13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Luray, VA
2-star overall rating with 2-star inspections with $7,443 in total fines with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
30 Montvue Drive, Luray, VA
(540) 743-4571
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
112
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Hill Valley Healthcare
Operator or chain grouping
Approved since
1991-09-16
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
0.30
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.98
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.31
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
2.59
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.28
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.22
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.26
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.29
CMS adjusted RN staffing hours
Adjusted total hours
2.52
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
26%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
6,242
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.53
Composite VBP score used to determine payment impact.
Payment multiplier
0.9878
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.75
Baseline 20.30% · Performance 18.30% · Measure score 6.75 · Achievement 6.75 · Improvement 5.61
Healthcare-associated infections
1.05
Baseline 6.16% · Performance 7.52% · Measure score 1.05 · Achievement 1.05 · Improvement 0
Total nurse turnover
5.61
Baseline 57.47% · Performance 40.74% · Measure score 5.61 · Achievement 5.61 · Improvement 4.63
Adjusted total nurse staffing
0
Baseline 2.68 hours · Performance 2.48 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.23% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 101 · Observed rate 9.9% · Lower 95% interval 7.4% |
| Discharge to community | 39.27% |
50.57%
11.3 pts worse
|
Worse than the National Rate · Eligible stays 79 · Observed rate 31.65% · Lower 95% interval 27.42% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 92.42% |
95.27%
2.8 pts worse
|
Numerator 61 · Denominator 66 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 66 |
| Discharge self-care score | 40.38% |
53.69%
13.3 pts worse
|
Numerator 21 · Denominator 52 |
| Discharge mobility score | 38.46% |
50.94%
12.5 pts worse
|
Numerator 20 · Denominator 52 |
| Pressure ulcers or injuries, new or worsened | 3.03% |
2.29%
0.7 pts worse
|
Numerator 2 · Denominator 66 · Adjusted rate 2.82% |
| Healthcare-associated infections requiring hospitalization | 7.52% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 66 · Observed rate 9.09% · Lower 95% interval 4.28% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 141 |
| Staff flu vaccination coverage | 24.34% |
42%
17.7 pts worse
|
Numerator 46 · Denominator 189 |
| Discharge function score | 34.62% |
56.45%
21.8 pts worse
|
Numerator 18 · Denominator 52 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 96.77% |
96.28%
0.5 pts better
|
Numerator 30 · Denominator 31 |
| Resident COVID-19 vaccinations up to date | 2.86% |
25.2%
22.3 pts worse
|
Numerator 1 · Denominator 35 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.2 |
1.5
1.3 pts better
|
1.9
1.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.1 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.4
0.3 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
91.2%
7.8 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.0% · Q2 99.0% · Q3 99.0% · Q4 100.0% · 4Q avg 99.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.1% |
94.0%
4.1 pts better
|
95.5%
2.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
3.6%
0.4 pts better
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.0% · Q3 2.0% · Q4 3.8% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 21.4% |
15.7%
5.7 pts worse
|
11.4%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.6% · Q2 22.9% · Q3 14.6% · Q4 16.5% · 4Q avg 21.4% |
| Percentage of long-stay residents who lose too much weight | 1.6% |
5.7%
4.1 pts better
|
5.4%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 5.3% · Q4 0.0% · 4Q avg 1.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.1% |
20.2%
5.9 pts worse
|
19.6%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.7% · Q2 28.0% · Q3 22.7% · Q4 20.6% · 4Q avg 26.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.3% |
15.0%
6.7 pts better
|
16.7%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 6.3% · Q3 9.4% · Q4 9.4% · 4Q avg 8.3% · 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 | 13.7% |
17.5%
3.8 pts better
|
16.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 15.1% · Q3 10.7% · Q4 5.2% · 4Q avg 13.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.4% |
15.7%
6.3 pts better
|
14.9%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 8.3% · Q3 9.3% · Q4 5.7% · 4Q avg 9.4% · 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 | 0.2% |
1.6%
1.4 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.9% |
22.2%
3.3 pts better
|
19.8%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 23.4% · Q3 14.9% · Q4 12.8% · 4Q avg 18.9% |
| Percentage of long-stay residents with pressure ulcers | 1.6% |
5.2%
3.6 pts better
|
5.1%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.8% · Q3 1.5% · Q4 2.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.4% |
74.6%
18.8 pts better
|
81.7%
11.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.8% · Q2 92.9% · Q3 91.8% · Q4 95.3% · 4Q avg 93.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.6% |
11.7%
1.9 pts worse
|
12.0%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 14.3% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.2%
About the same
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.9% |
73.6%
0.7 pts worse
|
79.7%
6.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 72.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.8% |
22.0%
4.2 pts better
|
23.9%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.8% · Observed 16.9% · Expected 22.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Top issue: Resident Assessment and Care Planning (7 deficiencies)
10 fire-safety deficiencies
Top issue: Egress (4 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 2024-03-29
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-03-29
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-03-29
Fire Safety
Have proper power supply for life support equipment.
Corrected 2022-03-22
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2022-03-22
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2022-03-18
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2022-03-18
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-03-18
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-03-18
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-03-18
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2022-03-18
Fire Safety
Use approved construction type or materials.
Corrected 2020-01-22
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-01-22
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 2020-01-22
Fire Safety
Have exits that are accessible at all times.
Corrected 2020-01-22
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2020-01-22
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2020-01-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-01-22
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-01-22
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2020-01-22
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2020-01-22
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-15
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-12-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-15
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 2023-12-15
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-12-15
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-12-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-15
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 2023-12-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-15
Health
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.
Corrected 2023-12-15
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-15
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-12-15
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-15
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-24
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-09-08
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-26
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-26
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 2023-05-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-03-18
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-03-18
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-03-18
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 2022-03-18
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2022-03-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-03-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-03-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-03-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-03-18
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-03-18
Health
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.
Corrected 2022-03-18
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2022-03-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-03-18
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-03-18
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-03-18
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 2022-03-18
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2022-03-18
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2022-03-18
Health
Post nurse staffing information every day.
Corrected 2022-03-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-01-08
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2020-01-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-01-08
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2020-01-08
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-01-08
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 2020-01-08
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2020-01-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-01-08
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2020-01-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2020-01-08
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2020-01-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-01-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-01-08
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 2020-01-08
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-01-20
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2020-01-08
Health
Post nurse staffing information every day.
Corrected 2020-01-08
Penalties and ownership
Fine · fine $7,443
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
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
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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Woodstock, VA
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $97,714 in total fines with 70 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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