15 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Dublin, VA
3-star overall rating with 3-star inspections with 15 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
5872 Hanks Street, Dublin, VA
(540) 674-4193
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
132
Certified beds
Average residents
125
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Hill Valley Healthcare
Operator or chain grouping
Approved since
1998-09-01
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
RN hours / resident day
0.41
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.29
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
2.44
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
4.15
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.70
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.59
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
3.71
CMS adjusted total nurse staffing hours
Case-mix index
1.53
Higher values indicate more complex resident acuity
RN turnover
83%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
6,588
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.32
Composite VBP score used to determine payment impact.
Payment multiplier
0.9870
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.83
Baseline 22.72% · Performance 18.55% · Measure score 6.83 · Achievement 6.22 · Improvement 6.83
Healthcare-associated infections
2.82
Baseline 7.06% · Performance 6.99% · Measure score 2.82 · Achievement 2.82 · Improvement 0
Total nurse turnover
3.28
Baseline 67.19% · Performance 51.18% · Measure score 3.28 · Achievement 3.06 · Improvement 3.28
Adjusted total nurse staffing
0
Baseline 2.73 hours · Performance 2.87 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.52% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 214 · Observed rate 9.81% · Lower 95% interval 6.93% |
| Discharge to community | 50.57% |
50.57%
About the same
|
No Different than the National Rate · Eligible stays 214 · Observed rate 40.65% · Lower 95% interval 43.41% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.28% |
95.27%
3 pts better
|
Numerator 114 · Denominator 116 |
| Falls with major injury | 3.45% |
0.77%
2.7 pts worse
|
Numerator 4 · Denominator 116 |
| Discharge self-care score | 36.23% |
53.69%
17.5 pts worse
|
Numerator 25 · Denominator 69 |
| Discharge mobility score | 44.93% |
50.94%
6 pts worse
|
Numerator 31 · Denominator 69 |
| Pressure ulcers or injuries, new or worsened | 3.45% |
2.29%
1.2 pts worse
|
Numerator 4 · Denominator 116 · Adjusted rate 3.7% |
| Healthcare-associated infections requiring hospitalization | 6.99% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 134 · Observed rate 8.21% · Lower 95% interval 4.66% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 100 |
| Staff flu vaccination coverage | 16.57% |
42%
25.4 pts worse
|
Numerator 28 · Denominator 169 |
| Discharge function score | 31.88% |
56.45%
24.6 pts worse
|
Numerator 22 · Denominator 69 |
| Transfer of health information to provider | 82.14% |
95.95%
13.8 pts worse
|
Numerator 46 · Denominator 56 |
| Transfer of health information to patient | 95.24% |
96.28%
1 pts worse
|
Numerator 40 · Denominator 42 |
| Resident COVID-19 vaccinations up to date | 25.86% |
25.2%
0.7 pts better
|
Numerator 15 · Denominator 58 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.5
0.4 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.4 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.4
0.1 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.5 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.2% |
91.2%
3 pts better
|
93.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 88.3% · Q2 93.8% · Q3 95.7% · Q4 100.0% · 4Q avg 94.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.3% |
94.0%
3.7 pts worse
|
95.5%
5.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
3.6%
0.3 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 5.2% · Q3 3.3% · Q4 1.1% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 59.2% |
15.7%
43.5 pts worse
|
11.4%
47.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 62.6% · Q2 42.7% · Q3 67.8% · Q4 64.0% · 4Q avg 59.2% |
| Percentage of long-stay residents who lose too much weight | 14.8% |
5.7%
9.1 pts worse
|
5.4%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 25.9% · Q3 13.9% · Q4 11.7% · 4Q avg 14.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.3% |
20.2%
4.9 pts better
|
19.6%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 13.6% · Q3 12.7% · Q4 16.7% · 4Q avg 15.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.4% |
15.0%
3.6 pts better
|
16.7%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 12.7% · Q3 12.1% · Q4 11.1% · 4Q avg 11.4% · 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 | 15.3% |
17.5%
2.2 pts better
|
16.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 19.8% · Q3 14.7% · Q4 16.0% · 4Q avg 15.3% · 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 7.2% · Q2 10.1% · Q3 12.0% · Q4 18.7% · 4Q avg 11.9% · 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 | 0.8% |
1.6%
0.8 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 1.1% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.6% |
22.2%
0.4 pts worse
|
19.8%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.3% · Q2 16.7% · Q3 20.4% · Q4 22.5% · 4Q avg 22.6% |
| 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 7.1% · Q2 5.2% · Q3 2.7% · Q4 7.9% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 74.7% |
74.6%
0.1 pts better
|
81.7%
7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 60.0% · Q2 69.7% · Q3 81.7% · Q4 84.4% · 4Q avg 74.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.6% |
11.7%
4.9 pts worse
|
12.0%
4.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 16.8% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.2%
0.5 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.9% · Q3 0.0% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.5% |
73.6%
1.1 pts worse
|
79.7%
7.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 72.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.2% |
22.0%
0.8 pts better
|
23.9%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.2% · Observed 23.5% · Expected 26.5% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (5 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
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 2023-10-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-03
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-03
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-10-03
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-10-03
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2023-06-20
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-06-20
Fire Safety
Construct fire resistant interior walls.
Corrected 2023-06-20
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-06-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-06-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-05-16
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-11-30
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-05-16
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-11-30
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-05-16
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-05-16
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2021-11-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-11-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-11-30
Inspection history
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-10-09
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-10-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-09
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-09
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-08
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-03-08
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 2024-03-08
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-03-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-08
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
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-03-08
Health
Provide or obtain dental services for each resident.
Corrected 2024-03-08
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2024-03-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-08
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-08
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 2023-06-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-29
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-06-29
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2023-06-29
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-04-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-29
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-06-29
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 2023-06-29
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2023-06-29
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-06-29
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-29
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 2021-11-22
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-11-22
Health
Keep residents' personal and medical records private and confidential.
Corrected 2021-11-22
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 2021-11-22
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-11-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-11-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-07-24
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2020-07-24
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 2020-07-24
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · 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
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Security Interest · Organization
Nearby options
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3-star overall rating with 3-star inspections with 12 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Radford, VA
3-star overall rating with 3-star inspections with 17 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Blacksburg, VA
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
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