Reflections - A Senior Living Community
State licensed246 West Market Street, Leesburg, VA 20176
Assisted Living
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Medicare-certifiedSkilled Nursing
Loudoun Rehabilitation and Nursing Center
Leesburg, Virginia2 of 5 Medicare stars
About Loudoun Rehabilitation and Nursing Center
Loudoun Rehabilitation and Nursing Center in Leesburg, Virginia provides skilled nursing and rehabilitation care designed to help patients regain strength and independence. Our experienced clinical team focuses on personalized recovery plans that support each resident's specific health goals and lifestyle needs.
Community at a glance
Capacity
100 residents
Medicare rating
2 of 5 stars
Location
Leesburg, VA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
235 OLD WATERFORD ROAD, NORTHWEST, Leesburg, Virginia 20176
Medicare inspection and quality record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of August 1, 2026. Check it on Medicare.gov
- The most recent standard inspection is more than two years old, so these results may not reflect the home today.
Medicare rates Loudoun Rehabilitation and Nursing Center 2 out of 5 stars overall, which it describes as below average. The average across Virginia's nursing homes is 3.0 stars.
At its most recent standard inspection, on December 1, 2023, state inspectors cited 26 health deficiencies (the Virginia average is 14.6).
Nurses and nurse aides spend 3 hours 55 minutes with each resident a day, about the same as the Virginia average.
Medicare fined Loudoun Rehabilitation and Nursing Center 3 times in the last three years, $123,589 in total.
Overall
2 of 5
below average
Combines the three ratings below
Health inspections
1 of 5
much below average
Results of state inspections over three years
Staffing
2 of 5
below average
Nurse hours per resident and staff turnover
Quality of resident care
5 of 5
much above average
Outcomes like falls, pressure ulcers and rehospitalization
Virginia average: 3.0 stars across 289 nursing homes. National average: 3.0 stars.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 55 minutes |
| Registered nurse time per resident, per day | 39 minutesBelow the Virginia average |
| Nursing staff who left in the past year | 45%Below the Virginia average |
2 administrators have left the home in the past year.
Inspections
56 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 21, 2025 · Complaint investigation · 28 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, widespread (level L)Quality of Life and CareFrom a complaintCorrected Jun 17, 2025Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Jun 17, 2025Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Jun 17, 2025Provide 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 Jun 17, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Jul 25, 2025Immediately 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 pattern (level E)Resident RightsFrom a complaintCorrected Jun 17, 2025Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 17, 2025Observe each nurse aide's job performance and give regular training.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Jun 17, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 17, 2025Respond 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 17, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Jun 17, 2025Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Jun 17, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Jun 17, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 17, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 17, 2025Provide medically-related social services to help each resident achieve the highest possible quality of life.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 17, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 17, 2025Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Jun 17, 2025Timely 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 17, 2025Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 17, 2025Safeguard 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 Jun 17, 2025Develop 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 17, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 17, 2025Provide 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 Jun 17, 2025Develop 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 17, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 17, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 17, 2025Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Jun 17, 2025
December 5, 2024 · Complaint investigation · 2 citations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jan 7, 2025Develop 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 Jan 7, 2025
December 1, 2023 · Standard inspection · 26 citations+
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Immediate danger to residents, a few residents (level J)Nutrition and DietaryFrom a complaintCorrected Jan 15, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlFrom a complaintCorrected Jan 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 DietaryCorrected Feb 16, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jan 15, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Feb 16, 2024Regularly 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.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Jan 15, 2024Provide safe, appropriate pain management for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 15, 2024Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 15, 2024Provide medically-related social services to help each resident achieve the highest possible quality of life.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 15, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 15, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jan 15, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 15, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 15, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 16, 2024Provide care or services that was trauma informed and/or culturally competent.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 15, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 15, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 16, 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 ServiceCorrected Jan 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 Jan 15, 2024Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 15, 2024Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 15, 2024Allow residents to self-administer drugs if determined clinically appropriate.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 16, 2024Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 15, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 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 few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 15, 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 PlanningCorrected Jan 15, 2024
Fines and payment denials
3 fines totaling $123,589 and 1 Medicare payment denial in the last three years.
- May 21, 2025Fine: $27,373
- December 5, 2024Fine: $29,370
- December 1, 2023Fine: $66,846
- December 1, 2023Payment denial, 110 days
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Loudoun Center for Rehabilitation and Nursing LLC
- Medicare-certified beds
- 100
- Average residents per day
- 92
- Accepts
- Medicare and Medicaid
- First certified
- April 1, 1993
- Part of a chain
- Green Tree Health Management, 8 homes (chain average 2.9 stars)
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Both
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 495275
Location
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235 OLD WATERFORD ROAD, NORTHWESTLeesburg, VA 20176
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Questions about Loudoun Rehabilitation and Nursing Center
What is Loudoun Rehabilitation and Nursing Center's Medicare star rating?+
Medicare rates Loudoun Rehabilitation and Nursing Center 2 out of 5 stars overall (below average). Health inspections: 1 stars. Staffing: 2 stars. Quality of resident care: 5 stars. Source: CMS Care Compare, data as of August 1, 2026.
How did Loudoun Rehabilitation and Nursing Center do on its last inspection?+
State inspectors visited on December 1, 2023 and cited 26 health deficiencies, 8 of them from complaint investigations. The Virginia average is 14.6.
How much nursing care does each resident get at Loudoun Rehabilitation and Nursing Center?+
Nurses and aides spend 3 hours 55 minutes with each resident per day, including 39 minutes from registered nurses. 45% of nursing staff left over the past year.
Has Loudoun Rehabilitation and Nursing Center been fined by Medicare?+
Yes. Medicare fined Loudoun Rehabilitation and Nursing Center 3 times in the last three years, totaling $123,589.
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 1–5 stars on health inspections, staffing, and quality measures. We show these ratings so you can compare quality at a glance.