Chilhowie, VA

Valley Rehabilitation And Nursing Center

4-star overall rating with 4-star inspections with 3 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

940 East Lee Highway, Chilhowie, VA

(276) 646-8911

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

160

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Lifeworks Rehab

Operator or chain grouping

Approved since

1982-11-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

59 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

0.59

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.84

Licensed practical nurse staffing · state 1.00 · national 0.87

Aide hours / resident day

1.72

Nurse aide staffing · state 2.12 · national 2.35

Total nurse hours

3.15

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.42

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

2.69

Weekend nurse staffing · state 3.31 · national 3.43

Weekend RN hours

0.35

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

0.59

CMS adjusted RN staffing hours

Adjusted total hours

3.19

CMS adjusted total nurse staffing hours

Case-mix index

1.35

Higher values indicate more complex resident acuity

RN turnover

39%

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

2,899

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

Performance score

47.08

Composite VBP score used to determine payment impact.

Payment multiplier

1.0006

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.19

Baseline 15.46% · Performance 18.56% · Measure score 6.19 · Achievement 6.19 · Improvement 0

Healthcare-associated infections

7.81

Baseline 6.55% · Performance 5.50% · Measure score 7.81 · Achievement 7.81 · Improvement 6.25

Total nurse turnover

4.83

Baseline 61.36% · Performance 43.94% · Measure score 4.83 · Achievement 4.83 · Improvement 4.27

Adjusted total nurse staffing

Baseline 2.90 hours · Performance 2.92 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.73%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 163 · Observed rate 9.2% · Lower 95% interval 7.21%
Discharge to community	44.68%	50.57% 5.9 pts worse	No Different than the National Rate · Eligible stays 150 · Observed rate 37.33% · Lower 95% interval 36.78%
Medicare spending per beneficiary	1.16	1.02 0.1 pts worse
Drug regimen review with follow-up	94.55%	95.27% 0.7 pts worse	Numerator 104 · Denominator 110
Falls with major injury	1.82%	0.77% 1.1 pts worse	Numerator 2 · Denominator 110
Discharge self-care score	44.44%	53.69% 9.2 pts worse	Numerator 32 · Denominator 72
Discharge mobility score	40.28%	50.94% 10.7 pts worse	Numerator 29 · Denominator 72
Pressure ulcers or injuries, new or worsened	1.82%	2.29% 0.5 pts better	Numerator 2 · Denominator 110 · Adjusted rate 1.28%
Healthcare-associated infections requiring hospitalization	5.5%	7.12% 1.6 pts better	No Different than the National Rate · Eligible stays 111 · Observed rate 2.7% · Lower 95% interval 3.23%
Staff COVID-19 vaccination coverage	8.25%	8.2% 0.1 pts better	Numerator 16 · Denominator 194
Staff flu vaccination coverage	22.16%	42% 19.8 pts worse	Numerator 43 · Denominator 194
Discharge function score	47.22%	56.45% 9.2 pts worse	Numerator 34 · Denominator 72
Transfer of health information to provider	98.33%	95.95% 2.4 pts better	Numerator 59 · Denominator 60
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	17.74%	25.2% 7.5 pts worse	Numerator 11 · Denominator 62

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.4	1.5 0.1 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.4 0.5 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.8%	91.2% 8.6 pts better	93.4% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.3%	94.0% 5.3 pts better	95.5% 3.8 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.3%
Percentage of long-stay residents experiencing one or more falls with major injury	4.8%	3.6% 1.2 pts worse	3.3% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 5.0% · Q3 4.2% · Q4 6.0% · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	13.5%	15.7% 2.2 pts better	11.4% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 11.3% · Q3 11.9% · Q4 11.8% · 4Q avg 13.5%
Percentage of long-stay residents who lose too much weight	5.1%	5.7% 0.6 pts better	5.4% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 5.6% · Q3 2.3% · Q4 5.9% · 4Q avg 5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	36.3%	20.2% 16.1 pts worse	19.6% 16.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.2% · Q2 38.8% · Q3 37.0% · Q4 33.3% · 4Q avg 36.3%
Percentage of long-stay residents who received an antipsychotic medication	55.2%	15.0% 40.2 pts worse	16.7% 38.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 53.6% · Q2 59.4% · Q3 56.0% · Q4 52.5% · 4Q avg 55.2% · 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	8.5%	17.5% 9 pts better	16.3% 7.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 10.9% · Q3 5.3% · Q4 10.0% · 4Q avg 8.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.4%	15.7% 7.3 pts better	14.9% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 8.9% · Q3 4.1% · Q4 10.9% · 4Q avg 8.4% · 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	0.0%	1.6% 1.6 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	26.8%	22.2% 4.6 pts worse	19.8% 7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 27.7% · Q3 32.6% · Q4 23.5% · 4Q avg 26.8%
Percentage of long-stay residents with pressure ulcers	4.8%	5.2% 0.4 pts better	5.1% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 6.0% · Q3 4.7% · Q4 4.9% · 4Q avg 4.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	88.2%	74.6% 13.6 pts better	81.7% 6.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 88.4% · Q2 92.2% · Q3 90.5% · Q4 79.8% · 4Q avg 88.2%
Percentage of short-stay residents who had an outpatient emergency department visit	14.7%	11.7% 3 pts worse	12.0% 2.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.7% · Observed 15.9% · Expected 12.1% · 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	91.5%	73.6% 17.9 pts better	79.7% 11.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.7%	22.0% 0.7 pts worse	23.9% 1.2 pts better	Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 24.8% · Expected 26.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-06-30 · Fire 2023-06-30

3 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

10 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 2 Health 2021-06-10 · Fire 2021-06-10

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2019-04-16 · Fire 2019-04-16

15 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-06-30

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 2023-11-29

F · Potential for more than minimal harm 2023-06-30

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-11-29

E · Potential for more than minimal harm 2023-06-30

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-08-21

E · Potential for more than minimal harm 2023-06-30

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-09-29

E · Potential for more than minimal harm 2023-06-30

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-08-21

E · Potential for more than minimal harm 2023-06-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-21

E · Potential for more than minimal harm 2023-06-30

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-09-29

D · Potential for more than minimal harm 2023-06-30

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-08-21

D · Potential for more than minimal harm 2023-06-30

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-21

D · Potential for more than minimal harm 2023-06-30

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-08-21

F · Potential for more than minimal harm 2021-06-10

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2021-08-05

F · Potential for more than minimal harm 2021-06-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-08-05

F · Potential for more than minimal harm 2021-06-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-08-05

F · Potential for more than minimal harm 2021-06-10

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2021-09-22

F · Potential for more than minimal harm 2021-06-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-08-05

E · Potential for more than minimal harm 2021-06-10

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 2021-08-05

E · Potential for more than minimal harm 2021-06-10

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-08-05

E · Potential for more than minimal harm 2021-06-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-08-05

E · Potential for more than minimal harm 2021-06-10

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 2021-08-05

D · Potential for more than minimal harm 2021-06-10

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2021-08-05

D · Potential for more than minimal harm 2021-06-10

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-08-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2023-06-30

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-07-27

D · Potential for more than minimal harm 2023-06-30

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 2023-07-27

D · Potential for more than minimal harm 2023-06-30

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-07-27

E · Potential for more than minimal harm 2021-06-10

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2021-08-05

E · Potential for more than minimal harm 2021-06-10

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 2021-08-05

E · Potential for more than minimal harm 2021-06-10

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2021-08-05

D · Potential for more than minimal harm 2021-06-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-08-05

D · Potential for more than minimal harm 2021-06-10

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 2021-08-05

E · Potential for more than minimal harm 2019-04-16

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 2019-06-20

E · Potential for more than minimal harm 2019-04-16

F807 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Corrected 2019-06-20