23 health deficiencies
Top issue: Pharmacy Service (5 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (9 deficiencies)
Galax, VA
1-star overall rating with 2-star inspections with $13,627 in total fines with 23 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
836 Glendale Rd, Galax, VA
(276) 236-9991
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
97
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Trio Healthcare
Operator or chain grouping
Approved since
1991-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 1 overall / 2 health / 1 staffing / 3 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
RN hours / resident day
0.33
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.91
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
2.08
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
1.24
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.05
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.35
CMS adjusted RN staffing hours
Adjusted total hours
3.53
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
86%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
71%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
7,012
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.04
Composite VBP score used to determine payment impact.
Payment multiplier
0.9863
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.01
Baseline 21.66% · Performance 20.96% · Measure score 1.01 · Achievement 1.01 · Improvement 1.01
Healthcare-associated infections
3.38
Baseline 9.05% · Performance 7.48% · Measure score 3.38 · Achievement 1.20 · Improvement 3.38
Total nurse turnover
5.78
Baseline 74.75% · Performance 43.42% · Measure score 5.78 · Achievement 4.96 · Improvement 5.78
Adjusted total nurse staffing
2.24
Baseline 3.40 hours · Performance 3.72 hours · Measure score 2.24 · Achievement 2.24 · Improvement 0.81
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.19% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 72 · Observed rate 13.89% · Lower 95% interval 7.59% |
| Discharge to community | 36.19% |
50.57%
14.4 pts worse
|
Worse than the National Rate · Eligible stays 56 · Observed rate 26.79% · Lower 95% interval 25.31% |
| Medicare spending per beneficiary | 1.22 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 95.56% |
95.27%
0.3 pts better
|
Numerator 43 · Denominator 45 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 45 |
| Discharge self-care score | 35.71% |
53.69%
18 pts worse
|
Numerator 10 · Denominator 28 |
| Discharge mobility score | 21.43% |
50.94%
29.5 pts worse
|
Numerator 6 · Denominator 28 |
| Pressure ulcers or injuries, new or worsened | 2.22% |
2.29%
0.1 pts better
|
Numerator 1 · Denominator 45 · Adjusted rate 1.86% |
| Healthcare-associated infections requiring hospitalization | 7.48% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 34 · Observed rate 8.82% · Lower 95% interval 3.81% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 74 |
| Staff flu vaccination coverage | 1.32% |
42%
40.7 pts worse
|
Numerator 1 · Denominator 76 |
| Discharge function score | 39.29% |
56.45%
17.2 pts worse
|
Numerator 11 · Denominator 28 |
| 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 | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 10.34% |
25.2%
14.9 pts worse
|
Numerator 3 · Denominator 29 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.5
0.7 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.4
0.7 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
91.2%
7.9 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 98.8% · Q3 100.0% · Q4 98.9% · 4Q avg 99.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.8% |
94.0%
3.8 pts better
|
95.5%
2.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.6%
1.8 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.4% · Q3 1.2% · Q4 2.3% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.8% |
15.7%
7.9 pts better
|
11.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 8.1% · Q3 13.3% · Q4 6.9% · 4Q avg 7.8% |
| Percentage of long-stay residents who lose too much weight | 6.8% |
5.7%
1.1 pts worse
|
5.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 11.0% · Q3 7.6% · Q4 1.2% · 4Q avg 6.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 45.1% |
20.2%
24.9 pts worse
|
19.6%
25.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 51.3% · Q3 44.4% · Q4 35.7% · 4Q avg 45.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.8% |
15.0%
4.8 pts worse
|
16.7%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 17.9% · Q3 20.6% · Q4 22.2% · 4Q avg 19.8% · 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 | 32.0% |
17.5%
14.5 pts worse
|
16.3%
15.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 43.8% · Q3 37.0% · Q4 22.8% · 4Q avg 32.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.3% |
15.7%
13.6 pts worse
|
14.9%
14.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 35.2% · Q3 23.4% · Q4 35.0% · 4Q avg 29.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
0.5%
1.2 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 1.1% · Q3 0.0% · Q4 2.0% · 4Q avg 1.7% · 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 | 21.2% |
22.2%
1 pts better
|
19.8%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 21.9% · Q3 24.4% · Q4 21.2% · 4Q avg 21.2% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
5.2%
1.1 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 5.3% · Q3 3.8% · Q4 2.5% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.3% |
74.6%
15.7 pts better
|
81.7%
8.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 81.4% · Q2 94.7% · Q3 93.7% · Q4 89.1% · 4Q avg 90.3% |
| 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 12.8% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.2%
0.8 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.4% · Q3 0.0% · Q4 2.9% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.3% |
73.6%
23.7 pts better
|
79.7%
17.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.9% |
22.0%
3.1 pts better
|
23.9%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.9% · Observed 19.1% · Expected 24.2% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (5 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (9 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (3 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
Develop Emergency Preparedness policies and procedures.
Corrected 2023-12-27
Fire Safety
Develop a communication plan.
Corrected 2023-12-27
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-12-27
Fire Safety
Provide emergency officials' contact information.
Corrected 2023-12-27
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-12-27
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-12-27
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-12-27
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-12-27
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-12-27
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-02-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-02-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-02-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-05-12
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-02-08
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-05-12
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-05-12
Fire Safety
Use approved construction type or materials.
Corrected 2022-02-08
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-02-08
Inspection history
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-01-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-23
Health
Provide appropriate foot care.
Corrected 2024-08-19
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-19
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-12-27
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-12-27
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-12-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-27
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-27
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-12-27
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-27
Health
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2023-12-27
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-12-27
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-12-27
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-12-27
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-27
Health
Respond appropriately to all alleged violations.
Corrected 2023-12-27
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2023-12-27
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 2023-12-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-27
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-27
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-27
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 2023-12-27
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 2023-12-27
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-12-27
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-27
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-12-27
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2023-12-27
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-12-31
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-06
Health
Perform COVID19 testing on residents and staff.
Corrected 2021-12-31
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2018-10-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-10-12
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2018-10-12
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 2018-10-12
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2018-10-12
Health
Provide and implement an infection prevention and control program.
Corrected 2018-10-12
Penalties and ownership
Fine · fine $13,627
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
Nearby options
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5-star overall rating with 5-star inspections with 4 fire-safety deficiencies in the latest cycle
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5-star overall rating with 5-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Independence, VA
5-star overall rating with 4-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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