Skilled nursing facility · CMS certification number 495424
LAKE MANASSAS HEALTH & REHABILITATION CENTER
GAINESVILLE, Virginia · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $22,509.00 · Payment denials: 0. The most recent penalty on file: April 10, 2026, Fine, $22,509. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on December 4, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $35,925,092 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,627,727 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $27,297,365 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,120,500 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $6,176,865 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,586 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,180,451 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $6,180,451 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,800 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 20,231 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 10,582 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,691 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 42,504 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 517 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 191 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 211 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 919 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 55.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1443669, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,563,097 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,285,330 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,277,767 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,351,848 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,925,919 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $2,925,919 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,925,919 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,405 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,001 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 54.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 43.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438514, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 24, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $30,953,988 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,032,452 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,921,536 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,088,715 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,832,821 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $3,832,821 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,832,820 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,810 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,022 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 58.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 41.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405731, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for May 28, 2021 to June 30, 2022 — a reporting period of 398 days, on form CMS-2540-10, settled, processed by CMS on June 23, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $30,651,608 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,915,905 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,735,703 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,067,320 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,668,383 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,004 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,689,387 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,689,387 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,893 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,034 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 70.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 44.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1354225, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended May 27, 2021
Cost report for January 1, 2021 to May 27, 2021 — a reporting period of 146 days, not a full year, on form CMS-2540-10, settled, processed by CMS on February 3, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,159,200 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,481,234 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,677,966 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,518,210 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $159,756 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,064 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $174,820 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $174,820 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,425 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 321 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 562.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341776, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 24, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,302,204 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,397,381 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,904,823 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,895,510 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,009,313 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,653 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,022,966 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,022,964 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,052 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 837 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 37.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1336830, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 24, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,375,292 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,352,863 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,022,429 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,274,363 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $748,066 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,713 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $773,779 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $773,776 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,529 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 849 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 137.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 50.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281657, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 20, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,761,152 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,784,917 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,976,235 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,770,107 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $206,128 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $46,352 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $252,480 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $252,480 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,523 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 734 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 113.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254286, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for October 26, 2017 to December 31, 2017 — a reporting period of 66 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,854,221 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $598,150 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,256,071 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,722,923 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$466,852 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,679 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$464,173 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$464,173 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 3,186 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 63 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 329 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 50.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208166, read from the public cost report file SNF10FY2018.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| LAK MANASSAS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/28/2021 |
| CHARLES 1994 FAMILY GRANTOR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| CHESAPEAKE EAST LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| EDWARD 1998 FAMILY GRANTOR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| EK 2005 FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| FAY 2014 FAMILY GRANTOR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| FAY 2014 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| LL 2013 FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| MMS 2008 FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| MZR EAST LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| SAUL 2012 FAMILY GRANTOR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| SILVERSTONE EAST LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| SOL 2000 FAMILY GRANTOR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| SOL 2000 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| STEVENS 3920 & FAMILY LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| STEVENS 3920 FAMILY GRANTOR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| STEVENS 3920 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/28/2021 |
| RYLBSS EAST MANAGER LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/28/2021 |
| GREENE, BEVERLY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 09/12/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LAKE MANASSAS SNF LLC (enrollment ID O20210823002531).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| LAK MANASSAS HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHARLES 1994 FAMILY GRANTOR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 21.37 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHESAPEAKE EAST LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| EDWARD 1998 FAMILY GRANTOR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22.56 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| EK 2005 FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| FAY 2014 FAMILY GRANTOR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22.56 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| FAY 2014 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22.56 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| LL 2013 FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| MMS 2008 FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| MZR EAST LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| SAUL 2012 FAMILY GRANTOR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22.56 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| SILVERSTONE EAST LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 75 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| SOL 2000 FAMILY GRANTOR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22.56 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| SOL 2000 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22.56 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| STEVENS 3920 & FAMILY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23.75 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| STEVENS 3920 FAMILY GRANTOR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 21.37 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| STEVENS 3920 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 21.37 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| RYLBSS EAST MANAGER LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 5/28/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| BEVERLY GREENE | Individual | W-2 MANAGING EMPLOYEE | 100 | 9/12/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- November 1, 2023: MOSHE Y RAJCHENBACH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: AMANDA GANNON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: HINDY SPIEGEL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: BEVERLY GREENE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since September 12, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
Recent changes on this record
- December 4, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- March 24, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- November 1, 2023: MOSHE Y RAJCHENBACH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: AMANDA GANNON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: HINDY SPIEGEL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: BEVERLY GREENE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since September 12, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- June 23, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- February 3, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 24, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- March 24, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- April 20, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2018.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 17, 2024 | April 17, 2024 | 20 | 0 |
| 2 | July 14, 2022 | July 14, 2022 | 17 | 2 |
| 3 | February 27, 2020 | February 27, 2020 | 11 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
48 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 10, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Yes | Deficient, Provider has date of correction | April 28, 2026 |
| April 10, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | April 28, 2026 |
| April 10, 2026 | Health | F 0710 | Nursing and Physician Services Deficiencies | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Yes | Deficient, Provider has date of correction | April 28, 2026 |
| April 10, 2026 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Yes | Deficient, Provider has date of correction | April 28, 2026 |
| April 10, 2026 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Yes | Deficient, Provider has date of correction | April 28, 2026 |
| February 19, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | March 19, 2025 |
| February 19, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | March 19, 2025 |
| April 17, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| April 17, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| April 17, 2024 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| April 17, 2024 | Health | F 0625 | Resident Rights Deficiencies | 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. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| April 17, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| April 17, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| April 17, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| April 17, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | July 31, 2024 |
| April 17, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| April 17, 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | No | Deficient, Provider has date of correction | July 31, 2024 |
| April 17, 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| April 17, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| April 17, 2024 | Health | F 0840 | Administration Deficiencies | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| April 17, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| April 17, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| July 14, 2022 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | August 22, 2022 |
| July 14, 2022 | Health | F 0585 | Resident Rights Deficiencies | 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. | D | No | Deficient, Provider has date of correction | August 22, 2022 |
| July 14, 2022 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | No | Deficient, Provider has date of correction | August 22, 2022 |
| July 14, 2022 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | August 22, 2022 |
| July 14, 2022 | Health | F 0625 | Resident Rights Deficiencies | 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. | D | No | Deficient, Provider has date of correction | August 22, 2022 |
| July 14, 2022 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | August 22, 2022 |
| July 14, 2022 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | No | Deficient, Provider has date of correction | August 22, 2022 |
| July 14, 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | August 22, 2022 |
| July 14, 2022 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | August 22, 2022 |
| July 14, 2022 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | August 22, 2022 |
| July 14, 2022 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | August 22, 2022 |
| July 14, 2022 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | August 22, 2022 |
| July 14, 2022 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | August 22, 2022 |
| July 14, 2022 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | August 22, 2022 |
| July 14, 2022 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | August 22, 2022 |
| February 27, 2020 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | March 16, 2020 |
| February 27, 2020 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | March 16, 2020 |
| February 27, 2020 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | March 16, 2020 |
| February 27, 2020 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | March 16, 2020 |
| February 27, 2020 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | March 16, 2020 |
| February 27, 2020 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | March 16, 2020 |
| February 27, 2020 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | March 16, 2020 |
| February 27, 2020 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | March 16, 2020 |
| February 27, 2020 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | March 16, 2020 |
| February 27, 2020 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | C | No | Deficient, Provider has date of correction | March 16, 2020 |
| February 27, 2020 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | March 16, 2020 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 10, 2026 | Fine | $22,509 | 139733 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | LAKE MANASSAS SNF LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2017-10-26 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Prince William |
| Telephone Number | 7037433999 |
| Chain Name | LIFEWORKS REHAB |
| Chain ID | 768 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 117.1 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on LAKE MANASSAS HEALTH & REHABILITATION CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On December 4, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for LAKE MANASSAS HEALTH & REHABILITATION CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Virginia at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 495424.