Cons

    • Widespread understaffing and high patient-to-staff ratios
    • Inconsistent quality of care across shifts/units
    • Slow or delayed responses to call lights and requests for assistance
    • Medication management problems (delays, unnecessary meds, refusals)
    • Poor communication from administration and nursing leadership
    • Laundry mishandling: missing, mislabeled, or unreturned clothes
    • Food quality inconsistent: cold, bad taste, diet orders not followed
    • Unpleasant odors and reports of foul air quality in some areas
    • Rooms poorly arranged or inadequately set up for residents
    • Incidents of neglect: residents left in bed, not fed, unmanaged pain
    • Safety concerns including roaming to find staff and emergency delays
    • Serious administrative failures: refused medical calls, billing issues
    • Inconsistent cleaning (dirty floors, vomit-like food smells reported)
    • Limited or poorly executed activities despite being scheduled
    • Reports of severe incidents (hospitalizations, injuries, deaths) linked to care lapses
    • Occasional absence of front-desk or visible nursing station
    • Allegations of rude or unprofessional staff behavior on some shifts
    • Environmental hazards reported (snakes entering back, water shortages)

    Summary review

    Overall sentiment is mixed but leans toward concern: reviews describe a facility with clear strengths—notably a capable therapy team, pockets of excellent nursing care, a pleasant and bright physical environment in many areas, and planned activity programs—but also deep and recurring operational problems that seriously affect resident safety and family confidence. Multiple reviewers praise the rehab focus, professional therapy staff, clean public spaces, helpful CNAs, and a welcoming central lounge and dining area. However, an equally large and vocal set of reviews report inconsistent care, understaffing, and administrative failures that have resulted in neglectful experiences for some residents.

    Care quality and staffing emerge as the most polarized themes. Several reviews celebrate “superb” nursing, attentive CNAs, and frequent checks on non-mobile residents. Therapy (PT/OT) is repeatedly described as professional, courteous, and effective for rehabilitation needs. Conversely, many families report chronic understaffing, slow or absent responses to call lights, nurses texting at the desk, and nighttime or shift gaps that leave residents unattended. These staffing shortfalls are tied to concrete adverse outcomes in the reviews: unattended pain, delayed trips to the hospital, missed meals, residents being left in bed for long periods, and in some cases hospital readmissions or injuries. The result is a variable standard of care that appears to depend heavily on which staff are on duty.

    Administration, communication, and leadership are repeatedly criticized. Reviewers describe poor responsiveness from administrators, lack of leadership on clinical issues, refusal to call family or emergency services in some incidents, and unresolved billing complaints (including allegations of double charging). Several families recount that important decisions (such as whether to call an ambulance) were left to them rather than being managed by facility staff or an on-call doctor. Other operational lapses include an absent front desk or nurses’ station at times, incomplete documentation, and inconsistent enforcement of physician orders, particularly dietary restrictions.

    Dining and nutrition receive mixed reactions but are a notable problem area. Some reviewers find the meals nutritious and adequate for dietary restrictions, while others report cold meals, poor taste, vomit-like smells, food resembling that of a field hospital, and failure to follow low-fat or medically ordered diets. Concerns about food quality are tied to health risks (weight gain or inappropriate diets) and to broader complaints about cleanliness and odor in parts of the facility.

    Housekeeping, laundry, and environmental issues are inconsistent. Several reviewers praise public-area cleanliness and say the facility “doesn’t smell” and is well-decorated, while others report dirty floors left by cleaners, strong foul odors likened to a dog pen, room odors, and even pests (snakes entering from the back). Laundry problems are frequent in the negative reviews: mislabeled clothing, missing garments, and families having to supply replacements. These inconsistencies contribute to the perception of unreliable daily living support.

    Activities and social programming are present but uneven. The facility appears to schedule monthly or regular activities and has a pleasant communal layout, but multiple reviews say activities are not followed up, not well explained to residents, or limited in practice—sometimes due to staffing shortages. Walk-through tours often reveal few staff and limited programming evidence, making it hard for observers to assess the resident experience.

    Safety and serious incident reports are among the most alarming patterns. Several reviews describe situations of neglect resulting in emergency department transfers, unmanaged pain, refusals to provide medication or to call emergency services, and, in the most extreme comments, allegations that the facility should be closed. While some families report attentive monitoring and frequent checks on vulnerable residents, the contradictory accounts suggest systemic variability in oversight and safety practices across shifts or units.

    Patterns and recommendations: the reviews indicate a center that can deliver excellent therapy and compassionate care when adequately staffed and led, but suffers from frequent lapses tied to staffing levels, administrative responsiveness, and operational consistency. Families considering this facility should weigh the strong rehab capabilities and some notably excellent staff against recurring reports of understaffing, communication breakdowns, laundry and food problems, and occasional serious safety incidents. Prospective residents and families would be advised to ask specific, recent questions about staffing ratios, on-call physician practices, medication management protocols, how dietary orders are ensured, laundry procedures, and steps the administration has taken to address any past complaints. A thorough, unannounced visit during different shifts (including evenings or weekends) and conversations with current families could help assess whether the positive aspects are reliable day-to-day or whether the negative patterns persist.

    Location

    Map showing location of Carriage Hill Health & Rehab Center

    About Carriage Hill Health & Rehab Center

    Carriage Hill Health & Rehab Center sits over on Health Center Lane in Fredericksburg, mainly focused on health, rehab, and nursing care for folks who need extra help. The place serves as a Skilled Nursing Facility and offers both private and semi-private rooms, each with its own private bathroom, for up to 150 licensed beds though you'll see a couple of different numbers if you look at historical reports, with patient-days hitting about 47,576 for the last fiscal year and staff counting at about 135 full-time equivalents. Residents find a steady crew of expert staff ready day and night, always aiming for solid personal care, with 24-hour nursing supervision, full medication management, inpatient physical therapy, and lots of long-term nursing and palliative care services. The center does a good deal with memory care and dementia programming, so those who need extra help with memory issues get special staff attention and activities planned out for them, and there's also respite care for short stays if a caregiver just needs a break. People living here can count on meals through a fine dining program that handles special diets, regular housecleaning, and organized group activities to keep life moving, and folks can join in or just take it slow if they'd rather.

    Carriage Hill Health & Rehab Center stands out for the way it looks at care and rehab, always tailoring rehab plans to each person and keeping an eye on keeping things efficient, with all sorts of reports on costs, patient services, and general productivity to make sure everything stays on track, and they use things like quartile rankings and efficiency indicators to see how they're doing compared to others. The parent company is Commonwealth Care of Roanoke, Inc., and the current administrator is Adham Hasan. English is the main language spoken, but some staff speak other languages too. The facility is open all day, every day, and folks can choose from private rooms at a daily rate or save a bit with semi-private rooms, though there are times when they're not accepting new patients. It's a proprietary facility, sitting right within Virginia's long-term care system, and besides the usual health and rehab focus, they're connected with resources for insurance and hospital data for the state. The place has also changed ownership in the past, and they keep their information up to date so people can look up directions and more details if they need. The team works with neighbors and the wider community in a steady, compassionate way, trying to make life as comfortable and safe as possible for residents, whether it's for short-term rehab, long-term nursing, or dementia support.

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