Skyline Nursing & Rehabilitation
237 Franklin Pike Road SE, Floyd, VA 24091 · For profit - Corporation · 90 certified beds · (540) 745-2016 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a middle-of-the-pack inspection score (3/5)
- it has 1 actual-harm citation
- a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $10,358 in federal fines (most recent 2025-12-04)
- its payroll-based staffing rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 2 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 15.3% | 14.9% | 15.4% | typical |
| Long-stay residents who lose too much weight | 4.0% | 5.4% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.7% | 0.4% | 0.9% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.7% | 1.6% | 2.0% | better |
| Long-stay residents with depressive symptoms | 3.8% | 18.7% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 10.3% | 3.6% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 13.7% | 15.6% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 42.6% | 20.6% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 94.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 6.2% | 4.7% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 33.9% | 21.8% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 17.2% | 14.2% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 2.6% | 1.3% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 95.2% | 73.6% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 21.2% | 22.3% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 15.2% | 11.5% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 1.61 | 1.52 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 1.16 | 1.48 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
44.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 91 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 63.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 63 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 18% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 15% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 44.7%CMS range 35.6–53.9 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.8%CMS range 7.7–15.3 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 63.5% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 50.8% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 60.3% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 97.3% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 2.3% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.3% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.1%CMS range 3.8–11.7 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.88 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 90 beds and averages 84.6 residents a day — about 94% occupied, or roughly 5 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.18 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.35 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.91 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.76 hrs/resident/day on weekends vs 3.35 on weekdays — 18% thinner on weekends. RN hours go from 0.42 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
20 citations, most serious first. The 11 most serious are shown; the remaining 9 are one tap away and print in full.
- Actual harm · G2025-12-04 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, clinical record review, and facility document review, the facility staff failed to ensure one (1) of 24 sampled residents were free of significant medication errors, Resident #6. This failure resulted in harm to Resident #6 requiring emergency care at the hospital. The findings included: Resident #6's clinical record listed diagnoses which included but not limited to other encephalopathy, Alzheimer's disease, vascular dementia, and malignant neoplasm of sigmoid colon.Resident #6's most recent quarterly minimum data set (MDS) with an assessment reference date (ARD) of 09/08/25 assigned the resident a Brief Interview for Mental Status (BIMS) score of 3 out of 15 in section C, cognitive patterns. This indicated that the resident was severely cognitively impaired.Resident #6's clinical record was reviewed and contained a Surgical Clinic History and Physical/Consultation Note which read in part, [Resident #6] presented to the ED [emergency department] on 6/29/2025 and Ed note is as follows:…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-12-04 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, clinical record review, and facility document review, the facility staff failed to notify a medical provider of a change in condition for (3) three of (24) twenty-four sampled residents. Resident #5, Resident #39, and Resident #51. The findings included:1.For Resident #5 the facility staff failed to notify a medical provider of the resident's transfer to a higher level of care on 4/22/25. Resident #5's diagnosis list indicated diagnoses, which included, but not limited to Chronic Kidney Disease-Stage 4, Hypertension, Chronic Obstructive Pulmonary Disease, Atherosclerotic Heart Disease, Chronic Respiratory Failure with Hypoxia, and Diabetes Mellitus Type 2. The most recent quarterly MDS (minimum data set) with an ARD (assessment reference date) of 9/19/25 assigned the resident a BIMS (brief interview for mental status) summary score of 3 out of 15 for cognitive abilities, indicating the resident was severely impaired in cognition. A review of Resident #5's census list disclosed that the resident had been transferred out of the facility on 4/22/25. A nursing…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-04 · tag F0628 — isolatedProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, clinical record review, and facility document review, facility staff failed to provide notification to the representative of the office of the local state long-term care ombudsman of a resident transfer to a higher level of care for (1) one of (24) twenty-four sampled residents. Resident #9. The findings included:For Resident #9, the facility staff failed to notify the office of the state long-term care ombudsman of a transfer/discharge to a higher level of care on 10/22/25. Resident #9's diagnosis list indicated diagnoses that included, but were not limited to, History of Falling, Age-Related Cognitive Decline, Osteoarthritis, Restlessness and Agitation, and Unspecified Fracture of Upper End of Left Humerus. The most recent significant change minimum data set (MDS) with an assessment reference date (ARD) of 11/14/25, assigned the resident a brief interview for mental status (BIMS) summary score of 3 out of 15 for cognitive abilities, indicating the resident was severely impaired in cognition. A nursing progress note dated 10/22/25 read in part, .Placed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-04 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, clinical record review and facility document review, facility staff failed to process a medical provider order for (1) one of (20) twenty sampled residents, Resident #4 and the facility staff failed to follow physician orders for (1) one of (24) twenty-four sampled residents Resident #39. The findings included: 1. For Resident #4, the facility nursing staff failed to process a provider order for the medication Fluticasone Propionate inhaler. This provider ordered this medication on 11/26/25 and the order was not processed until 12/01/25. Resident #4's diagnoses included acute and chronic respiratory failure and chronic obstructive pulmonary disease (COPD). Section C (cognitive patterns) of Resident #4's annual minimum data set (MDS) assessment with an assessment reference date (ARD) of 11/14/25 included a brief interview for mental status (BIMS) score of 3 out of a possible 15 points. Per the MDS manual a score of 3=severe impairment in cognitive skills for daily decision making. Resident #4's comprehensive care plan included the focus area COPD.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-04 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interview, clinical record review, and facility document review, the facility staff failed to provide services and/or treatment to prevent further decrease in range of motion, including the provision of equipment for limited range of motion for (1) one of (24) twenty-four sampled residents. Resident #10. The findings included:For Resident #10, the facility staff failed to provide a right knee brace as ordered by a medical provider to prevent abduction and external rotation of the right hip for contracture management. Resident #10's diagnosis list indicated diagnoses that included, but were not limited to, Diffuse Traumatic Brain Injury, Muscle Weakness, Abnormalities of Gait and Mobility, Quadriplegia, Contracture Right Hand, Contracture Left Hand, Paraplegia, Contracture Right Knee, Contracture Left Knee, Contracture Right Ankle, Contracture Left Ankle, and Abnormal Posture. The most recent quarterly minimum data set (MDS) with an assessment reference date (ARD) of 9/5/25, was coded in Section C (Cognitive Patterns) to indicate Resident #10 was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-04 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, clinical record review, and facility document review, the facility staff failed to ensure medications were available for administration for (1) one of (24) twenty-four sampled residents, Resident #4. The findings included:The facility staff failed to ensure the provider ordered medication Fluticasone Propionate inhaler was available for administration on 12/01/25 and 12/02/25.Resident #4's diagnoses included acute and chronic respiratory failure and chronic obstructive pulmonary disease (COPD).Section C (cognitive patterns) of Resident #4's annual minimum data set (MDS) assessment with an assessment reference date (ARD) of 11/14/25 included a brief interview for mental status (BIMS) score of 3 out of a possible 15 points. Per the MDS manual a score of 3=severe impairment in cognitive skills for daily decision making.Resident #4's comprehensive care plan included the focus area COPD. Interventions included administer medications as ordered.Resident #4's clinical record included a provider order for the medication Fluticasone Propionate inhaler 2 puffs every…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-04 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, clinical record review, and facility document review, the facility staff failed to follow-up on pharmacy recommendations for (3) three of (24) twenty-four sampled residents, Resident #11, Resident #12, and Resident #23. The findings included:1. For Resident #11, the facility staff failed to follow up on a pharmacy recommendation for 07/15/25. The facility staff were unable to locate this recommendation. Resident #11's diagnoses included chronic obstructive pulmonary disease, protein calorie malnutrition, adult failure to thrive, and vascular dementia. Section C (cognitive patterns) of Resident #11's significant change in status minimum data set (MDS) assessment with an assessment reference date (ARD) of 09/17/25 was coded 1/1/3 to indicate this resident had problems with long- and short-term memory and was severely impaired in cognitive skills for daily decision making. Resident #11's clinical record included a progress note dated 07/15/25. The pharmacist had transcribed that a medication regimen review had been completed and to see their .report for any…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-04 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interviews, clinical record reviews, and facility document review, the facility staff failed to ensure a complete and/or accurate clinical record for (2) two of (24) twenty-four sampled residents. Resident #6 and Resident #10. The findings included:1 For Resident #6 the facility staff filed another resident's Durable Do Not Resuscitate form in Resident #6's clinical record. Resident #6's clinical record contained diagnoses not limited to Alzheimer's disease, unspecified. Resident #6's most recent minimum data set with an assessment reference date of 09/08/25 assigned the resident a brief interview for mental status score of 3 out 15 in section C, cognitive patterns. Resident #6's clinical record was reviewed and contained a Durable Do Not Resuscitate form belonging to another resident. The concern of another resident's information being in Resident #6's clinical record was discussed with the administrator, director of nursing, staff educator, unit managers, and business office manager on 12/04/25 at 1:45 pm. No further information was provided prior to exit. 2. For…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-04 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interview, clinical record review, and facility document review, the facility staff failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. The findings included: For the infection control program, the facility staff failed to follow the enhanced barrier precautions (EBP) process and maintain infection control interventions to help reduce the transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities for facility residents with wounds and indwelling medical devices. This surveyor requested and received a list of residents on EBP. One resident was listed on the report for a dialysis access port. A review of the complete matrix for the facility indicated three facility residents had indwelling catheters, one resident had a stage II pressure ulcer, and one resident had a feeding tube and a tracheostomy. One…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-09-22 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews, clinical record review, and facility document review, the facility staff failed to ensure a resident's medical provider and/or responsible party (RP) was notified of a significant weight loss for one (1) of 20 sampled residents, Resident #9. For Resident #9, the facility staff failed to notify the resident's medical provider and/or responsible party (RP) of the resident's following weight changes: on 7/1/22 Resident #9's weight was documented as 121.4 pounds; on 7/5/22 Resident #9's weight was documented as 121.4 pounds; and on 8/2/22 Resident #9's weight was documented as 114.6 pounds. The findings include: Resident #9's clinical documentation failed to provide evidence of medical provider and/or responsible party (RP) notification of the resident's aforementioned weight loss. Resident #9's minimum data set (MDS) assessment, with an assessment reference date (ARD) of 7/1/22, was dated as completed on 7/7/22. Resident #9 was assessed as sometimes able to make self understood and sometimes able to understand others. Resident #9 was assessed as having short-term…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-09-22 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, clinical record review, and facility document review, the facility staff failed to provide notice in writing to the resident and resident representative prior to a facility transfer or discharge for 1 of 20 residents in the survey sample, Resident #32. For Resident #32, the facility failed to provide the resident written notice to include the reason for the move prior to transfer to an acute care hospital. The findings included: Resident #32's diagnosis list indicated diagnoses, which included, but not limited to Methicillin Susceptible Staphylococcus Aureus Infection, Rheumatoid Arthritis, Atrial Fibrillation, Essential Hypertension, and Mediastinitis. The admission minimum data set (MDS) with an assessment reference date (ARD) of 8/08/22 assigned the resident a brief interview for mental status (BIMS) summary score of 15 out of 15 indicating the resident was cognitively intact. A review of Resident #32's clinical record revealed the resident was transferred to an acute care hospital on 8/18/22. On 9/21/22 at 2:56 pm, surveyor spoke with the Director of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 9 citations
- Potential for harm · D2022-09-22 · tag F0625 — isolatedNotify 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, clinical record review, and facility document review, the facility staff failed to provide written bed hold policy information to the resident or resident representative prior to transfer for 1 of 20 residents in the survey sample, Resident #32. For Resident #32, the facility failed to provide the resident written bed hold policy information prior to transfer to an acute care hospital. The findings included: Resident #32's diagnosis list indicated diagnoses, which included, but not limited to Methicillin Susceptible Staphylococcus Aureus Infection, Rheumatoid Arthritis, Atrial Fibrillation, Essential Hypertension, and Mediastinitis. The admission minimum data set (MDS) with an assessment reference date (ARD) of 8/08/22 assigned the resident a brief interview for mental status (BIMS) summary score of 15 out of 15 indicating the resident was cognitively intact. A review of Resident #32's clinical record revealed the resident was transferred to an acute care hospital on 8/18/22. On 9/21/22 at 2:56 pm, surveyor spoke with the Director of Nursing (DON) who…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-09-22 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews, clinical record review, and facility document review, the facility staff failed to address a significant weight loss for one (1) of 20 sampled residents, Resident #9. For Resident #9, the facility staff failed to address the resident's following weight changes: on 7/1/22 Resident #9's weight was documented as 121.4 pounds; on 7/5/22 Resident #9's weight was documented as 121.4 pounds; and on 8/2/22 Resident #9's weight was documented as 114.6 pounds. The findings include: The facility staff failed to notify a medical provider of Resident #9's aforementioned weight loss. The facility staff failed to address Resident #9's aforementioned weight loss. No evidence was found to indicate Resident #9's weight loss was evaluated by a medical provider and/or a registered dietitian. Resident #9's minimum data set (MDS) assessment, with an assessment reference date (ARD) of 7/1/22, was dated as completed on 7/7/22. Resident #9 was assessed as sometimes able to make self understood and sometimes able to understand others. Resident #9 was assessed as having short-term memory…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2019-10-03 · tag F0804 — failed to serve food at safe, palatable temperature — widespreadEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, and facility document review, the facility failed to provide food and drink that is palatable, attractive, and served at a safe and appetizing temperature. The findings included: The facility failed to hold and serve food at a safe temperature of 135 degrees F or higher on the steam table. On 9/30/19 at approximately 11:20 am, the surveyor observed dietary staff member #1 obtain food temperatures from the steam table. Food temperatures obtained were as follows: Roasted Potatoes 153.5 F Green Beans 193.1 F Green Beans (Puree) 134.4 F Pasta Noodles - 154.6 F Pasta Sauce 168.4 F Breaded Chicken Patty 129.6 F Breaded Chicken Patty (Ground) 127.7 F Chicken Parmesan (Puree) 141.9 F Mashed Potatoes approximately 54.0 F Dietary staff member #1 reheated the mashed potatoes to a temperature of 150.1 F and returned to the steam table and began plating lunch meals. No additional food items were reheated. The surveyor asked Dietary staff member #1 what the food temperatures on the steam table should be, dietary staff member #1 stated 145 degrees. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2019-10-03 · tag F0585 — failed to handle grievances — patternHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on resident interview, staff interview, and facility document review, facility staff failed to make prompt efforts to resolve resident grievances. The findings included: The facility failed to act upon grievances voiced at resident council for the months of September 2018, November 2018, December 2018, February 2019, and May 2019. The surveyor reviewed the resident council minutes and the following was noted in the July 2019 minutes There are outstanding concerns from previous meetings (2 from May 2019, 2 from Feb. 2019, 2 from Dec. 2018, 5 from Nov. 2018 and 4 from Sept. 2018). I will continue to try and get responses/resolutions from those departments. The August 2019 minutes stated in part, Residents stated that most of the outstanding concerns from previous meetings has been resolved. On 10/01/19 at approximately 10:30 am, surveyor spoke with the activities director concerning the unresolved resident concerns documented in the Resident Council Minutes. He stated that he started in this position approximately one month ago and stated during his first resident council…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2019-10-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview and clinical record review, and facility document review, facility staff failed to ensure an environment free of accident hazards for 6 of 21 residents in the survey sample (Residents #32, 68, 26, 62, 67 and 72) The findings included: 1. The facility staff failed to perform post fall documentation every shift for 72 hours when Resident #32 had a fall that had occurred on 7/6/19. Resident #32 was admitted to the facility on [DATE] with the following diagnoses of, but not limited to anemia, high blood pressure, dementia, anxiety disorder and depression. On the quarterly MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 7/19/19 coded the resident as having short term and long-term memory loss and being severely impaired in daily decision-making. Resident #32 was also coded as requiring extensive assistance of 2 staff members for dressing and personal hygiene and being totally dependent on 2 staff members for bathing. During the clinical record review on 10/3/19,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-10-03 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and clinical record review, facility staff failed to review and revise the comprehensive care plan to reflect the resident's status for 1 of 21 residents in the survey sample (Resident #72). Resident #72 was admitted to the facility on [DATE]. Diagnoses included cerebral infarct, generalized muscle weakness, dysphagia, aphasia, hemiplegia and hemiparesis after infarct,congestive heart failure, and dementia without behavior disturbance. On the quarterly Minimum Data Set assessment with assessment reference date 9/11/19, the resident scored 6/15 on the brief interview for mental status and was assessed as without signs of delirium, psychosis, or behaviors affecting care. The resident was assessed as requiring extensive assistance for transfer to or from bed or toilet, cueing or supervision of one person for locomotion on or off the unit, and was unsteady moving from seated to standing, turning around, moving on and off the toilet, and surface to surface transfers. During clinical record…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-10-03 · tag F0744 — failed to care for residents with dementia — isolatedProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview and clinical record review, facility staff failed to ensure that a resident who displays or is diagnosed with dementia, receives the appropriate treatment and services by monitoring targeted behaviors associated with the use of an antipsychotic medication for 1 of 21 residents in the survey sample (Resident #67). The findings included: For Resident #67 the facility failed to monitor targeted behaviors associated with the use of Zyprexa, an antipsychotic medication. Resident #67's face sheet listed an admission date of 8/28/17. The Resident's diagnosis list indicated diagnoses, which included, but not limited to osteoarthritis of the left hip, osteoporosis, muscle weakness, cognitive communication deficit, unspecified psychosis, dementia, major depressive disorder, and delusional disorder. The most recent annual MDS (minimum data set) with an ARD (assessment reference date) of 9/06/19 assessed the resident with impaired short and long term memory with signs of delirium. Resident #67 was also coded as requiring extensive assistance of two or more staff members…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-10-03 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and clinical record review, facility staff failed to have a stop date for an as needed psychotropic medication for 2 of 21 residents in the survey sample (Residents #7 and 69). The findings included: 1. The facility staff failed to ensure that PRN (as needed) orders for psychotropic drugs are limited to 14 days except by having a stop date for an as needed psychotropic medication for Resident #7. The psychotropic medication was Ativan. Resident #7 was admitted to the facility on [DATE] with the diagnoses of, but not limited to, stroke, atrial fibrillation, heart failure, high blood pressure, Alzheimer's disease, anxiety disorder and depression. On the admission MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 6/27/19, the resident was coded as having memory problems in her short term and long-term memory problems. Resident #26 was also coded as requiring extensive assistance of 2 staff members for bathing and personal hygiene and totally dependent on 2 staff members for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · C2025-12-04 · tag F0887 — widespreadEducate 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview and facility document review, the facility staff failed to provide evidence of education regarding the risks, benefits and potential side effects of the COVID-19 vaccine for facility employees and failed to provide evidence of informed consent of the COVID-19 vaccine for facility employees. The findings included:This surveyor requested evidence of a facility staff member's screening and eligibility, provision of education, risks versus benefits, offering and administration of the COVID-19 vaccine during the infection prevention review. On 12/3/25 at 9:12 AM, the facility administrator informed this surveyor if an employee wants a COVID-19 vaccine, the facility orders the vaccine from the pharmacy and administers it. If an employee does not want a COVID-19 vaccine, then the facility does not do anything. This surveyor asked the administrator for any evidence of staff education and any evidence of employee declinations of the COVID-19 vaccine. On 12/3/25 at 10:05 AM, the facility administrator provided this surveyor with a facility document titled, Staying Up…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$10,358 in federal fines across 1 penalty. 1 Medicare payment denial on record.
- $10,358 — penalty dated 2025-12-04
- Medicare payment denial — starting 2026-03-04 for 16 days
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to AVARDIS HEALTH — 38 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 2.0 | +1.0 vs chain |
| Health inspection | 3 of 5 | 1.9 | +1.1 vs chain |
| Staffing | 2 of 5 | 2.3 | -0.3 vs chain |
| Quality measures | 3 of 5 | 3.2 | -0.2 vs chain |
The other 37 homes this chain runs (chain average 2.0★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| FLOYD PARENTCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 05/01/2025 |
| FLOYD HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2025 |
| VAOP HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2025 |
| CLARK, ALYSSA | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/01/2025 |
| HOBACK, TIFFANY | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/01/2025 |
| SNF MGR LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/18/2025 |
| GALLIMORE, DEBRA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/01/2025 |
| JONES, TEQUILLA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/01/2025 |
| MARCH, JARED | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/01/2025 |
| SCHUMANN, JASON | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/01/2025 |
CMS files one row per role, so the 19 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.
4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 76% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $430K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in VA
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Virginia Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 495348. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-04, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.