Cycle 1
Health 2022-06-02 · Fire 2022-06-02
8 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Amherst, VA
Fairmont Crossing Health And Rehab Center
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
173 Brockman Park Drive, Amherst, VA
(434) 946-2861
Overall
4 / 5
CMS overall stars
Health inspections
3 / 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
120
Certified beds
Average residents
113
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Hill Valley Healthcare
Operator or chain grouping
Approved since
2002-07-05
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
0.53
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.76
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.87
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.17
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.30
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.73
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
3.19
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,070
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.49
Composite VBP score used to determine payment impact.
Payment multiplier
0.9907
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.32
Baseline 19.12% · Performance 18.50% · Measure score 6.32 · Achievement 6.32 · Improvement 2.44
Healthcare-associated infections
3.85
Baseline 6.04% · Performance 6.69% · Measure score 3.85 · Achievement 3.85 · Improvement 0
Total nurse turnover
4.83
Performance 43.92% · Measure score 4.83 · Achievement 4.83 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 3.36 hours · Performance 2.90 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.65% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 214 · Observed rate 10.28% · Lower 95% interval 7.58% |
| Discharge to community | 60.37% |
50.57%
9.8 pts better
|
Better than the National Rate · Eligible stays 214 · Observed rate 56.54% · Lower 95% interval 52.32% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 88.73% |
95.27%
6.5 pts worse
|
Numerator 126 · Denominator 142 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 142 |
| Discharge self-care score | 63.29% |
53.69%
9.6 pts better
|
Numerator 50 · Denominator 79 |
| Discharge mobility score | 68.35% |
50.94%
17.4 pts better
|
Numerator 54 · Denominator 79 |
| Pressure ulcers or injuries, new or worsened | 4.23% |
2.29%
1.9 pts worse
|
Numerator 6 · Denominator 142 · Adjusted rate 3.92% |
| Healthcare-associated infections requiring hospitalization | 6.69% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 155 · Observed rate 5.81% · Lower 95% interval 3.98% |
| Staff COVID-19 vaccination coverage | 0.5% |
8.2%
7.7 pts worse
|
Numerator 1 · Denominator 200 |
| Staff flu vaccination coverage | 15.96% |
42%
26 pts worse
|
Numerator 30 · Denominator 188 |
| Discharge function score | 65.82% |
56.45%
9.4 pts better
|
Numerator 52 · Denominator 79 |
| Transfer of health information to provider | 95.59% |
95.95%
0.4 pts worse
|
Numerator 65 · Denominator 68 |
| Transfer of health information to patient | 95.45% |
96.28%
0.8 pts worse
|
Numerator 42 · Denominator 44 |
| Resident COVID-19 vaccinations up to date | 41.79% |
25.2%
16.6 pts better
|
Numerator 28 · Denominator 67 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.5
0.5 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.9 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.4
0.1 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
91.2%
7.5 pts better
|
93.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 96.8% · Q3 100.0% · Q4 100.0% · 4Q avg 98.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.0%
6 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
3.6%
0.7 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.2% · Q3 3.2% · Q4 3.2% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 16.5% |
15.7%
0.8 pts worse
|
11.4%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 12.8% · Q3 14.0% · Q4 24.1% · 4Q avg 16.5% |
| Percentage of long-stay residents who lose too much weight | 9.4% |
5.7%
3.7 pts worse
|
5.4%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 12.5% · Q3 6.0% · Q4 4.9% · 4Q avg 9.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.5% |
20.2%
4.7 pts better
|
19.6%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 14.0% · Q3 15.3% · Q4 20.2% · 4Q avg 15.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.9% |
15.0%
1.9 pts worse
|
16.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 14.9% · Q3 18.7% · Q4 22.1% · 4Q avg 16.9% · 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 | 4.7% |
17.5%
12.8 pts better
|
16.3%
11.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 7.0% · Q3 0.0% · Q4 3.9% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.5% |
15.7%
10.2 pts better
|
14.9%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 8.6% · Q3 3.8% · Q4 7.3% · 4Q avg 5.5% · 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 | 0.0% |
1.6%
1.6 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 25.9% |
22.2%
3.7 pts worse
|
19.8%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 29.9% · Q3 19.8% · Q4 27.5% · 4Q avg 25.9% |
| Percentage of long-stay residents with pressure ulcers | 5.7% |
5.2%
0.5 pts worse
|
5.1%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 7.5% · Q3 6.2% · Q4 2.9% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.1% |
74.6%
9.5 pts better
|
81.7%
2.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 79.4% · Q2 82.1% · Q3 86.6% · Q4 88.5% · 4Q avg 84.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.2% |
11.7%
0.5 pts worse
|
12.0%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.2% · Observed 11.8% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.2%
0.2 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.1% · Q3 1.1% · Q4 1.3% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.1% |
73.6%
3.5 pts worse
|
79.7%
9.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 70.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.9% |
22.0%
1.1 pts better
|
23.9%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 19.7% · Expected 22.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-03-04 · Fire 2020-03-04
6 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2019-01-24 · Fire 2019-01-24
5 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2022-06-02
K352 · Smoke Deficiencies
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2023-01-20
F · Potential for more than minimal harm
2022-06-02
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-20
F · Potential for more than minimal harm
2022-06-02
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-08-09
F · Potential for more than minimal harm
2022-06-02
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-01-20
F · Potential for more than minimal harm
2022-06-02
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-01-20
F · Potential for more than minimal harm
2022-06-02
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-08-09
F · Potential for more than minimal harm
2022-06-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-20
E · Potential for more than minimal harm
2022-06-02
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-20
E · Potential for more than minimal harm
2022-06-02
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-08-09
E · Potential for more than minimal harm
2022-06-02
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-01-20
E · Potential for more than minimal harm
2022-06-02
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-20
D · Potential for more than minimal harm
2022-06-02
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-01-20
D · Potential for more than minimal harm
2022-06-02
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2023-01-20
D · Potential for more than minimal harm
2022-06-02
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-01-20
F · Potential for more than minimal harm
2020-03-04
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-09-01
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-06-25
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 2024-08-09
D · Potential for more than minimal harm
2024-06-25
F800 · Nutrition and Dietary Deficiencies
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2024-08-09
D · Potential for more than minimal harm
2024-06-25
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-08-09
F · Potential for more than minimal harm
2022-06-02
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2022-07-01
E · Potential for more than minimal harm
2022-06-02
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-07-01
E · Potential for more than minimal harm
2022-06-02
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 2022-07-01
E · Potential for more than minimal harm
2022-06-02
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 2022-07-01
D · Potential for more than minimal harm
2022-06-02
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-07-01
D · Potential for more than minimal harm
2022-06-02
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-07-01
D · Potential for more than minimal harm
2022-06-02
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2022-07-01
B · Minimal harm
2022-06-02
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2022-07-01
G · Actual harm
2020-03-04
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2020-02-21
E · Potential for more than minimal harm
2020-03-04
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2020-04-19
B · Minimal harm
2020-03-04
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 2020-04-19
G · Actual harm
2019-01-24
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2018-09-30
E · Potential for more than minimal harm
2019-01-24
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-02-22
E · Potential for more than minimal harm
2019-01-24
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2019-02-22
D · Potential for more than minimal harm
2019-01-24
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-02-22
D · Potential for more than minimal harm
2019-01-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-02-22
Penalties and ownership
What sits behind the stars
Ownership
Amherst SNF Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Delilah 2626 Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Hvh Timberlake Management LLC
Operational/Managerial Control · Organization
Idels, Shimon
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
Tatiriq Irrevocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Timberlake Operations Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Wade, Sarah
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Westminster-Canterbury Of Lynchburg Inc
Lynchburg, VA
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Guggenheimer Health And Rehab Center
Lynchburg, VA
2-star overall rating with 1-star inspections with $76,681 in total fines with 31 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Forest Health & Rehab Center
Lynchburg, VA
4-star overall rating with 3-star inspections with 10 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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