2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fishersville, VA
5-star overall rating with 5-star inspections with 2 recent health deficiencies
78 Medical Center Drive, Fishersville, VA
(540) 332-4020
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
17
Certified beds
Average residents
12
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1990-07-16
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
2.78
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.23
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
2.23
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
6.24
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
4.01
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
5.31
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
1.94
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.44
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
2.51
CMS adjusted RN staffing hours
Adjusted total hours
5.64
CMS adjusted total nurse staffing hours
Case-mix index
1.51
Higher values indicate more complex resident acuity
RN turnover
10%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
23%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
606
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
66.67
Composite VBP score used to determine payment impact.
Payment multiplier
1.0205
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.76% · Performance 21.32% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
10
Baseline 3.95% · Performance 4.36% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
10
Baseline 38.09% · Performance 18.18% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.7% |
10.72%
2 pts better
|
No Different than the National Rate · Eligible stays 350 · Observed rate 5.71% · Lower 95% interval 5.93% |
| Discharge to community | 77.35% |
50.57%
26.8 pts better
|
Better than the National Rate · Eligible stays 313 · Observed rate 81.47% · Lower 95% interval 73.61% |
| Medicare spending per beneficiary | 0.61 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 98.64% |
95.27%
3.4 pts better
|
Numerator 217 · Denominator 220 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 220 |
| Discharge self-care score | 50.5% |
53.69%
3.2 pts worse
|
Numerator 101 · Denominator 200 |
| Discharge mobility score | 48.5% |
50.94%
2.4 pts worse
|
Numerator 97 · Denominator 200 |
| Pressure ulcers or injuries, new or worsened | 0.45% |
2.29%
1.8 pts better
|
Numerator 1 · Denominator 220 · Adjusted rate 0.77% |
| Healthcare-associated infections requiring hospitalization | 4.36% |
7.12%
2.8 pts better
|
No Different than the National Rate · Eligible stays 191 · Observed rate 0.52% · Lower 95% interval 2.51% |
| Staff COVID-19 vaccination coverage | 15.13% |
8.2%
6.9 pts better
|
Numerator 18 · Denominator 119 |
| Staff flu vaccination coverage | 96.51% |
42%
54.5 pts better
|
Numerator 360 · Denominator 373 |
| Discharge function score | 50.5% |
56.45%
6 pts worse
|
Numerator 101 · Denominator 200 |
| Transfer of health information to provider | 94.74% |
95.95%
1.2 pts worse
|
Numerator 54 · Denominator 57 |
| Transfer of health information to patient | 98.77% |
96.28%
2.5 pts better
|
Numerator 161 · Denominator 163 |
| Resident COVID-19 vaccinations up to date | 19.82% |
25.2%
5.4 pts worse
|
Numerator 22 · Denominator 111 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
74.6%
23.3 pts better
|
81.7%
16.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 97.4% · Q3 98.7% · Q4 100.0% · 4Q avg 97.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
11.7%
2.5 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 8.2% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.2%
0.1 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.7% · Q3 1.0% · Q4 0.9% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.8% |
73.6%
25.2 pts better
|
79.7%
19.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.5% |
22.0%
3.5 pts worse
|
23.9%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.5% · Observed 17.9% · Expected 16.7% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-16
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-05-15
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2021-08-27
Health
Notify 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.
Corrected 2021-08-27
Penalties and ownership
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Nearby options
Fishersville, VA
1-star overall rating with 1-star inspections with abuse icon flag with $203,292 in total fines with 17 recent health deficiencies
Fishersville, VA
5-star overall rating with 4-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Waynesboro, VA
1-star overall rating with 2-star inspections with 21 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out