HILL VALLEY HEALTHCARE
Ownership rollup across 43 nursing homes in 6 states: Maryland, Oregon, Tennessee, Virginia, Washington, West Virginia. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.
The chain’s homes average 1.8 of 5 stars on the CMS overall rating — about 1.3 stars below the ~3.0 average of the 6 states it operates in. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It is also moving the wrong way: across the same 43 homes rated throughout, the average fell 0.33 stars between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.
Where the rating comes from
The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 1.7 of 5 | 43 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 2.0 of 5 | 43 rated homes | from payroll (PBJ) hours |
| Quality measures | 3.7 of 5 | 43 rated homes | largely self-reported clinical data |
Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.
Portfolio red flags
How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.
Follow the money — chain finances
Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.
Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.
Weighted by each home’s average daily census, across the 42 of 43 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.
Every home in this chain
Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.
| Home | CMS rating | Flags |
|---|---|---|
| Oakwood SNF LLCMiddle River, MD | 1 of 5 | $13,270 fined |
| The McKendree Post Acute & RehabilitationHermitage, TN | 1 of 5 | 3 immediate-jeopardy SFF candidate Abuse flag $252,242 fined |
| Brookside Rehab & Nursing CenterWarrenton, VA | 1 of 5 | Abuse flag $146,073 fined |
| Carlin Springs Health & RehabilitationArlington, VA | 1 of 5 | 1 immediate-jeopardy |
| Fair Oaks Health & RehabilitationFairfax, VA | 1 of 5 | — |
| Forest Hill Health & RehabilitationRichmond, VA | 1 of 5 | 2 immediate-jeopardy $80,132 fined |
| Guggenheimer Health And Rehab CenterLynchburg, VA | 1 of 5 | $76,681 fined |
| Highland Ridge Rehab CenterDublin, VA | 1 of 5 | — |
| Holly Manor Rehab And NursingFarmville, VA | 1 of 5 | — |
| Lawrenceville Health & RehabilitationLawrenceville, VA | 1 of 5 | — |
| Oakhurst Health & RehabilitationFork Union, VA | 1 of 5 | $18,590 fined |
| Rosedale Health & RehabilitationRichmond, VA | 1 of 5 | $73,788 fined |
| Shalom Gardens Health & RehabilitationRichmond, VA | 1 of 5 | 2 immediate-jeopardy $39,555 fined |
| Winchester Health & RehabilitationWinchester, VA | 1 of 5 | — |
| Birch Creek Post Acute & RehabilitationTacoma, WA | 1 of 5 | $30,240 fined |
| Spokane Health & RehabilitationSpokane, WA | 1 of 5 | 1 immediate-jeopardy SFF candidate $137,457 fined |
| Woodard Creek Health & RehabilitationOlympia, WA | 1 of 5 | 1 immediate-jeopardy SFF candidate $189,638 fined |
| Bluestone Health And RehabilitationBluefield, WV | 1 of 5 | 1 immediate-jeopardy SFF candidate Abuse flag $132,589 fined |
| Cortland Acres Health and RehabilitationThomas, WV | 1 of 5 | 2 immediate-jeopardy $32,057 fined |
| Glenville Health & RehabGlenville, WV | 1 of 5 | $39,390 fined |
| Mountain View Care CenterRipley, WV | 1 of 5 | 1 immediate-jeopardy SFF candidate $34,496 fined |
| New Martinsville Health & RehabNew Martinsville, WV | 1 of 5 | 3 immediate-jeopardy $49,442 fined |
| Laurelhurst Post Acute & RehabilitationPortland, OR | 2 of 5 | $33,319 fined |
| Mt. Tabor Health & RehabilitationPortland, OR | 2 of 5 | — |
| Evergreen Health And Rehabilitation CenterWinchester, VA | 2 of 5 | — |
| Fairmont Crossing Health And Rehab CenterAmherst, VA | 2 of 5 | $12,740 fined |
| Lakeside Health & RehabilitationRichmond, VA | 2 of 5 | — |
| Lynn Care CenterFront Royal, VA | 2 of 5 | 2 immediate-jeopardy Abuse flag $38,110 fined |
| Oakwood Health And Rehab CenterBedford, VA | 2 of 5 | 1 immediate-jeopardy |
| Staunton Post Acute & RehabilitationStaunton, VA | 2 of 5 | 1 immediate-jeopardy Abuse flag $24,413 fined |
| Alderwood Post Acute & RehabilitationLynnwood, WA | 2 of 5 | Abuse flag $190,519 fined |
| Gig Harbor Health And RehabilitationGig Harbor, WA | 2 of 5 | Abuse flag $127,781 fined |
| The Broadview CenterSeattle, WA | 2 of 5 | 1 immediate-jeopardy $17,252 fined |
| Huntington Health And Rehabilitation CenterHuntington, WV | 2 of 5 | — |
| George Washington Health & RehabilitationAlexandria, VA | 3 of 5 | — |
| Skyview Springs Rehab And Nursing CenterLuray, VA | 3 of 5 | 1 immediate-jeopardy |
| Summit Health And Rehab CenterLynchburg, VA | 3 of 5 | — |
| Williamsburg Post Acute & RehabilitationWilliamsburg, VA | 3 of 5 | — |
| Salmon Creek Post Acute & RehabilitationVancouver, WA | 3 of 5 | — |
| Tygart Valley Health & RehabilitationBelington, WV | 3 of 5 | — |
| Blue Ridge Therapy ConnectionStuart, VA | 4 of 5 | — |
| Tate Springs Health & RehabLynchburg, VA | 4 of 5 | — |
| Lacey Post Acute & RehabilitationLacey, WA | 4 of 5 | $7,443 fined |
Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.