Federal inspection record · CMS data as of October 1, 2026

King's Grant Lacy Health Center

350 King's Way Road, Martinsville, VA · (276) 634-1000

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
32
Residents per day
30
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 30, 2010

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.

  2. Staffing

    no change (already 5)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Virginia homes

King's Grant Lacy Health Center carries 10 inspection points. That is fewer than 97% of Virginia's 287 rated homes.

5★4★3★2★1★+9 homes above 494.7505102550100200400inspection points → fewer is better on the leftThis home · 10 pts · 5★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–16 pts
  • 4★ 16–45 pts
  • 3★ 45–76.5 pts
  • 2★ 76.5–168.75 pts
  • 1★ over 168.75 pts

Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

4 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 3 4 pts
E 1 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Nutrition and Dietary1E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 16, 2026 · Standard · F812 · Corrected May 31, 2026

Resident Assessment and Care Planning1D
  1. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    April 16, 2026 · Standard · F657 · Corrected May 31, 2026

Infection Control1D
  1. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    September 14, 2023 · Standard · F883 · Corrected December 1, 2023

Resident Rights1D
  1. D

    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.

    September 30, 2021 · Standard · F578 · Corrected November 12, 2021

Inspection history

  1. 2026-04-16

    2 health deficiencies · 2 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

  2. 2023-09-14

    1 health deficiencies · 1 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  3. 2021-09-30

    1 health deficiencies · 8 fire-safety deficiencies

    Top issue: Resident Rights (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 56 min of nursing staff time a day, 1 h of it from a registered nurse.

This home

4 h 56 min

Virginia average

3 h 53 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 24% of nursing staff and 25% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1 pts worse2.41.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse2.21.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.8 pts better100.0%91.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.7 pts better100.0%93.3%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts worse5.8%3.5%3.2%
Percentage of long-stay residents who have depressive symptoms20.5 pts better0.0%20.5%13.5%
Percentage of long-stay residents who lose too much weight3.9 pts better1.4%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2 pts worse22.7%20.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.3 pts worse18.5%14.2%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened10.3 pts better3.9%14.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts better13.4%14.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.6 pts worse2.0%0.4%0.7%
Percentage of long-stay residents with a urinary tract infection1.6 pts better0.0%1.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts worse22.7%21.3%18.3%
Percentage of long-stay residents with pressure ulcers1.2 pts better3.2%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine25.8 pts better100.0%74.2%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit13.1 pts worse24.6%11.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse1.7%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine26.7 pts better100.0%73.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission7 pts worse29.0%22.0%23.4%

·

Who owns and runs it

3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Lyons, JoshuaOperational/Managerial Control · Individual0%3 facilities
Rowe, JamesCorporate Officer · Individual0%3 facilities
Souter, JamesW-2 Managing Employee · Individual0%1 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems3F
  1. D

    Have proper medical gas storage and administration areas.

    April 16, 2026 · K923 · Corrected June 29, 2026

  2. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    September 30, 2021 · K914 · Corrected November 22, 2021

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    September 30, 2021 · K918 · Corrected November 22, 2021

Egress2D
  1. D

    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.

    April 16, 2026 · K222 · Corrected June 29, 2026

  2. D

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

    September 14, 2023 · K291 · Corrected February 8, 2024

Smoke2F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    September 30, 2021 · K353 · Corrected November 22, 2021

  2. E

    Provide properly protected cooking facilities.

    September 30, 2021 · K324 · Corrected November 22, 2021

Miscellaneous2E
  1. E

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

    September 30, 2021 · K761 · Corrected November 22, 2021

  2. D

    Provide a written emergency evacuation plan.

    September 30, 2021 · K711 · Corrected November 22, 2021

Services1F
  1. F

    Have properly installed electrical wiring and gas equipment.

    September 30, 2021 · K511 · Corrected November 22, 2021

Construction1D
  1. D

    Use approved construction type or materials.

    September 30, 2021 · K161 · Corrected November 22, 2021

·

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    Worst citation, 3 yrs
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    Nursing / resident / day
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    Worst citation, 3 yrs
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    Nursing / resident / day
    3 h 50 min
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