Staunton, VA

Staunton Post Acute & Rehabilitation

2-star overall rating with 2-star inspections with $17,501 in total fines with 18 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

512 Houston Street, Staunton, VA

(540) 886-2335

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

170

Certified beds

Average residents

128

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Hill Valley Healthcare

Operator or chain grouping

Approved since

1991-06-06

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

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.50

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 1.00 · national 0.87

Aide hours / resident day

1.89

Nurse aide staffing · state 2.12 · national 2.35

Total nurse hours

3.27

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.38

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

2.87

Weekend nurse staffing · state 3.31 · national 3.43

Weekend RN hours

0.25

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.54

CMS adjusted RN staffing hours

Adjusted total hours

3.56

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

73%

Annual RN turnover · state 49% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,474

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

36.05

Composite VBP score used to determine payment impact.

Payment multiplier

0.9896

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.71

Baseline 18.28% · Performance 18.78% · Measure score 5.71 · Achievement 5.71 · Improvement 0

Healthcare-associated infections

2.32

Baseline 6.63% · Performance 7.14% · Measure score 2.32 · Achievement 2.32 · Improvement 0

Total nurse turnover

5.58

Baseline 47.96% · Performance 40.86% · Measure score 5.58 · Achievement 5.58 · Improvement 2.57

Adjusted total nurse staffing

0.81

Baseline 3.49 hours · Performance 3.31 hours · Measure score 0.81 · Achievement 0.81 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.28%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 58 · Observed rate 6.9% · Lower 95% interval 6.59%
Discharge to community	41.61%	50.57% 9 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 30% · Lower 95% interval 27.94%
Medicare spending per beneficiary	0.8	1.02 0.2 pts better
Drug regimen review with follow-up	98.18%	95.27% 2.9 pts better	Numerator 54 · Denominator 55
Falls with major injury	1.82%	0.77% 1.1 pts worse	Numerator 1 · Denominator 55
Discharge self-care score	33.33%	53.69% 20.4 pts worse	Numerator 14 · Denominator 42
Discharge mobility score	35.71%	50.94% 15.2 pts worse	Numerator 15 · Denominator 42
Pressure ulcers or injuries, new or worsened	5.45%	2.29% 3.2 pts worse	Numerator 3 · Denominator 55 · Adjusted rate 6.32%
Healthcare-associated infections requiring hospitalization	7.14%	7.12% About the same	No Different than the National Rate · Eligible stays 34 · Observed rate 5.88% · Lower 95% interval 3.69%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 125
Staff flu vaccination coverage	32.11%	42% 9.9 pts worse	Numerator 35 · Denominator 109
Discharge function score	47.62%	56.45% 8.8 pts worse	Numerator 20 · Denominator 42
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	35.71%	25.2% 10.5 pts better	Numerator 10 · Denominator 28

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	1.5 0.3 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.4 About the same	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.7%	91.2% 5.5 pts better	93.4% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.4% · Q3 93.4% · Q4 95.0% · 4Q avg 96.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.7%	94.0% 3.7 pts better	95.5% 2.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of long-stay residents experiencing one or more falls with major injury	5.3%	3.6% 1.7 pts worse	3.3% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 4.9% · Q3 4.1% · Q4 6.7% · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	8.1%	15.7% 7.6 pts better	11.4% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 4.3% · Q3 5.5% · Q4 12.2% · 4Q avg 8.1%
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 · Q1 2.9% · Q2 4.6% · Q3 3.6% · Q4 6.4% · 4Q avg 4.4%
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 21.9% · Q2 27.3% · Q3 27.0% · Q4 27.9% · 4Q avg 26.1%
Percentage of long-stay residents who received an antipsychotic medication	45.0%	15.0% 30 pts worse	16.7% 28.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 41.0% · Q2 46.0% · Q3 44.2% · Q4 48.3% · 4Q avg 45.0% · 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	5.2%	17.5% 12.3 pts better	16.3% 11.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 3.1% · Q3 6.4% · Q4 6.6% · 4Q avg 5.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.1%	15.7% 8.6 pts better	14.9% 7.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 5.7% · Q3 5.6% · Q4 5.6% · 4Q avg 7.1% · 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	1.2%	1.6% 0.4 pts better	1.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.5% · Q3 2.5% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.9%	22.2% 2.7 pts worse	19.8% 5.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 22.1% · Q3 24.5% · Q4 26.4% · 4Q avg 24.9%
Percentage of long-stay residents with pressure ulcers	2.4%	5.2% 2.8 pts better	5.1% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.2% · Q3 1.2% · Q4 1.2% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	72.3%	74.6% 2.3 pts worse	81.7% 9.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 91.1% · Q2 74.5% · Q3 60.7% · Q4 65.7% · 4Q avg 72.3%
Percentage of short-stay residents who had an outpatient emergency department visit	14.4%	11.7% 2.7 pts worse	12.0% 2.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.4% · Observed 15.7% · Expected 12.2% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	65.4%	73.6% 8.2 pts worse	79.7% 14.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 65.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.2%	22.0% 1.8 pts better	23.9% 3.7 pts better	Short Stay · 20240701-20250630 · Adjusted 20.2% · Observed 15.7% · Expected 18.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-06-14 · Fire 2023-06-14

18 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2022-06-09 · Fire 2022-06-09

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2020-02-11 · Fire 2020-02-11

16 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-06-14

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-08-16

F · Potential for more than minimal harm 2023-06-14

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-08-16

E · Potential for more than minimal harm 2023-06-14

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2023-08-16

C · Minimal harm 2022-06-09

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2022-07-19

F · Potential for more than minimal harm 2020-02-11

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2020-03-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-31

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2025-09-12

D · Potential for more than minimal harm 2025-07-31

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-31

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-31

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-31

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-07-27

D · Potential for more than minimal harm 2025-07-31

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-07-31

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-09-19

G · Actual harm 2023-08-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-08-11

G · Actual harm 2023-06-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-11-28

F · Potential for more than minimal harm 2023-06-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-28

E · Potential for more than minimal harm 2023-06-14

F584 · Resident Rights Deficiencies

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 2023-07-28

E · Potential for more than minimal harm 2023-06-14

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 2023-07-28

E · Potential for more than minimal harm 2023-06-14

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-07-28

D · Potential for more than minimal harm 2023-06-14

F578 · Resident Rights Deficiencies

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 2023-07-28

D · Potential for more than minimal harm 2023-06-14

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2023-07-28

D · Potential for more than minimal harm 2023-06-14

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-07-28

D · Potential for more than minimal harm 2023-06-14

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 2023-07-28

D · Potential for more than minimal harm 2023-06-14

F690 · Quality of Life and Care Deficiencies

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 2023-07-28

D · Potential for more than minimal harm 2023-06-14

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-07-28

F · Potential for more than minimal harm 2022-06-09

F727 · Nursing and Physician Services Deficiencies

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 2022-07-19

E · Potential for more than minimal harm 2022-06-09

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2022-07-19

E · Potential for more than minimal harm 2022-06-09

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2022-07-19

D · Potential for more than minimal harm 2022-06-09

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2021-11-08

D · Potential for more than minimal harm 2022-06-09

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 2022-07-19

D · Potential for more than minimal harm 2022-06-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-07-19

D · Potential for more than minimal harm 2022-06-09

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-07-19

D · Potential for more than minimal harm 2022-06-09

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 2022-07-19

G · Actual harm 2020-02-11

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-03-19

G · Actual harm 2020-02-11

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2020-03-19

E · Potential for more than minimal harm 2020-02-11