Valley Rehabilitation and Nursing Center
940 East Lee Highway · Chilhowie, VA · 24319 · 2766468911
180 certified beds For profit - Limited Liability company Chain: Lifeworks Rehab
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 2.67 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (16 in the current record)
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Potential for harm · E December 12, 2025
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 January 19, 2026 · Resident Rights
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Potential for harm · E December 12, 2025
Ensure each resident receives an accurate assessment.
Corrected January 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 12, 2025
Provide activities to meet all resident's needs.
Corrected January 19, 2026 · Quality of Life and Care
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Potential for harm · D December 12, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 19, 2026 · Quality of Life and Care
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Potential for harm · D December 12, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected January 19, 2026 · Quality of Life and Care
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Potential for harm · D December 12, 2025
Ensure that residents are free from significant medication errors.
Corrected January 19, 2026 · Pharmacy Service
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Potential for harm · D December 12, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected January 19, 2026 · Environmental
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Potential for harm · D June 30, 2023
Keep residents' personal and medical records private and confidential.
Corrected July 27, 2023 · Resident Rights
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Potential for harm · D June 30, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 27, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 30, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected July 27, 2023 · Pharmacy Service
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Potential for harm · E June 10, 2021
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 5, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 10, 2021
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 5, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 10, 2021
Respond appropriately to all alleged violations.
Corrected August 5, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 10, 2021
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 5, 2021 · Quality of Life and Care
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Potential for harm · D June 10, 2021
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 5, 2021 · Resident Assessment and Care Planning
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 495133 · certified since November 11, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.