The Legacy at North Augusta
State licensed1410 A N. Augusta Street, Staunton, VA 24401
Assisted LivingMemory Care
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Medicare-certifiedSkilled Nursing
Kings Daughters Community Health & Rehab
Staunton, VirginiaMedicare inspection record
About Kings Daughters Community Health & Rehab
Kings Daughters Community Health & Rehab serves Staunton, Virginia residents who need skilled nursing and rehabilitation support. Our team focuses on personalized recovery plans and compassionate care during life's most challenging transitions.
Community at a glance
Capacity
117 residents
Location
Staunton, VA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1410 NORTH AUGUSTA STREET, Staunton, Virginia 24401
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Medicare flags Kings Daughters Community Health & Rehab for a citation related to abuse of residents in its recent inspections.
- The most recent standard inspection is more than two years old, so these results may not reflect the home today.
At its most recent standard inspection, on February 2, 2023, state inspectors cited 30 health deficiencies (the Virginia average is 14.4).
Nurses and nurse aides spend 2 hours 40 minutes with each resident a day, below the Virginia average of 3 hours 46 minutes.
Medicare fined Kings Daughters Community Health & Rehab once in the last three years, $61,711 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 40 minutesBelow the Virginia average |
| Registered nurse time per resident, per day | 21 minutesBelow the Virginia average |
| Nursing staff who left in the past year | 60%Above the Virginia average |
3 administrators have left the home in the past year.
Inspections
60 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 15, 2026 · Complaint investigation · 17 citations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate danger to residents, a pattern (level K)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 23, 2026Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Immediate danger to residents, a pattern (level K)Nursing and Physician ServicesFrom a complaintCorrected Jun 23, 2026Provide safe, appropriate pain management for a resident who requires such services.
Residents were harmed, a pattern (level H)Quality of Life and CareFrom a complaintCorrected Jun 23, 2026Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Residents were harmed, a few residents (level G)AdministrationFrom a complaintCorrected Jun 23, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jun 23, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, widespread (level F)Quality of Life and CareFrom a complaintCorrected Jun 23, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Jun 23, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 23, 2026Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 23, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 16, 2026Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 16, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 23, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 16, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 23, 2026Make 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.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Jun 23, 2026Post nurse staffing information every day.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Jun 23, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 23, 2026
December 17, 2025 · Complaint investigation · 5 citations
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.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Feb 9, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Feb 9, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 9, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Feb 9, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 9, 2026
July 24, 2024 · Complaint investigation · 1 citation+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 13, 2024
April 17, 2024 · Complaint investigation · 31 citations+
Respond appropriately to all alleged violations.
Immediate danger to residents, widespread (level L)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 15, 2024Provide enough food/fluids to maintain a resident's health.
Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Jul 15, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jul 15, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 15, 2024Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Residents were harmed, a few residents (level G)Nursing and Physician ServicesFrom a complaintCorrected Jul 15, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jul 15, 2024Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Risk of harm, no one hurt, widespread (level F)Resident RightsFrom a complaintCorrected Jul 15, 2024Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jul 15, 2024Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Jul 15, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 15, 2024Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jul 15, 2024Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Jul 15, 2024Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jul 15, 2024Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jul 15, 2024Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jul 15, 2024Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Jul 15, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jul 15, 2024Honor the resident's right to organize and participate in resident/family groups in the facility.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 15, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jul 15, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 15, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 15, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 15, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 13, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 15, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 15, 2024Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 15, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 15, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Jul 15, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 15, 2024Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 15, 2024Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 15, 2024
November 29, 2023 · Complaint investigation · 6 citations+
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Jan 5, 2024Ensure 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.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Jan 5, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jan 5, 2024Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jan 5, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jan 5, 2024Keep all essential equipment working safely.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Jan 5, 2024
Fines and payment denials
1 fine totaling $61,711 in the last three years.
- May 15, 2026Fine: $61,711
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- 1410 North Augusta Street Opco LLC
- Medicare-certified beds
- 117
- Average residents per day
- 91
- Accepts
- Medicare and Medicaid
- First certified
- March 1, 2000
- Part of a chain
- Avardis Health, 38 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 495344
Location
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1410 NORTH AUGUSTA STREETStaunton, VA 24401
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Questions about Kings Daughters Community Health & Rehab
How did Kings Daughters Community Health & Rehab do on its last inspection?+
State inspectors visited on February 2, 2023 and cited 30 health deficiencies, 22 of them from complaint investigations. The Virginia average is 14.4.
How much nursing care does each resident get at Kings Daughters Community Health & Rehab?+
Nurses and aides spend 2 hours 40 minutes with each resident per day, including 21 minutes from registered nurses. 60% of nursing staff left over the past year.
Has Kings Daughters Community Health & Rehab been fined by Medicare?+
Yes. Medicare fined Kings Daughters Community Health & Rehab once in the last three years, totaling $61,711.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.