Clinch Valley Medical Center

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

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.

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.

75.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 77 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 14.0% 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 50 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: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

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.

Staffing

How full it usually is: this home is certified for 24 beds and averages 7.4 residents a day — about 31% occupied, or roughly 17 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 8.03 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 5.68 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 0.99 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 7.00 hrs/resident/day on weekends vs 8.43 on weekdays — 17% thinner on weekends. RN hours go from 5.98 to 4.93 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

1 administrator has left in the past year.

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.

• Potential for harm · F2026-03-25 · tag F0842 — failed to keep accurate, complete medical records — widespread
  Safeguard 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident interview, family interview, staff interview, clinical record review, and facility document review, the facility staff failed to accurately document education for the flu and pneumococcal vaccines for 5 of 5 current resident reviews, Residents #2, #3, #7, #9, and #16. The findings included: 1. For Resident #2 (R2), the facility failed to provide documented evidence of education regarding risks verses benefits for the flu and pneumococcal vaccines. R2's diagnosis list indicated diagnoses, which included, but not limited to hip fracture, hypertension, and diabetes.The most recent quarterly minimum data set (MDS) with an assessment reference date (ARD) of 3/6/26 assigned R2 a brief interview for mental status (BIMS) summary score of 11 out of 15 for cognitive abilities, indicating the resident was moderately impaired. Interview with R2 on 3/25/2026 at 11:50 am, resident was somewhat groggy and confused. When asked about the flu vaccine resident stated he had received it, when asked about pneumonia…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-25 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, clinical record review, and facility document review, the facility staff failed to follow establish infection control guidelines for 1 of 5 current residents in the survey sample, Resident #9.The findings included: The facility nursing staff failed to wear gloves when accessing a peripheral IV site.Per the Cleveland Clinic a peripheral IV is a thin, flexible tube that healthcare providers use to draw blood and administer treatments, IV fluids, and medications.Resident #9's diagnoses included urinary tract infection, hypertension, and diabetes.Section C (cognitive patterns) of Resident #9's admission minimum data set (MDS) assessment with an assessment reference date (ARD) of 03/18/26 included a brief interview for mental status (BIMS) score of 13 out of a possible 15 points, indicating Resident #9 was cognitively intact.Resident #9's comprehensive care plan included the focus area IV therapy. Interventions included routine site care.Resident #9's provider orders included Furosemide (Lasix) IV 40 mg and normal saline flush IV 10 milliliters…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-01-10 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and document reviews, the facility staff failed to provide NOMNC notifications for two (2) of three (3) residents selected for SNF (Skilled Nursing Facility) Beneficiary Notification Review (BNR). (These two (2) residents will be identified as BNR Resident-B and BNR Resident-C.) The findings include: Three (3) residents were selected for SNF Beneficiary Notification Review. These three (3) residents were selected from the list of Medicare beneficiaries who were discharged from a Medicare covered Part A stay with benefit days remaining in the past 6 months prior to the survey; this list was provided by facility staff members. Two (2) of the three (3) residents were reported to not have been provided the NOMNC (CMS 10123) (Notice of Medicare Non-Coverage). Information provided by the facility's Interim Unit Manager (IUM) indicated: 1. BNR Resident-B had coverage still effective upon discharge . BNR Resident-B was discharged after the completion of intravenous antibiotic therapy. BNR Resident-B was discharged to their home with home health services. 2. BNR…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-02-17 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview and clinical record review the facility staff failed to ensure 2 of 10 residents were free from unnecessary medications, Resident #8 and Resident #14. The findings included: 1. For Resident #8 the facility staff failed to provide a diagnoses/indication for use for the psychotropic medication clonazepam (Klonopin). Resident #8's admission H and P (history and physical) listed diagnoses that included, but not limited to septic right lower extremity joint present on admission, hx of congestive heart failure, history of COPD (chronic obstructive pulmonary disease), hypertension, history of sleep apnea, and history of traumatic brain injury. Resident #8's admission MDS (minimum data set) assessment had not been completed, however resident is alert and oriented to person, place, time and situation. Resident #8's clinical record was reviewed on 02/17/21 and contained a physician's order summary, which read in part Clonazepam Tab (Klonopin Tab) PO (by mouth) 0.5 mg HS (bedtime) This order did not have a diagnosis or indication for use. Surveyor spoke with 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-02-17 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, facility document review, and during a medication pass and pour observation facility staff failed to store drugs in locked compartments for 1 of 1 nursing units. The findings included: The facility staff failed to secure the following medications: lactobacillus (restores intestinal flora and prevents post-antibiotic yeast infections), docusate sodium (stool softener), lantus (long acting insulin), omeprazole (proton pump inhibitor used to treat conditions caused by excess stomach acid), synthroid (thyroid medication), amlodipine besylate (calcium channel blocker that lowers blood pressure), and simvastatin (statin that reduces cholesterol). LPN (licensed practical nurse) #1 left the medications out on top of the medication cart and out of their view during a medication pass. On 2/17/21 at 4:11pm LPN #1 opened a single dose package of lactobacillus and placed the tablet in a medication cup on top of the medication cart. LPN #1 left the medication cart to retrieve required PPE (personal protective equipment) leaving the cart and the medication cup with 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-02-17 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  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 staff failed to ensure food was properly stored for one of one unit. The findings were: 1. The facility staff failed to consistently document refrigerator and freezer temperatures and failed to document what action was taken when temperatures fell outside the acceptable range. In the afternoon of 02/17/21, the chief nursing officer (CNO) accompanied the surveyor to the clean utility room to observe the unit's only patient refrigerator. The refrigerator and freezer's temperature logs were reviewed for the months of January 2021 and February 2021. • January 2021 Nourishment Temperature Log for the Refrigerator: For the 31 days in January 2021, there were eight (8) days refrigerator temperatures were not documented. On the Freezer Temperature Log, there were ten (10) days freezer temperatures were not documented. • February 2021 Nourishment Temperature Log for the Refrigerator: For the 16 days prior to the survey, there were nine (9) days refrigerator temperatures were not documented. There was one (1) day…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2021-02-17 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, clinical record review, facility document review, and during a medication pass and pour observation facility staff failed to maintain an infection prevention and control program to help prevent the development and transmission of communicable diseases and infections for 1 of 11 residents in the survey sample, Resident #13. The findings included: For Resident #13, the facility staff failed to sanitize a hand held scanning device following taking it into the resident's room, who is on transmission based precautions, and laying it on the bed sheet covering the resident. Resident #13's diagnosis list indicated diagnoses, which included, but not limited to UTI (urinary tract infection) POA (present on admission) Urine Cultures Growing ESBL (extended-spectrum beta-lactamases), Type 2 Diabetes Mellitus, Sigmoid Diverticulitis, and Generalized Weakness and Difficulty Ambulating. Resident #13 did not have a completed admission MDS (minimum data set) at the time of the survey. The H&P Hospitalist note dated 2/12/21 states in part, patient is conscious, oriented x 3.…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to LIFEPOINT HEALTH — 8 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 →

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

CMS files one row per role, so the 13 rows in the source record cover these 11 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.

What families pay in VA