29 health deficiencies
Top issue: Nutrition and Dietary (12 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Ripley, WV
1-star overall rating with 1-star inspections with $34,496 in total fines with 29 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
107 Miller Drive, Ripley, WV
(304) 633-4732
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
107
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Hill Valley Healthcare
Operator or chain grouping
Approved since
1978-12-01
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
0.45
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
0.91
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
1.79
Nurse aide staffing · state 2.07 · national 2.35
Total nurse hours
3.16
All reported nurse hours · state 3.69 · national 3.89
Licensed hours
1.37
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
2.76
Weekend nurse staffing · state 3.18 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.39 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
2.76
CMS adjusted total nurse staffing hours
Case-mix index
1.57
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 43% · national 46%
SNF VBP
Program rank
10,321
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.78
Composite VBP score used to determine payment impact.
Payment multiplier
0.9825
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.33
Baseline 19.54% · Performance 20.35% · Measure score 2.33 · Achievement 2.33 · Improvement 0
Healthcare-associated infections
2.87
Baseline 8.85% · Performance 7.55% · Measure score 2.87 · Achievement 0.96 · Improvement 2.87
Total nurse turnover
3.11
Baseline 40.48% · Performance 50.96% · Measure score 3.11 · Achievement 3.11 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.35 hours · Performance 3.18 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.4% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 88 · Observed rate 12.5% · Lower 95% interval 8.06% |
| Discharge to community | 39.05% |
50.57%
11.5 pts worse
|
Worse than the National Rate · Eligible stays 63 · Observed rate 30.16% · Lower 95% interval 28.65% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 60 · Denominator 60 |
| Falls with major injury | 3.33% |
0.77%
2.6 pts worse
|
Numerator 2 · Denominator 60 |
| Discharge self-care score | 31.71% |
53.69%
22 pts worse
|
Numerator 13 · Denominator 41 |
| Discharge mobility score | 17.07% |
50.94%
33.9 pts worse
|
Numerator 7 · Denominator 41 |
| Pressure ulcers or injuries, new or worsened | 5% |
2.29%
2.7 pts worse
|
Numerator 3 · Denominator 60 · Adjusted rate 4.26% |
| Healthcare-associated infections requiring hospitalization | 7.55% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 41 · Observed rate 9.76% · Lower 95% interval 3.91% |
| Staff COVID-19 vaccination coverage | 0.65% |
8.2%
7.5 pts worse
|
Numerator 1 · Denominator 155 |
| Staff flu vaccination coverage | 91.33% |
42%
49.3 pts better
|
Numerator 137 · Denominator 150 |
| Discharge function score | 26.83% |
56.45%
29.6 pts worse
|
Numerator 11 · Denominator 41 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 21 · Denominator 21 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 37.84% |
25.2%
12.6 pts better
|
Numerator 14 · Denominator 37 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.9
0.1 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.1 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.3 |
1.9
1.4 pts worse
|
1.8
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.6 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
96.7%
2.8 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.0% · Q3 98.9% · Q4 100.0% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.3% |
97.6%
0.3 pts worse
|
95.5%
1.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.0% |
4.5%
1.5 pts worse
|
3.3%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 6.1% · Q3 4.2% · Q4 4.2% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 32.0% |
6.8%
25.2 pts worse
|
11.4%
20.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 19.4% · Q3 47.8% · Q4 48.8% · 4Q avg 32.0% |
| Percentage of long-stay residents who lose too much weight | 7.4% |
6.6%
0.8 pts worse
|
5.4%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 4.4% · Q3 9.0% · Q4 7.0% · 4Q avg 7.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.4% |
27.0%
0.4 pts worse
|
19.6%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 27.2% · Q3 27.5% · Q4 25.0% · 4Q avg 27.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.7% |
15.5%
0.8 pts better
|
16.7%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 18.2% · Q3 12.9% · Q4 13.0% · 4Q avg 14.7% · 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 | 9.9% |
19.5%
9.6 pts better
|
16.3%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 11.8% · Q3 9.4% · Q4 5.7% · 4Q avg 9.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.9% |
17.6%
6.7 pts better
|
14.9%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 9.3% · Q3 11.6% · Q4 3.7% · 4Q avg 10.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.5%
0.2 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
1.8%
0.8 pts worse
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.0% · Q3 2.2% · Q4 4.3% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.5% |
22.4%
0.9 pts better
|
19.8%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 18.4% · Q3 18.7% · Q4 21.9% · 4Q avg 21.5% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
4.7%
1.1 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 2.9% · Q3 2.0% · Q4 4.1% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.4% |
78.8%
1.4 pts worse
|
81.7%
4.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 74.7% · Q2 77.4% · Q3 78.5% · Q4 78.9% · 4Q avg 77.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.8% |
12.4%
0.4 pts worse
|
12.0%
0.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.8% · Observed 15.4% · Expected 13.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.1%
0.6 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.7% |
79.4%
4.3 pts better
|
79.7%
4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.3% |
23.0%
2.3 pts worse
|
23.9%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.3% · Observed 30.8% · Expected 29.0% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (12 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Resident Rights (5 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-04-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-02
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-02
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-02
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-04-02
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-04-02
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 2025-04-02
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-02
Fire Safety
Install proper backup exit lighting.
Corrected 2023-08-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-10
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-08-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-10
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-08-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-08-10
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-08-10
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-08-10
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2023-08-10
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-08-10
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-08-10
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-08-10
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-08-10
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-08-10
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-08-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-08-10
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-04-19
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-04-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-04-19
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-04-19
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-04-19
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-04-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-04-19
Inspection history
Health
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.
Corrected 2025-12-15
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-12-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-12-15
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-12-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-15
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-12-15
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2025-12-15
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-03-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-20
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-03-20
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-03-20
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 2025-03-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-20
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-03-20
Health
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.
Corrected 2025-03-20
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-03-20
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-03-20
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2025-03-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-30
Health
Dispose of garbage and refuse properly.
Corrected 2025-03-20
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-20
Health
Respond appropriately to all alleged violations.
Corrected 2025-03-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-03-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-20
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 2025-03-20
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-03-20
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 2025-03-20
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-03-20
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-20
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-08-01
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-01
Health
Post nurse staffing information every day.
Corrected 2023-08-01
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 2023-08-01
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-08-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-01
Health
Dispose of garbage and refuse properly.
Corrected 2023-08-01
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 2023-08-01
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-08-01
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 2023-08-01
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-08-01
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 2023-08-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-01
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-08-01
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 2022-03-25
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 2022-03-25
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-03-25
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-03-25
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-03-25
Health
Provide activities to meet all resident's needs.
Corrected 2022-03-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-25
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-03-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-03-25
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-25
Health
Keep all essential equipment working safely.
Corrected 2022-03-25
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-03-25
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-03-25
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-03-25
Penalties and ownership
Fine · fine $34,496
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Security Interest · Organization
5% Or Greater Mortgage Interest · Organization
5% Or Greater Security Interest · Organization
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Ravenswood, WV
4-star overall rating with 4-star inspections with 8 recent health deficiencies
Spencer, WV
5-star overall rating with 4-star inspections with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Spencer, WV
3-star overall rating with 4-star inspections with 10 recent health deficiencies
Jump out