No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

LIFEWORKS REHAB

Ownership rollup across 64 nursing homes in 5 states: Delaware, Maryland, North Carolina, Pennsylvania, Virginia. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.

Insights

The chain’s homes average 2.1 of 5 stars on the CMS overall rating — about 0.9 stars below the ~3.0 average of the 5 states it operates in. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It has been broadly flat, moving +0.05 stars across the same 63 homes rated throughout between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.

64
Homes in this chain
8,716
Certified beds136 per home on average
94%
Occupied8,101 residents a day across 8,626 beds · 63 of 64 homes
+0.05
Star changeacross the 63 homes rated throughout · 2025-02 to 2026-06
5
States covered
2.1
Average CMS ratingacross 61 of 64 homes CMS rates · ~3.0 in its states · ~3.0 nationally

Where the rating comes from

The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.

ComponentChain averageBasis
Health inspection2.0 of 561 rated homesstate surveyors’ findings, ranked within each state
Staffing1.6 of 561 rated homesfrom payroll (PBJ) hours
Quality measures3.9 of 561 rated homeslargely self-reported clinical data

Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.

Portfolio red flags

How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.

26 with immediate-jeopardy citations3 on the CMS Special Focus list4 Special-Focus candidates11 with an abuse flag38 with federal fines

Follow the money — chain finances

Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.

$156.4M
Related-party expensesummed across 48 homes · FY2023–2024 cost reports
20%
of operating expensegoes to related companies, across the 48 homes reporting both figures
+4.3%
Operating marginrevenue-weighted across 64 homes with a cost report
$4.4M
Total federal fines38 homes fined

Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.

Who pays — share of resident-days across this chain
Medicaid 62%Medicare 14%Other / private 24%

Weighted by each home’s average daily census, across the all 64 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.

Every home in this chain

Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.

HomeCMS ratingFlags
Elkton Nursing And Rehabilitation CenterElkton, MD 1 of 51 immediate-jeopardy SFF candidate Abuse flag $31,134 fined
Largo Nursing And Rehabiliation CenterGlenarden, MD 1 of 51 immediate-jeopardy $72,514 fined
Layhill Nursing And Rehabilitation CenterSilver Spring, MD 1 of 51 immediate-jeopardy $153,596 fined
White Oak Rehabilitation And Nursing CenterHyattsville, MD 1 of 52 immediate-jeopardy Abuse flag $76,515 fined
Williamsport Health And Rehabilitation CenterWilliamsport, MD 1 of 51 immediate-jeopardy Abuse flag
Alamance Health Care CenterBurlington, NC 1 of 5Abuse flag $8,034 fined
Cabarrus Health and Rehabilitation CenterConcord, NC 1 of 52 immediate-jeopardy SFF candidate $138,723 fined
Charlotte Health & Rehabilitation CenterCharlotte, NC 1 of 5$132,506 fined
Greenville Health and Rehabilitation CenterGreenville, NC 1 of 51 immediate-jeopardy $64,002 fined
Guilford Health Care CenterGreensboro, NC 1 of 5
Lenoir Health and Rehabilitation CenterLenoir, NC 1 of 5$150,174 fined
Oxford Health and Rehabilitation CenterOxford, NC 1 of 5
University Health and Rehabilitation CenterDurham, NC 1 of 52 immediate-jeopardy $129,754 fined
APPOMATTOX HEALTH & REHABILITATiON CENTERAppomattox, VA 1 of 5$18,636 fined
Bayside Health & Rehabilitation CenterVirginia Beach, VA 1 of 5$113,068 fined
Chesapeake Health And Rehabilitation CenterChesapeake, VA 1 of 5$24,577 fined
Colonial Heights Rehabilitation And Nursing CenterColonial Heights, VA 1 of 5$105,289 fined
Harrisonburg Hlth & Rehab CntrHarrisonburg, VA 1 of 53 immediate-jeopardy Abuse flag $232,008 fined
Lynchburg Health & Rehabilitation CenterLynchburg, VA 1 of 51 immediate-jeopardy
Norfolk Health Care CenterNorfolk, VA 1 of 51 immediate-jeopardy $102,245 fined
Parham Health Care & Rehab CenterRichmond, VA 1 of 55 immediate-jeopardy SFF candidate Abuse flag $266,181 fined
Salem Health & RehabilitationSalem, VA 1 of 5
Virginia Beach Healthcare And Rehab CenterVirginia Beach, VA 1 of 52 immediate-jeopardy Abuse flag $235,833 fined
Westport Rehabilitation And Nursing CenterRichmond, VA 1 of 5$64,127 fined
Pike Creek Nursing & Rehabilitation CenterWilmington, DE 2 of 53 immediate-jeopardy SFF candidate $484,596 fined
Adelphi Nursing And Rehabilitation CenterAdelphi, MD 2 of 5
Shady Grove Nursing And Rehabilitation CenterRockville, MD 2 of 5$8,278 fined
The Nursing And Rehab Center At Stadium PlaceBaltimore, MD 2 of 5
Belaire Health Care CenterGastonia, NC 2 of 52 immediate-jeopardy $202,719 fined
Lexington Health Care CenterLexington, NC 2 of 5Abuse flag
Litchford Falls Health and Rehabilitation CenterRaleigh, NC 2 of 53 immediate-jeopardy $181,873 fined
Albemarle Health & Rehabilitation CenterCharlottesville, VA 2 of 51 immediate-jeopardy $197,490 fined
Beaufont Health And Rehabilitation CenterRichmond, VA 2 of 5$8,197 fined
Charlottesville Health & Rehabilitation CenterCharlottesville, VA 2 of 5
Cherrydale Health & Rehabilitation CenterArlington, VA 2 of 51 immediate-jeopardy $18,066 fined
Culpeper Health & Rehabilitation CenterCulpeper, VA 2 of 51 immediate-jeopardy $16,298 fined
Fairfax Rehabilitation And Nursing CenterFairfax, VA 2 of 5$22,957 fined
Glenburnie Rehab & Nursing CenterRichmond, VA 2 of 51 immediate-jeopardy $54,211 fined
Hanover Health And Rehabilitation CenterMechanicsville, VA 2 of 55 immediate-jeopardy $14,901 fined
Regency Health And Rehabilitation CenterYorktown, VA 2 of 5
Crescent Cities Nursing & Rehabilitation CenterRiverdale, MD 3 of 51 immediate-jeopardy $16,801 fined
Potomac Valley Rehabilitation And HealthcareRockville, MD 3 of 5
Carolina Rehab Center of BurkeConnelly Spring, NC 3 of 5$26,014 fined
Carolina Rehab Center of CumberlandFayetteville, NC 3 of 5$97,936 fined
Huntersville Health & Rehabilitation CenterHuntersville, NC 3 of 5Abuse flag
King Health and Rehabilitation CenterKing, NC 3 of 5
Luther Woods Nursing And Rehabilitation CenterHatboro, PA 3 of 5
Bowling Green Health & Rehabilitation CenterBowling Green, VA 3 of 5$8,278 fined
Franklin Health And Rehabilitation CenterRocky Mount, VA 3 of 5
Lake Manassas Health & Rehabilitation CenterGainesville, VA 3 of 51 immediate-jeopardy $22,509 fined
Louisa Health & Rehabilitation CenterLouisa, VA 3 of 5
Piney Forest Health And Rehabilitation CenterDanville, VA 3 of 5
Riverside Health & Rehab CntrDanville, VA 3 of 5
Springtree Healthcare & Rehab CenterRoanoke, VA 3 of 5
Berkshire Health & Rehabilitation CenterVinton, VA 4 of 5
Burke Health & Rehabilitation CenterBurke, VA 4 of 5
Gretna Health And Rehabilitation CenterGretna, VA 4 of 5
Pulaski Hlth & Rehab CntrPulaski, VA 4 of 5
Raleigh Court Health And Rehabilitation CenterRoanoke, VA 4 of 5
Stanleytown Health And Rehabilitation CenterBassett, VA 4 of 5
Valley Rehabilitation And Nursing CenterChilhowie, VA 4 of 5
Wilmington Nursing & Rehabilitation CenterWilmington, DENot rated7 immediate-jeopardy Special Focus Abuse flag $424,128 fined
Blumenthal Health and Rehabilitation CenterGreensboro, NCNot rated5 immediate-jeopardy Special Focus Abuse flag $210,325 fined
Henrico Health & Rehabilitation CenterHighland Springs, VANot rated4 immediate-jeopardy Special Focus $260,247 fined
Read this as a floor, not a verdict. CMS chain and ownership data is known to under-report private-equity and REIT ties, and a low chain average can hide strong individual homes (or vice-versa). Use it to know which questions to ask — then read each home’s actual inspection record and confirm current ownership with your state licensing agency.

Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.