Cycle 1
Health 2024-02-29 · Fire 2024-02-29
2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Stuart, VA
Blue Ridge Therapy Connection
5-star overall rating with 5-star inspections with 2 recent health deficiencies
105 Landmark Drive, Stuart, VA
(276) 694-7161
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
190
Certified beds
Average residents
163
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Hill Valley Healthcare
Operator or chain grouping
Approved since
1996-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
40 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.63
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.94
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.32
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.38
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.95
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
3.12
CMS adjusted total nurse staffing hours
Case-mix index
1.46
Higher values indicate more complex resident acuity
RN turnover
70%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,193
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.97
Composite VBP score used to determine payment impact.
Payment multiplier
0.9939
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.33
Baseline 18.60% · Performance 18.03% · Measure score 7.33 · Achievement 7.33 · Improvement 3.10
Healthcare-associated infections
5.35
Baseline 7.16% · Performance 6.24% · Measure score 5.35 · Achievement 5.35 · Improvement 3.76
Total nurse turnover
3.49
Baseline 52.21% · Performance 49.41% · Measure score 3.49 · Achievement 3.49 · Improvement 0.52
Adjusted total nurse staffing
0.21
Baseline 2.68 hours · Performance 2.90 hours · Measure score 0.21 · Achievement 0 · Improvement 0.21
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.01% |
10.72%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 169 · Observed rate 13.61% · Lower 95% interval 9.7% |
| Discharge to community | 48.78% |
50.57%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 156 · Observed rate 45.51% · Lower 95% interval 41.52% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 80 · Denominator 80 |
| Falls with major injury | 2.5% |
0.77%
1.7 pts worse
|
Numerator 2 · Denominator 80 |
| Discharge self-care score | 64.91% |
53.69%
11.2 pts better
|
Numerator 37 · Denominator 57 |
| Discharge mobility score | 61.4% |
50.94%
10.5 pts better
|
Numerator 35 · Denominator 57 |
| Pressure ulcers or injuries, new or worsened | 8.75% |
2.29%
6.5 pts worse
|
Numerator 7 · Denominator 80 · Adjusted rate 7.32% |
| Healthcare-associated infections requiring hospitalization | 6.24% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 100 · Observed rate 4% · Lower 95% interval 3.43% |
| Staff COVID-19 vaccination coverage | 1.19% |
8.2%
7 pts worse
|
Numerator 2 · Denominator 168 |
| Staff flu vaccination coverage | 28.29% |
42%
13.7 pts worse
|
Numerator 58 · Denominator 205 |
| Discharge function score | 68.42% |
56.45%
12 pts better
|
Numerator 39 · Denominator 57 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 37 · Denominator 37 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 21 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 13.16% |
25.2%
12 pts worse
|
Numerator 5 · Denominator 38 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.5
0.5 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.4
0.2 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
91.2%
7.8 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.3% · Q2 98.6% · Q3 100.0% · Q4 100.0% · 4Q avg 99.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% |
94.0%
2.9 pts better
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.2% |
3.6%
1.6 pts worse
|
3.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 4.8% · Q3 3.4% · Q4 5.8% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.2% |
15.7%
3.5 pts better
|
11.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 13.2% · Q3 9.8% · Q4 5.8% · 4Q avg 12.2% |
| Percentage of long-stay residents who lose too much weight | 8.7% |
5.7%
3 pts worse
|
5.4%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 9.8% · Q3 7.1% · Q4 7.3% · 4Q avg 8.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.7% |
20.2%
10.5 pts worse
|
19.6%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.1% · Q2 31.7% · Q3 29.4% · Q4 31.8% · 4Q avg 30.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.6% |
15.0%
0.4 pts better
|
16.7%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 13.5% · Q3 16.0% · Q4 13.3% · 4Q avg 14.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.4% |
17.5%
5.1 pts better
|
16.3%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 7.0% · Q3 20.5% · Q4 5.3% · 4Q avg 12.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.0% |
15.7%
6.7 pts better
|
14.9%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 7.4% · Q3 16.3% · Q4 6.9% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.5%
0.5 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.6%
0.7 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 0.7% · Q4 0.6% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.1% |
22.2%
1.9 pts worse
|
19.8%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.1% · Q2 27.3% · Q3 19.3% · Q4 24.9% · 4Q avg 24.1% |
| Percentage of long-stay residents with pressure ulcers | 6.1% |
5.2%
0.9 pts worse
|
5.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 5.6% · Q3 4.1% · Q4 7.3% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.6% |
74.6%
1 pts worse
|
81.7%
8.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 60.2% · Q2 66.4% · Q3 80.3% · Q4 92.9% · 4Q avg 73.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.9% |
11.7%
3.8 pts better
|
12.0%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.9% · Observed 7.4% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
1.2%
0.4 pts worse
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 66.9% |
73.6%
6.7 pts worse
|
79.7%
12.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 66.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.4% |
22.0%
3.6 pts better
|
23.9%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 17.0% · Expected 22.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-10-19 · Fire 2022-10-19
3 health deficiencies
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-12-18 · Fire 2019-12-18
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2019-12-18
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-10-05
F · Potential for more than minimal harm
2019-12-18
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2020-10-05
F · Potential for more than minimal harm
2019-12-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-10-05
D · Potential for more than minimal harm
2019-12-18
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-10-05
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-02-29
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-14
D · Potential for more than minimal harm
2024-02-29
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-03-14
D · Potential for more than minimal harm
2023-04-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-10
D · Potential for more than minimal harm
2023-04-18
F761 · Pharmacy Service Deficiencies
Health
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 2023-03-28
E · Potential for more than minimal harm
2022-10-19
F584 · Resident Rights Deficiencies
Health
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 2022-12-21
E · Potential for more than minimal harm
2022-10-19
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2022-12-21
D · Potential for more than minimal harm
2022-10-19
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-12-21
D · Potential for more than minimal harm
2019-12-18
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2020-02-12
D · Potential for more than minimal harm
2019-12-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-02-12
D · Potential for more than minimal harm
2019-12-18
F761 · Pharmacy Service Deficiencies
Health
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 2020-02-12
Penalties and ownership
What sits behind the stars
Ownership
Landmark Operations Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Delilah 2626 Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Greeley, Michael
W-2 Managing Employee · Individual
Hvh Landmark Management LLC
Operational/Managerial Control · Organization
Idels, Shimon
Corporate Officer · Individual
Lieberman, Joseph
Corporate Officer · Individual
Lion 26 Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Sabrina 1818 Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Saessy Irrevocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Schwartz, Steven
Corporate Officer · Individual
Tatiriq Irrevocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Vnb New York LLC
5% Or Greater Security Interest · Organization
Nearby options
Other facilities in reach
#1
Heritage Hall - Laurel Meadows
Laurel Fork, VA
5-star overall rating with 5-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Stokes County Nursing Home
Danbury, NC
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Stanleytown Health And Rehabilitation Center
Bassett, VA
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Jump out