Federal inspection record · CMS data as of October 1, 2026
Shenandoah Valley Health And Rehab
3737 Catalpa Ave, Buena Vista, VA · (540) 261-7444
- Certified beds
- 93
- Residents per day
- 88
- Ownership
- For-Profit
- Chain
- Trio Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 27, 1987
1
How this home got 2 stars
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Shenandoah Valley Health And Rehab carries 106.5 inspection points. That is fewer than 32% of Virginia's 287 rated homes.
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
37 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (3)
-
G
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
G
Provide safe, appropriate dialysis care/services for a resident who requires such services.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Assessment and Care Planning9E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service7E
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- E
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.
Administration5F
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- F
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- F
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- F
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- E
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Resident Rights4D
- D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
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.
- 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.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Quality of Life and Care3E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nursing and Physician Services1F
- F
Observe each nurse aide's job performance and give regular training.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nutrition and Dietary1D
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspection history
2023-02-23
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2021-05-27
15 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2019-03-14
16 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 18 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 18 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 42% 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
Fines and payment denials
$50,635 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-31 | Fine | $50,635 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 1.4 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts worse | 2.8 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.8 pts better | 98.0% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.5 pts better | 98.8% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 3.0% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15 pts better | 5.5% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.9 pts better | 1.4% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.9 pts worse | 29.6% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.9 pts better | 4.3% | 14.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.8 pts worse | 23.0% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased16.4 pts worse | 30.9% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.2% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 0.7% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.1 pts worse | 30.4% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 5.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.3 pts better | 93.5% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts better | 9.3% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 0.5% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17 pts better | 90.3% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.8 pts better | 17.2% | 22.0% | 23.4% |
·
Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Gl Virginia Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 9 facilities |
| Gentry, Boyd | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 9 facilities |
| Gentry, Boyd | Corporate Officer · Individual | 0% | 9 facilities |
| Lam, Angela | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Rubenstein, David | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 53 facilities |
| Rubenstein, David | Corporate Officer · Individual | 0% | 53 facilities |
| Trio Health Care - East, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Trio Healthcare Investors LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Trio Healthcare LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems2D
- D
Have proper power supply for life support equipment.
- D
Have proper medical gas storage and administration areas.
Smoke1D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous1D
- D
Have simulated fire drills held at unexpected times.
Construction1E
- E
Meet other general requirements.
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Other homes nearby
-
Heritage Hall Lexington
East Lexington, VA · Heritage Hall
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 5 min
- Fines
- $0
-
Kendal At Lexington
Lexington, VA · Kendal
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 10 min
- Fines
- $10,033
-
Fairmont Crossing Health And Rehab Center
Amherst, VA · Hill Valley Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 24 min
- Fines
- $8,281