Independence, VA

Grayson Health and Rehabilitation

5-star overall rating with 4-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

400 South Independence Avenue, Independence, VA

(276) 773-0303

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

109

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care

Operator or chain grouping

Approved since

1998-08-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

36 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.60

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.64

Licensed practical nurse staffing · state 1.00 · national 0.87

Aide hours / resident day

1.45

Nurse aide staffing · state 2.12 · national 2.35

Total nurse hours

2.69

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

2.37

Weekend nurse staffing · state 3.31 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.65

CMS adjusted RN staffing hours

Adjusted total hours

2.90

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

23%

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

9,401

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

23.75

Composite VBP score used to determine payment impact.

Payment multiplier

0.9832

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.25

Baseline 17.27% · Performance 20.85% · Measure score 1.25 · Achievement 1.25 · Improvement 0

Healthcare-associated infections

2.66

Baseline 5.56% · Performance 7.04% · Measure score 2.66 · Achievement 2.66 · Improvement 0

Total nurse turnover

5.59

Baseline 48.10% · Performance 40.84% · Measure score 5.59 · Achievement 5.59 · Improvement 2.62

Adjusted total nurse staffing

Baseline 2.96 hours · Performance 2.70 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.75%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 117 · Observed rate 7.69% · Lower 95% interval 6.55%
Discharge to community	60.72%	50.57% 10.1 pts better	No Different than the National Rate · Eligible stays 100 · Observed rate 56% · Lower 95% interval 49.36%
Medicare spending per beneficiary	1.11	1.02 0.1 pts worse
Drug regimen review with follow-up	96.7%	95.27% 1.4 pts better	Numerator 88 · Denominator 91
Falls with major injury	1.1%	0.77% 0.3 pts worse	Numerator 1 · Denominator 91
Discharge self-care score	57.75%	53.69% 4.1 pts better	Numerator 41 · Denominator 71
Discharge mobility score	61.97%	50.94% 11 pts better	Numerator 44 · Denominator 71
Pressure ulcers or injuries, new or worsened	3.3%	2.29% 1 pts worse	Numerator 3 · Denominator 91 · Adjusted rate 3.25%
Healthcare-associated infections requiring hospitalization	7.04%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 68 · Observed rate 5.88% · Lower 95% interval 4.04%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 98
Staff flu vaccination coverage	65.54%	42% 23.5 pts better	Numerator 97 · Denominator 148
Discharge function score	67.61%	56.45% 11.2 pts better	Numerator 48 · Denominator 71
Transfer of health information to provider	92.86%	95.95% 3.1 pts worse	Numerator 52 · Denominator 56
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	11.76%	25.2% 13.4 pts worse	Numerator 6 · Denominator 51

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.5	1.5 1 pts better	1.9 1.4 pts better	Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.4 About the same	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.1%	91.2% 0.9 pts better	93.4% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 92.2% · Q3 94.1% · Q4 87.0% · 4Q avg 92.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.4%	94.0% 1.4 pts better	95.5% 0.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.4%
Percentage of long-stay residents experiencing one or more falls with major injury	4.4%	3.6% 0.8 pts worse	3.3% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 4.9% · Q3 3.0% · Q4 3.0% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	8.2%	15.7% 7.5 pts better	11.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 10.9% · Q3 5.3% · Q4 5.2% · 4Q avg 8.2%
Percentage of long-stay residents who lose too much weight	6.6%	5.7% 0.9 pts worse	5.4% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 3.4% · Q3 5.7% · Q4 9.3% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	44.3%	20.2% 24.1 pts worse	19.6% 24.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 41.3% · Q3 45.6% · Q4 50.6% · 4Q avg 44.3%
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 20.2% · Q3 22.0% · Q4 18.4% · 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	16.7%	17.5% 0.8 pts better	16.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 13.8% · Q3 19.1% · Q4 17.7% · 4Q avg 16.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.9%	15.7% 3.8 pts better	14.9% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 16.3% · Q3 14.9% · Q4 8.8% · 4Q avg 11.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.7%	0.5% 0.2 pts worse	1.0% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.5%	1.6% 0.1 pts better	1.7% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 1.0% · Q4 2.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	31.0%	22.2% 8.8 pts worse	19.8% 11.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 31.2% · Q3 29.7% · Q4 28.5% · 4Q avg 31.0%
Percentage of long-stay residents with pressure ulcers	5.3%	5.2% 0.1 pts worse	5.1% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 6.0% · Q3 5.3% · Q4 6.4% · 4Q avg 5.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	59.5%	74.6% 15.1 pts worse	81.7% 22.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 74.1% · Q2 67.9% · Q3 58.4% · Q4 38.8% · 4Q avg 59.5%
Percentage of short-stay residents who had an outpatient emergency department visit	16.4%	11.7% 4.7 pts worse	12.0% 4.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.4% · Observed 15.2% · Expected 10.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.4%	1.2% 1.2 pts worse	1.6% 0.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 5.0% · Q3 2.3% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	64.1%	73.6% 9.5 pts worse	79.7% 15.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 64.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	17.9%	22.0% 4.1 pts better	23.9% 6 pts better	Short Stay · 20240701-20250630 · Adjusted 17.9% · Observed 18.2% · Expected 24.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-12-14 · Fire 2023-12-14

7 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2022-04-07 · Fire 2022-04-07

10 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

6 fire-safety deficiencies

Top issue: Miscellaneous (3 deficiencies)

Cycle 3 Health 2019-01-31 · Fire 2019-01-31

14 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2023-12-14

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-10-09

D · Potential for more than minimal harm 2023-12-14

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 2024-10-09

F · Potential for more than minimal harm 2022-04-07

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-06-10

E · Potential for more than minimal harm 2022-04-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-06-10

E · Potential for more than minimal harm 2022-04-07

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-06-10

E · Potential for more than minimal harm 2022-04-07

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-06-10

D · Potential for more than minimal harm 2022-04-07

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-06-10

D · Potential for more than minimal harm 2022-04-07

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2022-06-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-20

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-12-16

D · Potential for more than minimal harm 2024-08-01

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-09-03

D · Potential for more than minimal harm 2024-08-01

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-09-03

E · Potential for more than minimal harm 2023-12-14

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-03-08

D · Potential for more than minimal harm 2023-12-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-03-08

D · Potential for more than minimal harm 2023-12-14

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 2024-03-08

D · Potential for more than minimal harm 2023-12-14

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-03-08

D · Potential for more than minimal harm 2023-12-14

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-03-08

D · Potential for more than minimal harm 2023-12-14

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 2024-03-08

D · Potential for more than minimal harm 2022-04-07

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2022-05-17

D · Potential for more than minimal harm 2022-04-07

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2022-05-18

D · Potential for more than minimal harm 2022-04-07

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 2022-05-18

D · Potential for more than minimal harm 2022-04-07

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 2022-05-18

D · Potential for more than minimal harm 2022-04-07

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-05-18

D · Potential for more than minimal harm 2022-04-07

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 2022-05-18

D · Potential for more than minimal harm 2022-04-07

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-05-18

D · Potential for more than minimal harm 2022-04-07