Cycle 1
Health 2023-01-10 · Fire 2023-01-10
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Richlands, VA
Clinch Valley Medical Center
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
2949 W Front St, Richlands, VA
(276) 596-6000
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
24
Certified beds
Average residents
9
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Lifepoint Health
Operator or chain grouping
Approved since
1988-06-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 4 overall / 4 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
5.20
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.75
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.56
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
7.51
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
5.95
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
7.18
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
4.98
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
4.70
CMS adjusted RN staffing hours
Adjusted total hours
6.79
CMS adjusted total nurse staffing hours
Case-mix index
1.51
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,468
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.50
Composite VBP score used to determine payment impact.
Payment multiplier
1.0116
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.15
Baseline 17.85% · Performance 18.12% · Measure score 7.15 · Achievement 7.15 · Improvement 0
Healthcare-associated infections
4.14
Baseline 4.99% · Performance 6.60% · Measure score 4.14 · Achievement 4.14 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
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
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.01% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 93 · Observed rate 7.53% · Lower 95% interval 6.95% |
| Discharge to community | 74.99% |
50.57%
24.4 pts better
|
Better than the National Rate · Eligible stays 77 · Observed rate 81.82% · Lower 95% interval 64.78% |
| Medicare spending per beneficiary | 0.61 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 57 · Denominator 57 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 57 |
| Discharge self-care score | 10% |
53.69%
43.7 pts worse
|
Numerator 5 · Denominator 50 |
| Discharge mobility score | 8% |
50.94%
42.9 pts worse
|
Numerator 4 · Denominator 50 |
| Pressure ulcers or injuries, new or worsened | 8.77% |
2.29%
6.5 pts worse
|
Numerator 5 · Denominator 57 · Adjusted rate 13.82% |
| Healthcare-associated infections requiring hospitalization | 6.6% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 58 · Observed rate 3.45% · Lower 95% interval 3.11% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 32 |
| Staff flu vaccination coverage | 87.38% |
42%
45.4 pts better
|
Numerator 90 · Denominator 103 |
| Discharge function score | 12% |
56.45%
44.5 pts worse
|
Numerator 6 · Denominator 50 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 44 · Denominator 44 |
| Resident COVID-19 vaccinations up to date | 3.7% |
25.2%
21.5 pts worse
|
Numerator 1 · Denominator 27 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.7% |
74.6%
2.9 pts worse
|
81.7%
10 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 89.1% · Q2 82.5% · Q3 66.0% · Q4 54.0% · 4Q avg 71.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.8% |
11.7%
0.1 pts worse
|
12.0%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 11.6% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.2% |
1.2%
3 pts worse
|
1.6%
2.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 10.0% · Q3 4.8% · Q4 0.0% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.6% |
73.6%
22 pts better
|
79.7%
15.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.7% |
22.0%
7.3 pts better
|
23.9%
9.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.7% · Observed 14.0% · Expected 22.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-02-17 · Fire 2021-02-17
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2019-01-30 · Fire 2019-01-30
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2023-01-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-17
E · Potential for more than minimal harm
2023-01-10
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-03-17
D · Potential for more than minimal harm
2023-01-10
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-04-07
D · Potential for more than minimal harm
2023-01-10
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-03-17
F · Potential for more than minimal harm
2021-02-17
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-04-30
E · Potential for more than minimal harm
2021-02-17
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-04-30
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-01-10
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-03-14
D · Potential for more than minimal harm
2021-02-17
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2021-03-19
D · Potential for more than minimal harm
2021-02-17
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 2021-03-19
D · Potential for more than minimal harm
2021-02-17
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-03-19
D · Potential for more than minimal harm
2021-02-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-03-19
E · Potential for more than minimal harm
2019-01-30
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-02-22
D · Potential for more than minimal harm
2019-01-30
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-02-22
D · Potential for more than minimal harm
2019-01-30
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2019-02-22
Penalties and ownership
What sits behind the stars
Ownership
Lifepoint Va Holdings Inc
5% Or Greater Direct Ownership Interest · Organization
Davis, Daniel
Corporate Director · Individual
Davis, Daniel
Corporate Officer · Individual
Dsb Acquisition LLC
5% Or Greater Indirect Ownership Interest · Organization
Grooms, John
Corporate Officer · Individual
Haugh, William
Corporate Director · Individual
Haugh, William
Corporate Officer · Individual
Lawrence, Charlotte
Corporate Officer · Individual
Legacy Lifepoint Health LLC
5% Or Greater Indirect Ownership Interest · Organization
Lifepoint Acquisition Corp
5% Or Greater Indirect Ownership Interest · Organization
Lifepoint Corporate Services General Partnership
Operational/Managerial Control · Organization
Lifepoint Health Inc
5% Or Greater Indirect Ownership Interest · Organization
Monte, Christopher
Corporate Officer · Individual
Mulkey, Peter
Contracted Managing Employee · Individual
Poppell, Marcus
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Heritage Hall Tazewell
Tazewell, VA
2-star overall rating with 2-star inspections with $78,553 in total fines with 14 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Heritage Hall Grundy
Grundy, VA
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Maple Grove Nursing & Rehab Center
Lebanon, VA
3-star overall rating with 3-star inspections with 9 recent health deficiencies
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