Louisa Health & Rehabilitation Center

    210 Elm St, Louisa, VA 23093
    • Skilled Nursing
    4.5ยท34 reviews

    Clean facility, caring attentive staff

    I'm very pleased with the caring, attentive staff-Nurse Anne, CNA Gloria, Kiara and many others-who treated my mom with dignity and respect. The facility is clean, smells pleasant, and therapy and nursing care are excellent. Meals are good and the activity calendar (movie nights, bingo, spa, church, flower arranging) keeps residents engaged in a warm, home-like atmosphere I'd recommend.

    Loved one of resident
    Jul 2026

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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

    Reviews

    4.53ยท(34)

    Overall rating

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

      4.2
    • Staff

      4.4
    • Meals

      3.0
    • Amenities

      3.5
    • Value

      1.0

    Pros

    • Compassionate nursing and CNA staff
    • Skilled rehabilitation and therapy services
    • Clean, bright, and home-like interior
    • Pleasant facility scent and tidy public areas
    • Engaging social activities and special events
    • Varied recreational programming (bingo, movies, church services)
    • Helpful and welcoming front-desk/admissions staff
    • Occasional high-quality meals and positive dining experiences
    • Safety-oriented features (locks and door alarms)
    • Thoughtful admission gestures and family-oriented care
    • Attentive custodial and maintenance team
    • Strong individualized caregiverโ€“resident relationships

    Cons

    • Inconsistent staffing levels and coverage
    • Delays and inconsistencies in personal-care assistance
    • Gaps in dementia-specific programming and supervision
    • Inconsistent housekeeping and odor-control practices
    • Weaknesses in resident belongings security and roommate arrangements
    • Communication and leadership responsiveness deficiencies
    • Variability in meal-service continuity and dining-room utilization
    • Inconsistent meaningful engagement for higher-need residents
    • Gaps in clinical monitoring for skin integrity and toileting needs
    • Perceived emphasis on financial/placement decisions over family concerns

    Summary of reviews

    Overall impression: Reviews present a mixed but clear pattern: many families and residents praise individual caregivers, therapy staff, and the facilityโ€™s physical environment, while recurring operational issuesโ€”especially staffing, personal-care consistency, dementia care, sanitation, and leadership communicationโ€”affect the overall quality of the resident experience.

    Care quality and clinical concerns: Numerous comments highlight dedicated nurses and CNAs who provide compassionate, respectful care and build strong relationships with residents. Rehabilitation and therapy services are frequently noted as effective and recovery-focused. At the same time, reviewers describe inconsistent responsiveness to basic personal-care needs (for example, bathing assistance, timely toileting support, and repositioning), and some cite instances suggestive of gaps in clinical monitoring such as skin integrity and bowel/bladder management. Dementia care is an area of particular concern for some families; there are indications that programming, supervision, and staff training specific to cognitive impairment may be insufficient for higher-acuity residents.

    Staffing, culture, and leadership: Positive accounts emphasize individual staff members who are attentive, warm, and professional, and several caregivers are singled out as standouts. However, staffing levels and coverage are repeatedly characterized as inconsistent, which reviewers link to delays in care and diminished ability to sustain activities and hygiene standards. Communication issues are also prominent: families describe redirected emails, difficulty reaching leadership, and perceptions that administrative responsiveness and empathy are uneven. These patterns point to opportunities for clearer family communication channels and more consistent leadership engagement.

    Dining and activities: The facility offers a range of social and recreational programmingโ€”bingo, movie nights, church services, seasonal events, and creative activities like bouquet arranging and cookie decoratingโ€”which many families describe as meaningful and well-run. Therapy and rehab activities are likewise positively viewed. Dining impressions are mixed: some reviewers praise the food and meal service, while others describe unappetizing meals and frequent delivery of trays to rooms rather than dining-room dining. Meal-service continuity and dining-room utilization appear to vary by unit or circumstance.

    Facilities and safety: Many reviewers describe the building as bright, clean, and home-like, with pleasant common areas, gardens, and safety features such as door locks and alarms. Concurrently, there are described inconsistencies in housekeepingโ€”walls and floors needing attention, and intermittent odor concerns related to incontinence care and cleaning practices. Shared rooms and frequent room moves were linked to security concerns for personal belongings; reviewers suggested improved storage locks and more stable placement practices to protect residentsโ€™ items and privacy.

    Management and policy patterns: Several families expressed frustration with administrative responsiveness, including difficulty contacting leadership and perceptions that financial or placement decisions sometimes override family concerns. There are calls for improved staff training around family communication and empathy, and clearer, more transparent processes for billing, grievance resolution, and resident transitions.

    Notable patterns and recommendations: Strengths center on individual staff excellence, therapy programs, and an engaging activities calendar within a generally pleasant facility. Persistent weaknesses cluster around inconsistent staffing, variable personal-care delivery, dementia-care capability, sanitation/odor control, and administrative communication. For prospective residents and families, the facility may be a good fit when strong, consistent caregiver relationships and therapy are priorities, but those requiring intensive dementia support, high-dependency personal care, or consistent housekeeping standards should seek concrete assurances about staffing levels, dementia-trained personnel, room-assignment stability, and escalation routes for concerns before admission. Management attention to staffing, targeted dementia training, standardized hygiene protocols, improved secure storage for resident belongings, and more proactive family communication would address the most frequently cited operational gaps.

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    Medicare Ratings

    4ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Louisa Health & Rehabilitation Center

    Louisa Health & Rehabilitation Center is located at 210 Elm St, Louisa, VA, 23093.

    About Louisa Health & Rehabilitation Center

    Louisa Health & Rehabilitation Center sits over at 210 Elm Street in Louisa, Virginia, right across from Tractor Supply on Courthouse Road, and offers both short-term rehabilitation and long-term skilled nursing care in a 90-bed facility that's been a part of the community for years now, and the building fills most days with about 85 residents. This center focuses on helping people recover from surgeries, accidents, or illness and provides regular long-term care for folks who need it. The facility features semi-private rooms at $262 per day and private rooms at $286 per day, with services running all day and night under the direction of the administrator, Christina Wiley, and support from Medical Facilities of America.

    Nursing staff includes RNs, LPNs, and CNAs, and they provide basic care like bathing, dressing, bringing and collecting food trays, feeding, and checking vital signs. The shift system uses twelve-hour blocks overnight and offers extra pay on weekends for registered nurses, with specialized positions like RN/LPN House Supervisor and activities led by Rochelle Myers. The nurse turnover rate is 50.0%, a bit higher than the state average, and staffing rates at 2.98 hours per resident per day, lower than the Virginia average of 3.8, which lines up with cited deficiencies about not always having enough licensed nurses and staff on shift, though recent reports said there was the potential for harm, not actual harm. Other compliance notes include being flagged for pharmacy service issues, like not always trying non-drug interventions or cutting back doses before keeping people on certain medicines, again with the risk rated as more than minimal but without actual reported harm.

    The most recent inspection happened back in January 2023, which found a total of ten deficiencies, some about infection control too, which means some things weren't fully up to regulations, but no harm actually happened. There's also been a delay since then for another official check, now going past the recommended 9-15 month window between inspections. The ownership is with Louisa Holdings LLC, managed by Rybst Central Manager LLC since May of 2021, and includes other entities like AC 2003 Family Trust and Central Bay LLC involved indirectly, so it's a for-profit business with a classic membership structure. Key staff include Monique Bruce, Bradley Gurski, and Shelby Stratton covering primary, contact, and HR roles.

    This center's philosophy, "Commitment to Care, Passion for Caring," says a lot about their approach, trying to keep relationships genuine and experiences rewarding for residents, and while they talk about caring and warm-hearted staff, families might notice that services stay focused on meeting daily needs and keeping care consistent, even with those staffing and compliance challenges.

    Recovery Mapโ„ข and Personal Report Cardโ„ข tools allow patients to track progress during their stay, making the process a bit clearer, and the LifeWorks Rehabยฎ Recovery Program, with therapy available seven days a week for two to three hours a day, gives residents access to regular physical and occupational therapy in a modern gym using up-to-date equipment. Staff members are direct employees, not contractors, and coordinate admissions, discharges, and resident supervision. There's health, dental, vision, and life insurance along with paid time off and a 401K for employees. The main purpose here remains nursing, rehab, and long-term care, in a building that's worked to stay within state and federal guidelines, and keeps its doors open to anyone needing skilled nursing and physical therapy in this part of Virginia.

    Louisa Health & Rehabilitation Center keeps its information updated and publishes rates and program outlines on its website, serving as part of the larger network of health and long-term care options in Virginia, and while not perfect, they work with what they've got under the circumstances and the rules set by the state.

    People often ask...

    Louisa Health & Rehabilitation Center offers skilled nursing.

    The full address for this community is 210 Elm St, Louisa, VA 23093.

    No, Louisa Health & Rehabilitation Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Louisa Health & Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Louisa Health & Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

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