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Establishment profile

OAKHURST HEALTH & REHABILITATION

4238 JAMES MADSON HIGHWAY, FORK UNION, VA, 23055
Operated by HILL VALLEY HEALTHCARE · 1 of 37 establishments

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OSHA inspections
0
Violations
0
Penalties
$0
Context
No OSHA inspections on record. This does not mean the employer is violation-free — OSHA inspects a small fraction of workplaces annually.

Summary

OAKHURST HEALTH & REHABILITATION has no OSHA inspection history on file. Federal records covering wage, environmental, labor relations, and other agencies are noted below where present.

The most recent federal enforcement activity was recorded 0 days ago.

Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

OAKHURST HEALTH & REHABILITATION appears in EPA environmental compliance and CMS nursing home enforcement records only. No matching records were found in OSHA workplace safety, WHD wage enforcement, MSHA mine safety, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, CPSC product recalls, or NHTSA vehicle recalls.

OSHA workplace safety

No OSHA inspections, citations, or accidents on file for OAKHURST HEALTH & REHABILITATION. Verify directly with Occupational Safety and Health Administration

Safety self-report (OSHA 300A)

No self-reported injury rates filed with OSHA's Injury Tracking Application for OAKHURST HEALTH & REHABILITATION. Verify directly with OSHA Injury Tracking Application

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for OAKHURST HEALTH & REHABILITATION. Verify directly with Occupational Safety and Health Administration

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
0 days ago

Most recent federal enforcement activity recorded 0 days ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

No WHD wage, overtime, or child-labor enforcement cases on file for OAKHURST HEALTH & REHABILITATION. Verify directly with Wage and Hour Division

Mine safety (MSHA)

No MSHA mine safety violations on file for OAKHURST HEALTH & REHABILITATION. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

No NLRB unfair labor practice charges or union representation cases on file for OAKHURST HEALTH & REHABILITATION. Verify directly with National Labor Relations Board

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for OAKHURST HEALTH & REHABILITATION. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

EPA inspections
1
Quarters non-compliant
8
Formal actions
1
EPA penalties
$5,733

EPA Enforcement and Compliance History — Clean Air Act, Clean Water Act, RCRA, Safe Drinking Water Act. Status: Violation Identified.

EPA-registered facilities

Every EPA ECHO facility associated with this employer, sorted most-significant first. Each row links to EPA’s Detailed Facility Report for the source-of-truth record. Permits column lists active programs (Air = Clean Air Act, Water = Clean Water Act, RCRA = hazardous waste, TRI = Toxics Release Inventory reporting). 1 facility · $5,733 in assessed penalties.

FacilityPermitsStatusInspectionsFormal actionsPenaltiesLast inspectedECHO
OAKHURST HEALTH AND REHABILITATION
4238 JAMES MADISON HWY · FORK UNION, VA, 23055
WaterViolation Identified
QNCR 8
11$5,733Aug 2024View →

Source: EPA ECHO (Enforcement and Compliance History Online). Compliance status follows EPA’s own labels (“Sig Violation” = significant noncompliance; QNCR = quarters of noncompliance over the recent reporting window). Inactive facilities (struck through) retain historical enforcement records even after operations ceased.

CMS nursing-home record

CCN 495230 · Chain: HILL VALLEY HEALTHCARE

Overall rating
1 of 5 stars
Certified beds
60
Deficiencies (3y)
35
CMS fines
$18,590

Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →

CMS Care Compare deficiencies

Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 65 citations across 7 surveys · 4 actual-harm · 18 complaint-triggered · 60 marked corrected.

Survey dateF-TagSeverityDescriptionTypeCorrected
Jul 20260580E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
ComplaintNo
Jul 20260584D
Honor 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.
Resident Rights Deficiencies
ComplaintNo
Jul 20260684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
ComplaintNo
Jul 20260686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
ComplaintNo
Jul 20260692D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
ComplaintNo
Sep 20250607D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
ComplaintDec 2025
Sep 20250609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
ComplaintDec 2025
Sep 20250610D
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
ComplaintDec 2025
Sep 20250677D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
ComplaintDec 2025
Sep 20250684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
ComplaintDec 2025
Apr 20250600G (harm)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
ComplaintJun 2025
Apr 20250686G (harm)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
ComplaintJun 2025
Apr 20250658E
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
ComplaintJun 2025
Apr 20250804E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
ComplaintJun 2025
Apr 20250812D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
ComplaintJun 2025
Apr 20250880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
ComplaintJun 2025
Feb 20240887F
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies
StandardApr 2024
Feb 20240584E
Honor 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.
Resident Rights Deficiencies
StandardApr 2024
Feb 20240657E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
StandardApr 2024
Feb 20240842E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
StandardApr 2024
Feb 20240641D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
StandardApr 2024
Feb 20240656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
StandardApr 2024
Feb 20240658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
StandardApr 2024
Feb 20240677D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
StandardApr 2024
Feb 20240684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
StandardApr 2024
Feb 20240695D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
StandardApr 2024
Feb 20240699D
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies
StandardApr 2024
Feb 20240745D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies
StandardApr 2024
Feb 20240756D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
StandardApr 2024
Feb 20240758D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies
StandardApr 2024
Feb 20240761D
Ensure 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.
Pharmacy Service Deficiencies
StandardApr 2024
Feb 20240772D
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Administration Deficiencies
StandardApr 2024
Feb 20240577C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies
StandardApr 2024
Dec 20230725E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
ComplaintJan 2024
Dec 20230842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
ComplaintJan 2024
Oct 20210689G (harm)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
StandardNov 2021
Oct 20210607E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
StandardNov 2021
Oct 20210656E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
StandardNov 2021
Oct 20210684E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
StandardNov 2021
Oct 20210812E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
StandardNov 2021
Oct 20210909E
Regularly 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.
Environmental Deficiencies
StandardNov 2021
Oct 20210554D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
StandardNov 2021
Oct 20210584D
Honor 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.
Resident Rights Deficiencies
StandardNov 2021
Oct 20210609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
StandardNov 2021
Oct 20210645D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
StandardNov 2021
Oct 20210657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
StandardNov 2021
Oct 20210686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
StandardNov 2021
Oct 20210690D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
StandardNov 2021
Oct 20210887D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies
StandardNov 2021
Mar 20190740G (harm)
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies
StandardMay 2019
Mar 20190800E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies
StandardMay 2019
Mar 20190550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
StandardMay 2019
Mar 20190585D
Honor 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.
Resident Rights Deficiencies
StandardMay 2019
Mar 20190607D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
StandardMay 2019
Mar 20190609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
StandardMay 2019
Mar 20190610D
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
StandardMay 2019
Mar 20190625D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies
StandardMay 2019
Mar 20190645D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
StandardMay 2019
Mar 20190656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
StandardMay 2019
Mar 20190657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
StandardMay 2019
Mar 20190684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
StandardMay 2019
Mar 20190689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
StandardMay 2019
Mar 20190759D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
StandardMay 2019
Mar 20190842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
StandardMay 2019
Mar 20190880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
StandardMay 2019

Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.

In the news

Part of a larger organization

OAKHURST HEALTH & REHABILITATION is one of 37 establishments rolled up under the parent organization HILL VALLEY HEALTHCARE.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of HILL VALLEY HEALTHCARE across all 37 of its tracked locations is viewable on the parent profile.

Other locations under this parent

Other establishments operated by HILL VALLEY HEALTHCARE, ordered by federal enforcement volume:

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About this data

This profile aggregates federal enforcement records on OAKHURST HEALTH & REHABILITATION from every major federal compliance and enforcement source. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup HILL VALLEY HEALTHCARE, which operates 37 establishments in our dataset.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

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Frequently asked

What is OAKHURST HEALTH & REHABILITATION's OSHA violation history?
OAKHURST HEALTH & REHABILITATION has no OSHA inspections on record.