Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Kings Daughters Community Health & Rehab during CMS and state inspections, most recent first.
The facility did not have an RN on duty for at least 8 consecutive hours on three days, as confirmed by the nursing schedule and staff interviews. The DON reported that the usual weekend RN was on medical leave and there were not enough RNs available, despite having an abundance of LPNs.
Facility staff failed to follow physician orders for medication administration, resulting in multiple medication errors. These included a nurse administering the wrong dose of methadone to a resident, an LPN giving an IV antibiotic at the incorrect time to another resident, a resident receiving another individual's medications including a cancer drug, and a resident being given Percocet instead of prescribed oxycodone. In each case, the errors were documented, the residents were monitored, and no acute changes in condition were observed.
An LPN administered Breo Ellipta inhalation powder to a resident with COPD but did not prompt the resident to rinse and spit their mouth after use, as required by the medication's instructions to reduce the risk of oropharyngeal candidiasis. The LPN acknowledged not providing the prompt, citing the resident's lack of cooperation. This failure to follow professional standards was confirmed during observation and interview.
A resident with multiple medical conditions received treatment for head lice, but staff failed to document the assessment, provider notification, and actions taken in the clinical record. Interviews with LPNs confirmed that required documentation was missing despite treatment being initiated.
An LPN was observed handling oral medications with bare hands during a medication pass for a resident, contrary to facility policy and infection control protocols. The LPN acknowledged the improper practice, and both the unit manager and infection preventionist confirmed that direct hand contact with medications is not allowed. Facility policy requires the use of a medicine cup rather than hands when administering medications.
A resident was scheduled to receive telmisartan 40 MG for hypertension, but the medication was unavailable during a medication pass. An LPN discovered the absence of the medication and contacted the pharmacy to reorder it. The DON and physician were notified, and an order was given to hold the medication until it arrived. The issue arose because the pharmacy sent 20 MG tablets, leading to a shortage. A blood pressure reading showed the resident's blood pressure at 149/71.
Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to provide the services of a registered nurse (RN) for at least 8 consecutive hours per day on three separate days in December 2025. Review of the as-worked nursing schedule confirmed that no RN was present on 12/7/25, 12/13/25, or 12/14/25. During interviews, the scheduler stated that no RNs were available to work on those dates, and the DON confirmed that the RN who typically worked weekends was on medical leave. The DON also noted that while there were sufficient licensed practical nurses available, there was a shortage of RNs to cover the required shifts. No additional information was provided by the facility administration prior to the end of the survey.
Failure to Follow Physician Orders for Medication Administration
Penalty
Summary
Facility staff failed to follow physician orders for medication administration for four residents, resulting in multiple medication errors. In one instance, a registered nurse administered methadone 5 mg to a resident with chronic pain and multiple comorbidities, despite a physician order for 2.5 mg. The error occurred on the day the dosage was changed, and the nurse reportedly pulled the wrong medication supply card. The resident was assessed after the error, with no changes in condition noted. Another resident with osteomyelitis and severe cognitive impairment received intravenous ertapenem at the wrong time. The LPN administered the antibiotic six hours earlier than scheduled, after confusing it with another IV antibiotic. The error was documented, and the resident was monitored, with no new care orders issued in response. Additionally, a resident with multiple chronic conditions received another resident's medications, including a cancer medication, during an evening medication pass. The incident was reported, and the resident was monitored, with no acute distress or changes in condition observed. In a separate incident, a resident with Alzheimer's disease and other significant health issues was given Percocet 10-325 mg instead of the prescribed oxycodone 2.5 mg for pain management. The error occurred when a new nurse pulled the incorrect medication supply card. The resident was assessed and remained at baseline, with no changes in condition following the error. In all cases, the errors were documented, and the responsible staff members were no longer employed at the facility at the time of the survey.
Failure to Ensure Resident Rinsed Mouth After Inhaled Medication Administration
Penalty
Summary
Facility staff failed to follow professional standards of care during medication administration for one resident diagnosed with chronic obstructive pulmonary disease (COPD). During a medication pass observation, an LPN administered Breo Ellipta (fluticasone furoate-vilanterol) inhalation powder to the resident, followed by other prescribed oral medications. The LPN did not prompt or request the resident to rinse and spit their mouth after using the inhaler, despite the medication's pharmacy label and manufacturer's instructions clearly stating that rinsing the mouth after each use is necessary to reduce the risk of oropharyngeal candidiasis. Upon inspection of the medication and interview with the LPN, it was confirmed that the LPN did not ask the resident to rinse their mouth, stating that the resident does not cooperate with this instruction. The clinical record included a physician's order for daily use of Breo Ellipta for COPD, and the manufacturer's instructions were available on the medication cart. The deficiency was reviewed with facility administration, and no additional information was provided before the end of the survey.
Incomplete Documentation of Lice Assessment and Treatment
Penalty
Summary
Facility staff failed to ensure a complete and accurate clinical record for one resident who was admitted with multiple diagnoses, including schizoaffective disorder, hypertension, insomnia, protein-calorie nutrition issues, and dysphagia. The resident was assessed as cognitively intact. Physician orders were documented for the treatment of head lice, including the use of a RID Super Max 5-in-1 kit, daily nit combing, and contact precautions, with treatment initiated and later discontinued within a specified period. Despite the initiation of lice treatment, the clinical record lacked documentation regarding the assessment of head lice, associated symptoms, or notification to the provider. Interviews with staff revealed that the CNA reported signs of lice to the LPN supervisor, who stated that the provider was notified and treatment started immediately. However, both the infection preventionist and the unit manager acknowledged that there should have been documentation of the assessment, provider notification, orders, and actions taken, but no such note was entered in the clinical record.
Failure to Follow Infection Control Practices During Medication Pass
Penalty
Summary
During a medication pass observation on the East unit, an LPN was seen administering oral medications to a resident by removing tablets from supply bottles and handling them directly with bare fingers before placing them in a medicine cup. The LPN had used hand sanitizer prior to starting the medication pass but did not use gloves or another barrier when handling the pills. The medications administered included aspirin, simethicone, omeprazole, and vitamin D. When questioned, the LPN acknowledged that touching pills with bare hands was not a good habit. The unit manager confirmed that nurses were not permitted to touch pills directly during medication administration. The infection preventionist further clarified that pills from bubble packs should be popped directly into the medicine cup, and those from bottles should be poured into the cap and then into the cup, without direct hand contact. Facility policy also specified that staff should use a medicine cup and not their hands when administering medications.
Medication Unavailability for Resident
Penalty
Summary
The facility staff failed to ensure that medication was available for administration to a resident during a scheduled medication pass. During an observation, it was noted that a resident was supposed to receive telmisartan 40 MG for hypertension at 9:00 AM, but the medication was not available. The LPN checked the medication cart and the medication room, and upon finding it unavailable, contacted the pharmacy to reorder the medication. The Director of Nursing was informed, and the physician was notified, resulting in an order to hold the medication until it arrived later in the day. The deficiency was further highlighted when the LPN confirmed that the medication had not arrived by 2:45 PM, and a blood pressure reading was taken, showing the resident's blood pressure at 149/71 with a pulse of 71. The Director of Nursing explained that the pharmacy had sent 20 MG tablets instead of 40 MG, leading to the staff administering two pills to meet the required dosage, which resulted in running out of the medication. This information was presented to the Director of Nursing, administrator, and nurse consultant, but no additional information was provided before the exit conference.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Staunton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Staunton Post Acute & Rehabilitation | 0.5 mi | — | 6 | 1 |
| Augusta Medical Ctr Skilled Ca | 6.4 mi | — | 0 | 0 |
| Shenandoah Nursing Home | 6.7 mi | — | 0 | 0 |
| Augusta Nursing And Rehabilitation | 7.5 mi | — | 0 | 0 |
| River Edge Rehabilitation And Nursing | 10.2 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.