17 health deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Lawrenceville, VA
2-star overall rating with 2-star inspections with 17 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1722 Lawrenceville Plank Road, Lawrenceville, VA
(434) 848-4766
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
77
Certified beds
Average residents
67
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Hill Valley Healthcare
Operator or chain grouping
Approved since
1989-06-02
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
0.36
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.27
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
2.53
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.26
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.26
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.31
CMS adjusted RN staffing hours
Adjusted total hours
2.19
CMS adjusted total nurse staffing hours
Case-mix index
1.58
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
4,437
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.97
Composite VBP score used to determine payment impact.
Payment multiplier
0.9929
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.36
Baseline 22.36% · Performance 18.17% · Measure score 7.36 · Achievement 7.04 · Improvement 7.36
Healthcare-associated infections
6
Baseline 8.50% · Performance 6.22% · Measure score 6 · Achievement 5.39 · Improvement 6
Total nurse turnover
2.63
Baseline 60.00% · Performance 52.94% · Measure score 2.63 · Achievement 2.63 · Improvement 1.51
Adjusted total nurse staffing
0
Baseline 2.74 hours · Performance 2.26 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.79% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 71 · Observed rate 7.04% · Lower 95% interval 6.62% |
| Discharge to community | 55.74% |
50.57%
5.2 pts better
|
No Different than the National Rate · Eligible stays 58 · Observed rate 46.55% · Lower 95% interval 46.11% |
| Medicare spending per beneficiary | 0.96 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 97.37% |
95.27%
2.1 pts better
|
Numerator 37 · Denominator 38 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 38 |
| Discharge self-care score | 44.44% |
53.69%
9.2 pts worse
|
Numerator 12 · Denominator 27 |
| Discharge mobility score | 48.15% |
50.94%
2.8 pts worse
|
Numerator 13 · Denominator 27 |
| Pressure ulcers or injuries, new or worsened | 2.63% |
2.29%
0.3 pts worse
|
Numerator 1 · Denominator 38 · Adjusted rate 2.09% |
| Healthcare-associated infections requiring hospitalization | 6.22% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 41 · Observed rate 2.44% · Lower 95% interval 2.83% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 73 |
| Staff flu vaccination coverage | 11.11% |
42%
30.9 pts worse
|
Numerator 11 · Denominator 99 |
| Discharge function score | 44.44% |
56.45%
12 pts worse
|
Numerator 12 · Denominator 27 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 25% |
25.2%
0.2 pts worse
|
Numerator 7 · Denominator 28 |
Quality measures
| 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 2.3 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.4
0.5 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.9% |
91.2%
15.3 pts worse
|
93.4%
17.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 83.1% · Q2 80.0% · Q3 73.3% · Q4 66.1% · 4Q avg 75.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.5% |
94.0%
9.5 pts worse
|
95.5%
11 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 84.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.2% |
3.6%
2.4 pts better
|
3.3%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 1.7% · Q4 1.7% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 14.5% |
15.7%
1.2 pts better
|
11.4%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 5.2% · Q3 14.6% · Q4 37.5% · 4Q avg 14.5% |
| Percentage of long-stay residents who lose too much weight | 4.7% |
5.7%
1 pts better
|
5.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 8.2% · Q3 9.1% · Q4 0.0% · 4Q avg 4.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.8% |
20.2%
9.4 pts better
|
19.6%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 11.1% · Q3 12.1% · Q4 10.5% · 4Q avg 10.8% |
| 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 9.8% · Q2 6.4% · Q3 14.0% · Q4 15.9% · 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 | 17.2% |
17.5%
0.3 pts better
|
16.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 23.5% · Q4 13.5% · 4Q avg 17.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.6% |
15.7%
4.1 pts better
|
14.9%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 13.3% · Q3 12.3% · Q4 13.0% · 4Q avg 11.6% · 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 | 0.0% |
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 | 20.5% |
22.2%
1.7 pts better
|
19.8%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 14.1% · Q3 20.3% · Q4 17.7% · 4Q avg 20.5% |
| Percentage of long-stay residents with pressure ulcers | 3.2% |
5.2%
2 pts better
|
5.1%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 5.0% · Q3 4.7% · Q4 1.3% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 24.3% |
74.6%
50.3 pts worse
|
81.7%
57.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 28.8% · Q3 33.3% · Q4 28.4% · 4Q avg 24.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.1% |
11.7%
2.4 pts worse
|
12.0%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 14.3% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 31.3% |
73.6%
42.3 pts worse
|
79.7%
48.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 31.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.0% |
22.0%
8 pts better
|
23.9%
9.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.0% · Observed 14.3% · Expected 24.3% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (4 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-10-16
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-04-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-08-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-08-04
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-05-23
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-05-23
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-08-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-05-23
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-05-23
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-05-23
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-05-23
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-05-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-08-04
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-05-23
Fire Safety
Use approved construction type or materials.
Corrected 2020-08-05
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2020-08-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-08-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-02-19
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-08-05
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2020-08-05
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2020-08-05
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 2020-02-19
Fire Safety
Meet other general requirements that are deficient.
Corrected 2020-02-19
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2020-02-19
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-02-19
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2020-08-05
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2020-02-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-02-19
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2020-08-05
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2020-02-19
Inspection history
Health
Dispose of garbage and refuse properly.
Corrected 2025-04-18
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 2025-04-18
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2025-04-18
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-04-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-18
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-18
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2025-04-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-18
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-18
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-18
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 2025-04-18
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 2025-04-18
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-04-18
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 2025-04-18
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2025-04-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-04-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-04-28
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-04-28
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 2022-04-28
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-04-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-04-28
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 2022-04-28
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-04-28
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 2022-04-28
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2022-04-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-12-12
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 2019-12-12
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 2019-12-12
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-12-12
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
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
South Hill, VA
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Emporia, VA
3-star overall rating with 3-star inspections with 17 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Emporia, VA
2-star overall rating with 2-star inspections with 19 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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