28 health deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fork Union, VA
1-star overall rating with 1-star inspections with abuse icon flag with $18,590 in total fines with 28 recent health deficiencies
4238 James Madson Highway, Fork Union, VA
(434) 842-2916
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
52
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Hill Valley Healthcare
Operator or chain grouping
Approved since
1991-02-21
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
0.74
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.57
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.72
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.03
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.30
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.71
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.46
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.72
CMS adjusted RN staffing hours
Adjusted total hours
2.96
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
80%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
81%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
13,726
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
0
Composite VBP score used to determine payment impact.
Payment multiplier
0.9803
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
0
Baseline 73.47% · Performance 71.80% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.57 hours · Performance 2.76 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.38% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 27 · Observed rate 7.41% · Lower 95% interval 6.12% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 13 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 28.13% |
8.2%
19.9 pts better
|
Numerator 18 · Denominator 64 |
| Staff flu vaccination coverage | 5.85% |
42%
36.1 pts worse
|
Numerator 11 · Denominator 188 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.5
0.2 pts worse
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.7 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.4
0.1 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 65.3% |
91.2%
25.9 pts worse
|
93.4%
28.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 73.5% · Q2 68.2% · Q3 63.3% · Q4 56.2% · 4Q avg 65.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 80.0% |
94.0%
14 pts worse
|
95.5%
15.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 80.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.6%
0.1 pts worse
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.3% · Q3 4.1% · Q4 6.2% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 19.0% |
15.7%
3.3 pts worse
|
11.4%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.1% · Q3 14.3% · Q4 48.8% · 4Q avg 19.0% |
| Percentage of long-stay residents who lose too much weight | 7.7% |
5.7%
2 pts worse
|
5.4%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 7.1% · Q3 2.2% · Q4 2.2% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.0% |
20.2%
4.8 pts worse
|
19.6%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 14.0% · Q3 35.6% · Q4 34.0% · 4Q avg 25.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.4% |
15.0%
11.4 pts worse
|
16.7%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 20.0% · Q3 32.4% · Q4 30.3% · 4Q avg 26.4% · 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 | 16.8% |
17.5%
0.7 pts better
|
16.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 16.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.6% |
15.7%
0.1 pts better
|
14.9%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 7.5% · Q3 39.0% · Q4 8.7% · 4Q avg 15.6% · 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 | 19.4% |
22.2%
2.8 pts better
|
19.8%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 19.5% · Q3 23.6% · Q4 10.5% · 4Q avg 19.4% |
| Percentage of long-stay residents with pressure ulcers | 2.0% |
5.2%
3.2 pts better
|
5.1%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 2.7% · Q4 2.5% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 19.7% |
74.6%
54.9 pts worse
|
81.7%
62 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 14.3% · Q3 17.6% · Q4 11.4% · 4Q avg 19.7% |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 37.9% |
73.6%
35.7 pts worse
|
79.7%
41.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 37.9% |
Survey summary
Top issue: Quality of Life and Care (8 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (4 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
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 2021-11-02
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2021-11-02
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-11-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-11-02
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2021-11-02
Fire Safety
Develop a communication plan.
Corrected 2021-11-02
Fire Safety
List the names and contact information of those in the facility.
Corrected 2021-11-02
Fire Safety
Provide emergency officials' contact information.
Corrected 2021-11-02
Fire Safety
Provide primary/alternate means for communication.
Corrected 2021-11-02
Fire Safety
Establish emergency prep training and testing.
Corrected 2021-11-02
Fire Safety
Establish staff and initial training requirements.
Corrected 2021-11-02
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2021-11-02
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-05-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-05-20
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2019-05-20
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-05-20
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-05-20
Inspection history
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-12-08
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-08
Health
Respond appropriately to all alleged violations.
Corrected 2025-12-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-12-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-03
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-03
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-03
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-06-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-12
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-12
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-04-15
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 2024-04-15
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 2024-04-15
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-15
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-04-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-15
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-04-15
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-04-15
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 2024-04-15
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 2024-04-15
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 2024-04-15
Health
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Corrected 2024-04-15
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-04-15
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 2024-01-22
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-11-02
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2021-11-02
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-11-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-11-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-11-09
Health
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.
Corrected 2021-11-02
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2021-11-02
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 2021-11-02
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-11-02
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2021-11-02
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 2021-11-02
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-11-02
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2021-11-02
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2021-11-02
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2019-05-01
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2019-05-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-05-01
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 2019-05-01
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-05-01
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2019-05-01
Health
Respond appropriately to all alleged violations.
Corrected 2019-05-01
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 2019-05-01
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2019-05-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-05-01
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 2019-05-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-05-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-05-01
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-05-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-05-01
Health
Provide and implement an infection prevention and control program.
Corrected 2019-05-01
Penalties and ownership
Fine · fine $18,590
Fine
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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4-star overall rating with 4-star inspections with 9 recent health deficiencies
Louisa, VA
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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