Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
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 Manassas Health And Rehab Center during CMS and state inspections, most recent first.
Facility staff failed to ensure that a resident’s discharge needs were met when the resident, who was non–weight bearing, required supervision for transfers, and lived alone in a multi-level home with the only bathroom up 13 stairs, was discharged home without confirmed delivery of a recommended 3-in-1 bedside commode. Admission and therapy assessments documented substantial assistance needs for toileting and transfers, frequent incontinence, severe pain, and inability to negotiate stairs, and social services had identified the home’s stairs and lack of support as major barriers. Therapy recommended DME including an elevated toilet seat/3-in-1 commode, and the social services assistant placed the DME order late in the afternoon before discharge; the DME vendor accepted the order but only attempted to reach the resident around midday on the discharge date and did not complete delivery. Home health records later showed multiple unsuccessful attempts to contact the resident and documented that the resident reported falling at home on the day of discharge and being admitted to another facility, while interviews confirmed that social services was responsible for arranging DME and that there was no evidence the bedside commode was in place before the resident left.
Failure to Ensure DME Delivery Prior to Discharge for Dependent Resident Living Alone
Penalty
Summary
Facility staff failed to ensure that all discharge needs were met for a resident who was discharged home without confirmed delivery of essential durable medical equipment (DME), specifically a bedside commode, despite the resident’s inability to negotiate stairs and the bathroom being located on the second floor of a multi-level home. The resident’s admission MDS documented partial/moderate assistance needs for bathing, upper body dressing, and standing from sitting, and substantial/maximal assistance for toileting and lower body dressing. Toilet transfers and walking were not attempted due to medical or safety concerns, and the resident was frequently incontinent of bowel and bladder, had frequent severe pain, and had a recent fall and major surgery prior to admission. The social services admission assessment identified significant barriers to a safe discharge, including that the resident lived alone, had 13 steps to reach the bathroom level, had no supervision, and no family supports, and it documented that social services would arrange home health and any needed equipment at discharge. A safe transition meeting documented that the resident’s goal was to return home alone and again identified barriers such as living alone and the 13 steps to the second-floor bathroom. Therapy discharge documentation later specified that the resident required supervision or touching assistance for toilet transfers and recommended home health services and multiple environmental and equipment modifications, including an elevated toilet seat/3-in-1 commode, shower bench, grab bars, assistance with ADLs, and a Lifeline for safety. PT documentation indicated the resident required supervision for all bed mobility and transfers and remained non–weight bearing on the right leg, unable to go up or down stairs at discharge. Progress notes showed that the resident repeatedly appealed Medicare non-coverage decisions, stating they were not ready for discharge, were unable to put weight on one leg, and that the other leg had become weak, but the appeals were ultimately denied and liability began prior to discharge. On the day before discharge, a late-entry social services note documented that the writer attempted to order oxygen and a bedside commode due to the resident’s bathroom being on the second floor and the resident’s inability to walk or climb stairs, and that the resident did not qualify for oxygen. A nurse practitioner note on the day of discharge stated the resident was in stable condition for discharge home with home health and skilled nursing, and referenced coordinating DME with social work. The facility’s internal DME chat log showed the social worker created the order for a 3-in-1 bedside commode in the late afternoon the day before discharge, with the DME provider accepting the order that evening and marking it pending further review. The DME company attempted to contact the resident around midday on the day of discharge and later documented awaiting a callback to discuss financial obligation and delivery, with the order ultimately canceled nearly two months later. A faxed email chain from the home health agency showed that staff were unable to reach the resident on the day of discharge and subsequent attempts, and later documented that when they finally spoke with the resident several days after discharge, the resident reported having fallen at home on the day of discharge and going to the emergency room, then refusing return to the original facility and being admitted to another facility. Interviews with the social services assistant and rehab director confirmed that therapy had recommended a bedside commode, that social services was responsible for arranging DME, that the resident was non–weight bearing and unable to manage stairs at discharge, and that there was no evidence the bedside commode had been delivered to the home prior to discharge.
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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 Manassas
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Birmingham Green | 2.7 mi | — | 0 | 0 |
| Gainesville Health And Rehab Center | 5.9 mi | — | 0 | 0 |
| Lake Manassas Health & Rehabilitation Center | 8.1 mi | — | 5 | 1 |
| Fair Oaks Health & Rehabilitation | 10 mi | — | 8 | 0 |
| Fairfax Rehabilitation And Nursing Center | 11.7 mi | — | 2 | 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.