Stanardsville, VA

Greene Acres Rehabilitation And Nursing

2-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

355 William Mills Drive, Stanardsville, VA

(434) 985-4434

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

90

Certified beds

Average residents

85

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Eastern Healthcare Group

Operator or chain grouping

Approved since

2000-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

17 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

Hours and turnover

RN hours / resident day

0.27

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

1.64

Nurse aide staffing · state 2.12 · national 2.35

Total nurse hours

2.66

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.02

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

2.42

Weekend nurse staffing · state 3.31 · national 3.43

Weekend RN hours

0.18

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.13

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.31

CMS adjusted RN staffing hours

Adjusted total hours

3.01

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

71%

Annual RN turnover · state 49% · national 45%

Total nurse turnover

41%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,869

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

Performance score

38.30

Composite VBP score used to determine payment impact.

Payment multiplier

0.9914

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.87

Baseline 22.07% · Performance 19.36% · Measure score 4.87 · Achievement 4.47 · Improvement 4.87

Healthcare-associated infections

6.33

Baseline 6.88% · Performance 5.94% · Measure score 6.33 · Achievement 6.33 · Improvement 4.49

Total nurse turnover

4.11

Baseline 63.79% · Performance 46.88% · Measure score 4.11 · Achievement 4.11 · Improvement 3.84

Adjusted total nurse staffing

0

Baseline 2.68 hours · Performance 2.66 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.72%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 78 · Observed rate 6.41% · Lower 95% interval 6.06%
Discharge to community	52.05%	50.57% 1.5 pts better	No Different than the National Rate · Eligible stays 64 · Observed rate 45.31% · Lower 95% interval 43.6%
Medicare spending per beneficiary	1.04	1.02 About the same
Drug regimen review with follow-up	88.1%	95.27% 7.2 pts worse	Numerator 37 · Denominator 42
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 42
Discharge self-care score	67.86%	53.69% 14.2 pts better	Numerator 19 · Denominator 28
Discharge mobility score	75%	50.94% 24.1 pts better	Numerator 21 · Denominator 28
Pressure ulcers or injuries, new or worsened	4.76%	2.29% 2.5 pts worse	Numerator 2 · Denominator 42 · Adjusted rate 5.08%
Healthcare-associated infections requiring hospitalization	5.94%	7.12% 1.2 pts better	No Different than the National Rate · Eligible stays 54 · Observed rate 1.85% · Lower 95% interval 3.13%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 113
Staff flu vaccination coverage	7.81%	42% 34.2 pts worse	Numerator 10 · Denominator 128
Discharge function score	64.29%	56.45% 7.8 pts better	Numerator 18 · 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 18 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	1.5 0.6 pts worse	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.7 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	1.4 0.6 pts worse	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.9 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	69.3%	91.2% 21.9 pts worse	93.4% 24.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 74.4% · Q2 74.1% · Q3 65.5% · Q4 63.3% · 4Q avg 69.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	89.3%	94.0% 4.7 pts worse	95.5% 6.2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 89.3%
Percentage of long-stay residents experiencing one or more falls with major injury	3.1%	3.6% 0.5 pts better	3.3% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.2% · Q3 2.4% · Q4 6.3% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	39.5%	15.7% 23.8 pts worse	11.4% 28.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 38.0% · Q3 48.7% · Q4 48.6% · 4Q avg 39.5%
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 6.9% · Q2 15.1% · Q3 2.7% · Q4 1.4% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.9%	20.2% 2.3 pts better	19.6% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 18.7% · Q3 13.0% · Q4 20.0% · 4Q avg 17.9%
Percentage of long-stay residents who received an antipsychotic medication	36.4%	15.0% 21.4 pts worse	16.7% 19.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 37.5% · Q2 39.3% · Q3 37.3% · Q4 30.8% · 4Q avg 36.4% · 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	32.7%	17.5% 15.2 pts worse	16.3% 16.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q3 34.2% · Q4 44.4% · 4Q avg 32.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.8%	15.7% 6.1 pts worse	14.9% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 16.7% · Q3 27.9% · Q4 21.5% · 4Q avg 21.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.8%	0.5% 0.3 pts worse	1.0% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.0% · Q4 1.1% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.9%	1.6% 0.3 pts worse	1.7% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.5% · Q3 0.0% · Q4 3.8% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.1%	22.2% 2.9 pts worse	19.8% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 21.5% · Q3 22.2% · Q4 24.9% · 4Q avg 25.1%
Percentage of long-stay residents with pressure ulcers	7.0%	5.2% 1.8 pts worse	5.1% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 7.2% · Q3 5.8% · Q4 5.6% · 4Q avg 7.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	35.9%	74.6% 38.7 pts worse	81.7% 45.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 41.9% · Q2 25.7% · Q3 20.0% · Q4 47.9% · 4Q avg 35.9%
Percentage of short-stay residents who had an outpatient emergency department visit	14.3%	11.7% 2.6 pts worse	12.0% 2.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.3% · Observed 13.0% · Expected 10.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	7.6%	1.2% 6.4 pts worse	1.6% 6 pts worse	Short Stay · 2024Q4-2025Q3 · Q4 4.8% · 4Q avg 7.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	16.7%	73.6% 56.9 pts worse	79.7% 63 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 16.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.9%	22.0% 5.9 pts worse	23.9% 4 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.9% · Observed 23.9% · Expected 20.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-10-27 · Fire 2022-10-27

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2021-03-04 · Fire 2021-03-04

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-05-09 · Fire 2019-05-09

5 health deficiencies

Top issue: Infection Control (1 deficiency)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2022-10-27

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2022-11-16

D · Potential for more than minimal harm 2019-05-09

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 2019-06-12

D · Potential for more than minimal harm 2019-05-09

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2019-06-12

D · Potential for more than minimal harm 2019-05-09

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2019-06-12

D · Potential for more than minimal harm 2019-05-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-06-12

D · Potential for more than minimal harm 2019-05-09

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-06-12

Inspection history

Recent health citations

F · Potential for more than minimal harm 2022-10-27

F909 · Environmental Deficiencies

Health

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2022-11-18

D · Potential for more than minimal harm 2022-10-27

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-18

D · Potential for more than minimal harm 2022-10-27

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2022-11-18

E · Potential for more than minimal harm 2021-03-04

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2021-04-01

E · Potential for more than minimal harm 2021-03-04

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2021-04-01

D · Potential for more than minimal harm 2021-03-04

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 2021-04-01

D · Potential for more than minimal harm 2021-03-04

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2021-04-01

D · Potential for more than minimal harm 2021-03-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2021-04-01

D · Potential for more than minimal harm 2021-03-04

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 2021-04-01

D · Potential for more than minimal harm 2021-03-04

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2021-04-01

D · Potential for more than minimal harm 2021-03-04

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2021-04-01

D · Potential for more than minimal harm 2021-03-04

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 2021-04-01

D · Potential for more than minimal harm 2021-03-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-04-01

F · Potential for more than minimal harm 2019-05-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-05-24

D · Potential for more than minimal harm 2019-05-09

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 2019-05-24

D · Potential for more than minimal harm 2019-05-09

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 2019-05-24

D · Potential for more than minimal harm 2019-05-09

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 2019-05-24

D · Potential for more than minimal harm 2019-05-09

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 2019-05-24

Penalties and ownership