CCN 495396 · Spotsylvania County, Virginia
Carriage Hill Health & Rehab Center
6106 Health Center Lane, Fredericksburg, VA 22407
Carriage Hill Health & Rehab Center is a 150-bed for-profit nursing home in Fredericksburg, Virginia, first certified for Medicare or Medicaid in 2008. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 141.3 residents a day, about 94% of its certified beds. It has an active FHA-insured Section 232 loan: $27.4 million originally, at 5.26%, with $26.4 million outstanding as of September 30, 2026 and maturity in April 2058.
Facility facts
- Certified beds
- 150
- Average residents per day
- 141.3 (94.2% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Fredericksburg Health Care LLC
- Certified since
- May 21, 2008
- Chain or affiliated group
- Commonwealth Care of Roanoke (12 facilities, chain average 3.6 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Virginia median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 60 at 1, 60 at 2, 54 at 3, 55 at 4, 57 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.80 | 3.45 | 3.68 |
| RN hours per resident per day | 0.49 | 0.53 | 0.58 |
| Weekend nurse hours per resident per day | 3.38 | ||
| Nursing staff turnover | 48.7% | 48.3% | 44.9% |
| Occupancy (residents / beds) | 94.2% | 91.8% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 12 (Jun 7, 2023) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Carriage Hill Health & Rehab Center meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Commonwealth Care of Roanoke IncOrganization | Operational / Managerial Control | n/a | 09/30/2008 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Mar 29, 2023 | 223(f) refinance or purchaseHUD project name: Carriage Hill Health and Rehab Center, 150 beds. Lender at endorsement: White Oak Healthcare Finance LLC | $27,440,000 | Active: 5.26%, $26,418,795 balanceMatures Apr 1, 2058. Servicer: Merchants Capital Corp. | 05122200 |
| Nov 10, 2015 | 223(f) refinance or purchaseHUD project name: MT-Carriage Hill Health & Rehab Center, 150 beds. Lender at endorsement: M and T Realty Capital Corporation | $15,600,000 | Ended Nov 30, 2020Prepayment | 05122125 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.