Blacksburg, VA

The Wybe And Marietje Kroontje Health Care Center

5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle

1000 Litton Lane, Blacksburg, VA

(540) 953-3200

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

53

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2010-11-01

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

1.40

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.59

Licensed practical nurse staffing · state 1.00 · national 0.87

Aide hours / resident day

2.07

Nurse aide staffing · state 2.12 · national 2.35

Total nurse hours

4.05

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.98

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

3.29

Weekend nurse staffing · state 3.31 · national 3.43

Weekend RN hours

0.99

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

1.33

CMS adjusted RN staffing hours

Adjusted total hours

3.86

CMS adjusted total nurse staffing hours

Case-mix index

1.44

Higher values indicate more complex resident acuity

RN turnover

37%

Annual RN turnover · state 49% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,155

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

Performance score

51.40

Composite VBP score used to determine payment impact.

Payment multiplier

1.0057

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.40

Baseline 19.23% · Performance 18.93% · Measure score 5.40 · Achievement 5.40 · Improvement 0.88

Healthcare-associated infections

5.08

Baseline 6.47% · Performance 6.32% · Measure score 5.08 · Achievement 5.08 · Improvement 0.53

Total nurse turnover

5.94

Baseline 47.46% · Performance 39.39% · Measure score 5.94 · Achievement 5.94 · Improvement 3.07

Adjusted total nurse staffing

4.13

Baseline 3.78 hours · Performance 4.25 hours · Measure score 4.13 · Achievement 4.13 · Improvement 1.86

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.54%	10.72% 1.8 pts worse	No Different than the National Rate · Eligible stays 209 · Observed rate 11.48% · Lower 95% interval 9.66%
Discharge to community	63.62%	50.57% 13 pts better	Better than the National Rate · Eligible stays 195 · Observed rate 64.62% · Lower 95% interval 55.82%
Medicare spending per beneficiary	0.97	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 98 · Denominator 98
Falls with major injury	1.02%	0.77% 0.2 pts worse	Numerator 1 · Denominator 98
Discharge self-care score	63.1%	53.69% 9.4 pts better	Numerator 53 · Denominator 84
Discharge mobility score	38.1%	50.94% 12.8 pts worse	Numerator 32 · Denominator 84
Pressure ulcers or injuries, new or worsened	4.08%	2.29% 1.8 pts worse	Numerator 4 · Denominator 98 · Adjusted rate 4.07%
Healthcare-associated infections requiring hospitalization	6.32%	7.12% 0.8 pts better	No Different than the National Rate · Eligible stays 111 · Observed rate 3.6% · Lower 95% interval 3.74%
Staff COVID-19 vaccination coverage	3.6%	8.2% 4.6 pts worse	Numerator 4 · Denominator 111
Staff flu vaccination coverage	15.58%	42% 26.4 pts worse	Numerator 24 · Denominator 154
Discharge function score	54.76%	56.45% 1.7 pts worse	Numerator 46 · Denominator 84
Transfer of health information to provider	98.36%	95.95% 2.4 pts better	Numerator 60 · Denominator 61
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	43.75%	25.2% 18.6 pts better	Numerator 21 · Denominator 48

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.5	1.5 2 pts worse	1.9 1.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 2.3 · Expected 1.2 · 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 0.9 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	91.2% 8.8 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	12.2%	3.6% 8.6 pts worse	3.3% 8.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 15.9% · Q3 13.3% · Q4 6.4% · 4Q avg 12.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	17.0%	15.7% 1.3 pts worse	11.4% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 12.5% · Q3 14.0% · Q4 17.8% · 4Q avg 17.0%
Percentage of long-stay residents who lose too much weight	3.8%	5.7% 1.9 pts better	5.4% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.9% · Q3 0.0% · Q4 6.2% · 4Q avg 3.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.7%	20.2% 7.5 pts worse	19.6% 8.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 28.6% · Q3 25.0% · Q4 26.5% · 4Q avg 27.7%
Percentage of long-stay residents who received an antipsychotic medication	13.6%	15.0% 1.4 pts better	16.7% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 16.7% · Q3 13.8% · Q4 13.3% · 4Q avg 13.6% · 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 · 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	23.0%	17.5% 5.5 pts worse	16.3% 6.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 23.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	20.6%	15.7% 4.9 pts worse	14.9% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 23.5% · Q3 12.9% · Q4 25.0% · 4Q avg 20.6% · 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 · 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	2.3%	1.6% 0.7 pts worse	1.7% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.3% · Q3 0.0% · Q4 4.4% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.9%	22.2% 3.7 pts worse	19.8% 6.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 26.0% · Q3 23.3% · Q4 33.3% · 4Q avg 25.9%
Percentage of long-stay residents with pressure ulcers	6.3%	5.2% 1.1 pts worse	5.1% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 5.3% · Q3 8.8% · Q4 4.0% · 4Q avg 6.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.8%	74.6% 24.2 pts better	81.7% 17.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 97.9% · Q3 100.0% · Q4 100.0% · 4Q avg 98.8%
Percentage of short-stay residents who had an outpatient emergency department visit	11.6%	11.7% 0.1 pts better	12.0% 0.4 pts better	Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 10.8% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.5%	1.2% 1.3 pts worse	1.6% 0.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 2.9% · Q3 0.0% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	93.9%	73.6% 20.3 pts better	79.7% 14.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 93.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.4%	22.0% 3.4 pts worse	23.9% 1.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 21.7% · Expected 20.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-10-25 · Fire 2023-10-25

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2022-04-21 · Fire 2022-04-21

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2019-02-07 · Fire 2019-02-07

8 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

E · Potential for more than minimal harm 2023-10-25

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-02-23

F · Potential for more than minimal harm 2022-04-21

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-10-03

F · Potential for more than minimal harm 2022-04-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-10-03

F · Potential for more than minimal harm 2022-04-21

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-10-03

F · Potential for more than minimal harm 2022-04-21

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-10-03

F · Potential for more than minimal harm 2022-04-21

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-10-03

E · Potential for more than minimal harm 2022-04-21

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-07-15

E · Potential for more than minimal harm 2022-04-21

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-10-03

E · Potential for more than minimal harm 2022-04-21

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 2022-10-03

D · Potential for more than minimal harm 2022-04-21

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-07-15

D · Potential for more than minimal harm 2022-04-21

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-10-03

D · Potential for more than minimal harm 2022-04-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-10-03

D · Potential for more than minimal harm 2022-04-21

K521 · Services Deficiencies

Fire Safety

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

Corrected 2022-10-03

D · Potential for more than minimal harm 2022-04-21

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-07-15

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-09-17

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-17

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 2024-11-01

D · Potential for more than minimal harm 2024-09-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-01

D · Potential for more than minimal harm 2022-04-21

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2022-07-19

D · Potential for more than minimal harm 2022-04-21

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 2022-04-21

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2022-07-19

D · Potential for more than minimal harm 2022-04-21

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 2022-07-19

F · Potential for more than minimal harm 2019-02-07

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2019-03-28

E · Potential for more than minimal harm 2019-02-07

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 2019-03-28

E · Potential for more than minimal harm 2019-02-07

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 2019-03-28

E · Potential for more than minimal harm 2019-02-07

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 2019-03-28

D · Potential for more than minimal harm 2019-02-07

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2019-03-28

D · Potential for more than minimal harm 2019-02-07

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2019-03-28

D · Potential for more than minimal harm 2019-02-07

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2019-03-28

D · Potential for more than minimal harm 2019-02-07

F777 · Administration Deficiencies

Health

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

Corrected 2019-03-28

Penalties and ownership