Cycle 1
Health 2024-04-24 · Fire 2024-04-24
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Daleville, VA
The Glebe
5-star overall rating with 5-star inspections
250 Glebe Road, Daleville, VA
(540) 591-2176
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
32
Certified beds
Average residents
28
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2010-06-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
Hours and turnover
RN hours / resident day
1.35
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
3.26
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
5.71
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
2.45
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.68
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
0.12
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.41
CMS adjusted RN staffing hours
Adjusted total hours
5.98
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,480
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.52
Composite VBP score used to determine payment impact.
Payment multiplier
1.0035
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.30
Baseline 19.56% · Performance 19.44% · Measure score 4.30 · Achievement 4.30 · Improvement 0
Healthcare-associated infections
2.26
Baseline 5.24% · Performance 7.16% · Measure score 2.26 · Achievement 2.26 · Improvement 0
Total nurse turnover
6.88
Baseline 57.69% · Performance 35.56% · Measure score 6.88 · Achievement 6.88 · Improvement 6.24
Adjusted total nurse staffing
6.36
Baseline 4.03 hours · Performance 4.89 hours · Measure score 6.36 · Achievement 6.36 · Improvement 4.39
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.98% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 147 · Observed rate 5.44% · Lower 95% interval 6.48% |
| Discharge to community | 66.79% |
50.57%
16.2 pts better
|
Better than the National Rate · Eligible stays 139 · Observed rate 66.91% · Lower 95% interval 59.99% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 101 · Denominator 101 |
| Falls with major injury | 0.99% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 101 |
| Discharge self-care score | 66.27% |
53.69%
12.6 pts better
|
Numerator 55 · Denominator 83 |
| Discharge mobility score | 63.86% |
50.94%
12.9 pts better
|
Numerator 53 · Denominator 83 |
| Pressure ulcers or injuries, new or worsened | 0.99% |
2.29%
1.3 pts better
|
Numerator 1 · Denominator 101 · Adjusted rate 1.1% |
| Healthcare-associated infections requiring hospitalization | 7.16% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 106 · Observed rate 5.66% · Lower 95% interval 4.49% |
| Staff COVID-19 vaccination coverage | 17.57% |
8.2%
9.4 pts better
|
Numerator 13 · Denominator 74 |
| Staff flu vaccination coverage | 71.43% |
42%
29.4 pts better
|
Numerator 55 · Denominator 77 |
| Discharge function score | 71.08% |
56.45%
14.6 pts better
|
Numerator 59 · Denominator 83 |
| Transfer of health information to provider | 94.64% |
95.95%
1.3 pts worse
|
Numerator 53 · Denominator 56 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 32 · Denominator 32 |
| Resident COVID-19 vaccinations up to date | 64.81% |
25.2%
39.6 pts better
|
Numerator 35 · Denominator 54 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.5
0.4 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.8 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.4
0.4 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
91.2%
7.4 pts better
|
93.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 100.0% · 4Q avg 98.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.0%
6 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.6%
3.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
15.7%
15.7 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 7.8% |
5.7%
2.1 pts worse
|
5.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.0% |
20.2%
3.2 pts better
|
19.6%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.6% |
15.0%
12.4 pts better
|
16.7%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.6% · 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 · Q2 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.6% |
15.7%
14.9 pts worse
|
14.9%
15.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 30.6% · 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 · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.0% |
1.6%
5.4 pts worse
|
1.7%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 5.0% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.7% |
22.2%
5.5 pts worse
|
19.8%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 27.7% |
| Percentage of long-stay residents with pressure ulcers | 2.2% |
5.2%
3 pts better
|
5.1%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.2% |
74.6%
16.6 pts better
|
81.7%
9.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 89.2% · Q3 87.8% · Q4 93.1% · 4Q avg 91.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.1% |
11.7%
4.6 pts better
|
12.0%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.1% · Observed 6.1% · Expected 9.5% · 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 | 100.0% |
73.6%
26.4 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.0% |
22.0%
7 pts worse
|
23.9%
5.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.0% · Observed 21.2% · Expected 17.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-12-09 · Fire 2021-12-09
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2019-03-29 · Fire 2019-03-29
7 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2021-12-09
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2022-01-07
D · Potential for more than minimal harm
2021-12-09
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2022-01-07
F · Potential for more than minimal harm
2019-03-29
K222 · Egress Deficiencies
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 2019-05-31
F · Potential for more than minimal harm
2019-03-29
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-05-31
F · Potential for more than minimal harm
2019-03-29
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-05-31
Inspection history
Recent health citations
E · Potential for more than minimal harm
2019-03-29
F758 · Pharmacy Service Deficiencies
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 2019-05-01
D · Potential for more than minimal harm
2019-03-29
F622 · Resident Rights Deficiencies
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 2019-05-01
D · Potential for more than minimal harm
2019-03-29
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-05-01
D · Potential for more than minimal harm
2019-03-29
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-05-01
D · Potential for more than minimal harm
2019-03-29
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-05-01
D · Potential for more than minimal harm
2019-03-29
F777 · Administration Deficiencies
Health
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected 2019-05-01
D · Potential for more than minimal harm
2019-03-29
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-05-01
Penalties and ownership
What sits behind the stars
Ownership
Virginia Baptist Homes Inc
5% Or Greater Direct Ownership Interest · Organization
Albritton, Tracey
Corporate Officer · Individual
Bales, James
Corporate Director · Individual
Brooks, Sharon
Corporate Director · Individual
Carlton, Daniel
Corporate Director · Individual
Cave, R
Corporate Director · Individual
Cook, Jonathan
Corporate Officer · Individual
Harris, Charles
Corporate Officer · Individual
Harvey-D'ardenne, Ellen
Operational/Managerial Control · Individual
Jung, John
Corporate Director · Individual
Marchello, Sallie
Corporate Director · Individual
Moran, Christine
Corporate Officer · Individual
Oakey, Samuel
Corporate Director · Individual
Owens, Arne
Corporate Director · Individual
Poats, Jim
Corporate Director · Individual
Robinson, John
Corporate Officer · Individual
Rucker, Susan
Corporate Director · Individual
Thomson, Gary
Corporate Director · Individual
Vaught, James
Corporate Director · Individual
Virginia Baptist Homes Inc
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Daleville Health and Rehabilitation
Daleville, VA
3-star overall rating with 3-star inspections with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Friendship Health And Rehab Center
Roanoke, VA
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Brian Center Of Fincastle
Fincastle, VA
4-star overall rating with 4-star inspections with $23,102 in total fines with 5 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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