Fishersville, VA

Shenandoah Nursing Home

5-star overall rating with 4-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

339 Westminister Drive, Fishersville, VA

(540) 949-8665

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

84

Certified beds

Average residents

81

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Saber Healthcare Group

Operator or chain grouping

Approved since

1991-08-27

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.44

Registered nurse staffing

LPN hours / resident day

0.82

Licensed practical nurse staffing

Aide hours / resident day

2.18

Nurse aide staffing

Weekend hours

2.84

Weekend nurse staffing

RN turnover

58%

Annual RN turnover

Total nurse turnover

40%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.0
1.5
0.5 pts better
1.9
0.9 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
1.4
0.7 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.1%
91.2%
1.9 pts better
93.4%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.7%
94.0%
0.3 pts worse
95.5%
1.8 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.4%
3.6%
0.2 pts better
3.3%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.8%
15.7%
13.9 pts better
11.4%
9.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.4%
5.7%
1.3 pts better
5.4%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.7%
20.2%
4.5 pts worse
19.6%
5.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 9.4%
15.0%
5.6 pts better
16.7%
7.3 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 24.9%
17.5%
7.4 pts worse
16.3%
8.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 29.7%
15.7%
14 pts worse
14.9%
14.8 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 1.3%
1.6%
0.3 pts better
1.7%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.8%
22.2%
0.6 pts worse
19.8%
3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 0.0%
5.2%
5.2 pts better
5.1%
5.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 75.2%
74.6%
0.6 pts better
81.7%
6.5 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 10.4%
11.7%
1.3 pts better
12.0%
1.6 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.8%
1.2%
0.4 pts better
1.6%
0.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80.7%
73.6%
7.1 pts better
79.7%
1 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 14.7%
22.0%
7.3 pts better
23.9%
9.2 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-30 · Fire 2024-05-30

8 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2022-03-10 · Fire 2022-03-10

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-04-10 · Fire 2019-04-10

5 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-05-30

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-05-30

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-07-15

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-05-30

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-07-29

D · Potential for more than minimal harm 2024-05-30

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-07-29

D · Potential for more than minimal harm 2024-05-30

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-07-29

D · Potential for more than minimal harm 2024-05-30

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-07-29

D · Potential for more than minimal harm 2024-05-30

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-07-29

D · Potential for more than minimal harm 2024-05-30

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-29

D · Potential for more than minimal harm 2024-05-30

F761 · Pharmacy Service Deficiencies

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 2024-07-29

D · Potential for more than minimal harm 2024-05-30

F800 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-07-29

D · Potential for more than minimal harm 2022-03-10

F657 · Resident Assessment and Care Planning Deficiencies

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 2022-03-30

D · Potential for more than minimal harm 2022-03-10

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2022-03-30

E · Potential for more than minimal harm 2019-04-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-04-19

E · Potential for more than minimal harm 2019-04-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-04-19

D · Potential for more than minimal harm 2019-04-10

F657 · Resident Assessment and Care Planning Deficiencies

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 2019-04-19

D · Potential for more than minimal harm 2019-04-10

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-04-19

D · Potential for more than minimal harm 2019-04-10

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-04-19

Penalties and ownership

What sits behind the stars

Ownership

Shg Autumn, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 25 facilities 2016-03-01
Adkins, Kenneth

Operational/Managerial Control · Individual

0% 3 facilities 2023-05-30
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Bnv Dynasty LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Nicoluzakis, Gregory

Corporate Officer · Individual

0% 117 facilities 2019-03-01
Saber Governance LLC

Operational/Managerial Control · Organization

0% 87 facilities 2019-09-01
Saber Healthcare Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2016-03-01
Shh Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 48 facilities 2019-03-01
Sholes-Colvin, Lori Davis

W-2 Managing Employee · Individual

0% 1 facilities 2016-03-01
Volpe, Benjamin

Corporate Director · Individual

0% 122 facilities 2019-03-01
Volpe, Benjamin

Corporate Officer · Individual

0% 122 facilities 2019-03-01
Weisberg, William

Corporate Director · Individual

0% 123 facilities 2019-03-01
Weisberg, William

Corporate Officer · Individual

0% 123 facilities 2019-03-01
Wiw Dynasty LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Wwbv Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 47 facilities 2019-09-30

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Staffing
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Health
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Staffing
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Fines
$203,292
#3

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1-star overall rating with 2-star inspections with 21 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
$0

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