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

Lynchburg Health & Rehabilitation Center

5615 Seminole Avenue, Lynchburg, VA · (434) 239-2657

CMS overall rating

1 of 5

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Certified beds
180
Residents per day
167
Ownership
For-Profit
Chain
Lifeworks Rehab
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1977

1

How this home got 1 star

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 1)

    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

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Virginia homes

Lynchburg Health & Rehabilitation Center carries 226.75 inspection points. That is fewer than 15% of Virginia's 287 rated homes.

5★4★3★2★1★+9 homes above 494.7505102550100200400inspection points → fewer is better on the leftThis home · 226.75 pts · 1★

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

62 health citations on record since 2019. 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 1 100 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 43 4 pts
E 17 8 pts
F 1 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.

Harm and immediate-jeopardy citations (1)

  1. K

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

    July 1, 2021 · Standard inspection · Quality of Life and Care · F684 · Corrected October 19, 2021

Everything else, by area of care

Quality of Life and Care18E
  1. D

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

    November 13, 2025 · Complaint · F684 · Corrected January 12, 2026

  2. E

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

    September 12, 2024 · Standard · F684 · Corrected October 28, 2024

  3. E

    Provide care or services that was trauma informed and/or culturally competent.

    September 12, 2024 · Standard · F699 · Corrected October 28, 2024

  4. D

    Provide activities to meet all resident's needs.

    September 12, 2024 · Standard · F679 · Corrected October 28, 2024

  5. D

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

    September 12, 2024 · Standard · F686 · Corrected October 28, 2024

  6. D

    Provide appropriate foot care.

    September 12, 2024 · Standard · F687 · Corrected October 28, 2024

  7. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    September 12, 2024 · Standard · F688 · Corrected October 28, 2024

  8. D

    Provide safe and appropriate respiratory care for a resident when needed.

    September 12, 2024 · Standard · F695 · Corrected October 28, 2024

  9. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    September 12, 2024 · Standard · F698 · Corrected October 28, 2024

  10. D

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    September 12, 2024 · Standard · F700 · Corrected October 28, 2024

  11. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    July 1, 2021 · Standard · F677 · Corrected September 21, 2021

  12. D

    Provide safe and appropriate respiratory care for a resident when needed.

    July 1, 2021 · Standard · F695 · Corrected October 19, 2021

  13. E

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

    September 17, 2019 · Standard · F684 · Corrected November 1, 2019

  14. E

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

    September 17, 2019 · Standard · F686 · Corrected November 1, 2019

  15. E

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    September 17, 2019 · Standard · F688 · Corrected November 1, 2019

  16. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 17, 2019 · Standard · F689 · Corrected November 1, 2019

  17. D

    Provide safe and appropriate respiratory care for a resident when needed.

    September 17, 2019 · Standard · F695 · Corrected November 1, 2019

  18. D

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    September 17, 2019 · Standard · F700 · Corrected November 1, 2019

Resident Assessment and Care Planning15E
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    November 13, 2025 · Complaint · F656 · Corrected January 12, 2026

  2. D

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

    November 13, 2025 · Complaint · F658 · Corrected January 12, 2026

  3. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    November 13, 2025 · Complaint · F842 · Corrected January 12, 2026

  4. D

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

    April 9, 2025 · Complaint · F658 · Corrected May 15, 2025

  5. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    April 9, 2025 · Complaint · F842 · Corrected May 15, 2025

  6. E

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

    September 12, 2024 · Standard · F657 · Corrected October 28, 2024

  7. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 12, 2024 · Standard · F656 · Corrected October 28, 2024

  8. D

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

    September 12, 2024 · Standard · F658 · Corrected October 28, 2024

  9. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    September 12, 2024 · Standard · F842 · Corrected October 28, 2024

  10. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    April 16, 2024 · Complaint · F842 · Corrected March 7, 2024

  11. E

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

    July 1, 2021 · Standard · F657 · Corrected October 19, 2021

  12. D

    Ensure each resident receives an accurate assessment.

    July 1, 2021 · Standard · F641 · Corrected August 6, 2021

  13. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    July 1, 2021 · Standard · F842 · Corrected August 6, 2021

  14. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 17, 2019 · Standard · F656 · Corrected November 1, 2019

  15. D

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

    September 17, 2019 · Standard · F657 · Corrected November 1, 2019

Resident Rights10E
  1. D

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

    April 9, 2025 · Complaint · F580 · Corrected May 15, 2025

  2. D

    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.

    April 9, 2025 · Complaint · F584 · Corrected May 15, 2025

  3. E

    Reasonably accommodate the needs and preferences of each resident.

    September 12, 2024 · Standard · F558 · Corrected October 28, 2024

  4. E

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    September 12, 2024 · Standard · F568 · Corrected October 28, 2024

  5. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    September 12, 2024 · Standard · F550 · Corrected October 28, 2024

  6. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    September 12, 2024 · Standard · F557 · Corrected October 28, 2024

  7. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    September 12, 2024 · Standard · F582 · Corrected October 28, 2024

  8. D

    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.

    September 12, 2024 · Standard · F584 · Corrected October 28, 2024

  9. E

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

    July 1, 2021 · Standard · F580 · Corrected October 19, 2021

  10. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    September 17, 2019 · Standard · F550 · Corrected November 1, 2019

Nutrition and Dietary6E
  1. E

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    September 12, 2024 · Standard · F808 · Corrected October 28, 2024

  2. E

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

    September 12, 2024 · Standard · F812 · Corrected October 28, 2024

  3. D

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    September 12, 2024 · Standard · F803 · Corrected October 28, 2024

  4. D

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    September 12, 2024 · Standard · F806 · Corrected October 28, 2024

  5. E

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

    July 1, 2021 · Standard · F812 · Corrected September 21, 2021

  6. D

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    July 1, 2021 · Standard · F800 · Corrected October 19, 2021

Pharmacy Service5E
  1. D

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

    July 14, 2026 · Complaint · F755 · Corrected August 13, 2026

  2. D

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

    September 12, 2024 · Standard · F755 · Corrected October 28, 2024

  3. D

    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.

    September 12, 2024 · Standard · F761 · Corrected October 28, 2024

  4. E

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

    July 1, 2021 · Standard · F755 · Corrected October 19, 2021

  5. D

    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.

    July 1, 2021 · Standard · F761 · Corrected September 21, 2021

Infection Control4D
  1. D

    Provide and implement an infection prevention and control program.

    November 13, 2025 · Complaint · F880 · Corrected January 12, 2026

  2. D

    Provide and implement an infection prevention and control program.

    September 12, 2024 · Standard · F880 · Corrected October 28, 2024

  3. D

    Provide and implement an infection prevention and control program.

    July 1, 2021 · Standard · F880 · Corrected September 21, 2021

  4. D

    Provide and implement an infection prevention and control program.

    September 17, 2019 · Standard · F880 · Corrected November 1, 2019

Environmental2F
  1. F

    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.

    September 12, 2024 · Standard · F909 · Corrected October 28, 2024

  2. E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    September 12, 2024 · Standard · F925 · Corrected October 28, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    September 12, 2024 · Standard · F609 · Corrected October 28, 2024

Inspection history

  1. 2024-09-12

    35 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (10 deficiencies)

  2. 2021-07-01

    16 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (5 deficiencies)

  3. 2019-09-17

    11 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 35 min of nursing staff time a day, 24 min of it from a registered nurse.

This home

3 h 35 min

Virginia average

3 h 53 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 70% of nursing staff and 86% of registered nurses left in the past year, along with 1 administrator.

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 days0.1 pts better1.31.41.8
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 vaccine3 pts better94.2%91.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.1 pts better96.4%93.3%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better1.0%3.5%3.2%
Percentage of long-stay residents who have depressive symptoms8.3 pts worse28.8%20.5%13.5%
Percentage of long-stay residents who lose too much weight3.1 pts better2.2%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication10.7 pts worse31.4%20.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication12.1 pts worse26.3%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 worsened0.5 pts worse14.7%14.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.8 pts better11.7%14.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse0.6%0.4%0.7%
Percentage of long-stay residents with a urinary tract infection2.2 pts worse3.8%1.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.3 pts worse24.6%21.3%18.3%
Percentage of long-stay residents with pressure ulcers2.2 pts better2.2%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.7 pts worse63.5%74.2%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse13.1%11.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse1.8%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.5 pts worse69.8%73.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.2 pts better15.8%22.0%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Lynchburg Holdings I LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Ak 2003 Family Trust5% Or Greater Indirect Ownership Interest · Organization0%10 facilities
Al 2003 Family Trust5% Or Greater Indirect Ownership Interest · Organization0%10 facilities
Charles 1994 Family Grantor Trust5% Or Greater Indirect Ownership Interest · Organization0%40 facilities
Flynn, KennedyW-2 Managing Employee · Individual0%1 facilities
Golden 2017 Family Grantor Trust5% Or Greater Indirect Ownership Interest · Organization0%7 facilities
Golden 2017 LLC5% Or Greater Indirect Ownership Interest · Organization0%8 facilities
Matt 2002 Family Grantor Trust5% Or Greater Indirect Ownership Interest · Organization0%7 facilities
Matt 2002 LLC5% Or Greater Indirect Ownership Interest · Organization0%9 facilities
Nathan 5604 & Family LLC5% Or Greater Indirect Ownership Interest · Organization0%9 facilities
Nathan 5604 Family Grantor Trust5% Or Greater Indirect Ownership Interest · Organization0%7 facilities
Nathan 5604 LLC5% Or Greater Indirect Ownership Interest · Organization0%9 facilities
Rybst Central Manager LLCOperational/Managerial Control · Organization0%9 facilities
Sas 1998 Family Trust5% Or Greater Indirect Ownership Interest · Organization0%10 facilities
Saul 2012 Family Grantor Trust5% Or Greater Indirect Ownership Interest · Organization0%39 facilities
Silverstone East LLC5% Or Greater Indirect Ownership Interest · Organization0%18 facilities

·

Fire safety

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

Smoke3D
  1. D

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

    September 12, 2024 · K345 · Corrected December 5, 2024

  2. D

    Inspect, test, and maintain automatic sprinkler systems.

    September 12, 2024 · K353 · Corrected December 5, 2024

  3. D

    Meet other general requirements.

    September 12, 2024 · K932 · Corrected December 5, 2024

Egress2E
  1. D

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

    September 12, 2024 · K291 · Corrected December 5, 2024

  2. E

    Meet other general requirements.

    September 17, 2019 · K200 · Corrected October 28, 2019

Gas, Vacuum, and Electrical Systems2D
  1. D

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

    September 12, 2024 · K918 · Corrected December 5, 2024

  2. D

    Have proper power supply for life support equipment.

    July 1, 2021 · K915 · Corrected July 29, 2021

Miscellaneous1D
  1. D

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

    September 12, 2024 · K761 · Corrected December 5, 2024

Services1D
  1. D

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    September 17, 2019 · K521 · Corrected October 28, 2019

·

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