Guggenheimer Health and Rehab Center
1902 Grace Street · Lynchburg, VA · 24504 · 4349475100
130 certified beds For profit - Limited Liability company Chain: Hill Valley Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
$76,681 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.01 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 1 · $76,681 |
Inspection citations (54 in the current record)
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Potential for harm · D January 7, 2026 · found via complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected February 6, 2026 · Resident Rights
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Potential for harm · D January 7, 2026 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected February 6, 2026 · Resident Rights
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Potential for harm · E January 7, 2026 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected February 6, 2026 · Environmental
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Potential for harm · D December 10, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 2, 2025 · Resident Rights
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Potential for harm · D December 10, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 2, 2025 · Quality of Life and Care
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Potential for harm · E December 10, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 2, 2025 · Quality of Life and Care
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Potential for harm · D December 10, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected January 2, 2025 · Quality of Life and Care
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Potential for harm · D December 10, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 2, 2025 · Quality of Life and Care
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Potential for harm · D December 10, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 2, 2025 · Pharmacy Service
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Potential for harm · E December 10, 2024 · found via complaint
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.
Corrected January 2, 2025 · Pharmacy Service
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Potential for harm · D December 10, 2024 · found via complaint
Help the resident make transportation arrangements to and from radiology services.
Corrected January 2, 2025 · Administration
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Potential for harm · D December 10, 2024 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected January 2, 2025 · Nutrition and Dietary
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Potential for harm · D December 10, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 2, 2025 · Infection Control
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Actual harm · G October 2, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 16, 2024 · Quality of Life and Care
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Potential for harm · D October 2, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 2, 2025 · Resident Rights
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Potential for harm · D October 2, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 16, 2024 · Resident Rights
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Potential for harm · D October 2, 2024
Keep residents' personal and medical records private and confidential.
Corrected November 16, 2024 · Resident Rights
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Potential for harm · D October 2, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected November 16, 2024 · Resident Rights
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Potential for harm · D October 2, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 2, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 2, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 2, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 2, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 2, 2024 | Fine | $76,681 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495112 · certified since March 24, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.