Cycle 1
Health 2023-04-19 · Fire 2023-04-19
0 health deficiencies
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Galax, VA
Waddell Nursing And Rehab Center
5-star overall rating with 5-star inspections with 4 fire-safety deficiencies in the latest cycle
202 Painter St, Galax, VA
(276) 236-5164
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
135
Certified beds
Average residents
123
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Saber Healthcare Group
Operator or chain grouping
Approved since
1982-02-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
126 facilities
Chain averages 3 overall / 3 health / 3 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
Hours and turnover
RN hours / resident day
0.38
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.95
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.41
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.46
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.98
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.17
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
3.59
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,826
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.56
Composite VBP score used to determine payment impact.
Payment multiplier
0.9838
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.01
Baseline 21.94% · Performance 21.20% · Measure score 1.01 · Achievement 0.51 · Improvement 1.01
Healthcare-associated infections
0
Baseline 6.87% · Performance 10.53% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.96
Baseline 48.52% · Performance 31.13% · Measure score 7.96 · Achievement 7.96 · Improvement 6.85
Adjusted total nurse staffing
1.25
Baseline 3.04 hours · Performance 3.43 hours · Measure score 1.25 · Achievement 1.25 · Improvement 0.92
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.13% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 211 · Observed rate 14.69% · Lower 95% interval 8.66% |
| Discharge to community | 46.91% |
50.57%
3.7 pts worse
|
No Different than the National Rate · Eligible stays 183 · Observed rate 40.44% · Lower 95% interval 37.81% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 43.09% |
95.27%
52.2 pts worse
|
Numerator 53 · Denominator 123 |
| Falls with major injury | 4.1% |
0.77%
3.3 pts worse
|
Numerator 5 · Denominator 122 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 40 · Denominator 80 |
| Discharge mobility score | 43.75% |
50.94%
7.2 pts worse
|
Numerator 35 · Denominator 80 |
| Pressure ulcers or injuries, new or worsened | 1.64% |
2.29%
0.7 pts better
|
Numerator 2 · Denominator 122 · Adjusted rate 1.63% |
| Healthcare-associated infections requiring hospitalization | 10.53% |
7.12%
3.4 pts worse
|
No Different than the National Rate · Eligible stays 137 · Observed rate 13.87% · Lower 95% interval 6.93% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 154 |
| Staff flu vaccination coverage | 25% |
42%
17 pts worse
|
Numerator 39 · Denominator 156 |
| Discharge function score | 48.75% |
56.45%
7.7 pts worse
|
Numerator 39 · Denominator 80 |
| Transfer of health information to provider | 93.75% |
95.95%
2.2 pts worse
|
Numerator 75 · Denominator 80 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 24.64% |
25.2%
0.6 pts worse
|
Numerator 17 · Denominator 69 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.5
0.1 pts worse
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.4 · Expected 1.6 · 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 1.0 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.3% |
91.2%
1.1 pts better
|
93.4%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 89.2% · Q2 91.5% · Q3 91.3% · Q4 97.1% · 4Q avg 92.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.7% |
94.0%
4.3 pts worse
|
95.5%
5.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.1% |
3.6%
0.5 pts worse
|
3.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 3.8% · Q3 4.9% · Q4 1.9% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.2% |
15.7%
10.5 pts better
|
11.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 2.0% · Q3 8.0% · Q4 5.9% · 4Q avg 5.2% |
| Percentage of long-stay residents who lose too much weight | 5.3% |
5.7%
0.4 pts better
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 9.6% · Q3 4.8% · Q4 2.5% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.4% |
20.2%
15.2 pts worse
|
19.6%
15.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.0% · Q2 34.7% · Q3 40.9% · Q4 33.0% · 4Q avg 35.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.5% |
15.0%
7.5 pts better
|
16.7%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 6.1% · Q3 7.1% · Q4 9.8% · 4Q avg 7.5% · 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 | 27.1% |
17.5%
9.6 pts worse
|
16.3%
10.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.7% · Q2 16.8% · Q3 18.7% · Q4 30.3% · 4Q avg 27.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.8% |
15.7%
10.1 pts worse
|
14.9%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 27.5% · Q3 24.4% · Q4 27.6% · 4Q avg 25.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.5%
0.1 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.2% |
1.6%
2.6 pts worse
|
1.7%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 2.9% · Q3 5.8% · Q4 1.0% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.6% |
22.2%
4.6 pts better
|
19.8%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 19.6% · Q3 13.0% · Q4 15.6% · 4Q avg 17.6% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
5.2%
1.1 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 5.4% · Q3 1.7% · Q4 1.6% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 35.5% |
74.6%
39.1 pts worse
|
81.7%
46.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 42.5% · Q3 47.9% · Q4 35.2% · 4Q avg 35.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.6% |
11.7%
4.9 pts worse
|
12.0%
4.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 16.5% · Expected 11.1% · 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 4.9% · Q2 2.5% · Q3 1.2% · Q4 1.3% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 57.4% |
73.6%
16.2 pts worse
|
79.7%
22.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 57.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.6% |
22.0%
3.4 pts better
|
23.9%
5.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 19.0% · Expected 24.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-06-24 · Fire 2021-06-24
3 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2019-08-09 · Fire 2019-08-09
17 health deficiencies
Top issue: Pharmacy Service (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
2023-04-19
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-06-12
E · Potential for more than minimal harm
2023-04-19
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 2023-06-12
E · Potential for more than minimal harm
2023-04-19
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-12
D · Potential for more than minimal harm
2023-04-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-29
F · Potential for more than minimal harm
2021-06-24
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-08-30
F · Potential for more than minimal harm
2021-06-24
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-10-04
F · Potential for more than minimal harm
2021-06-24
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-08-30
F · Potential for more than minimal harm
2021-06-24
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 2021-08-30
E · Potential for more than minimal harm
2021-06-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-10-04
E · Potential for more than minimal harm
2021-06-24
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-08-30
E · Potential for more than minimal harm
2021-06-24
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-08-30
E · Potential for more than minimal harm
2021-06-24
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-08-30
E · Potential for more than minimal harm
2021-06-24
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-08-30
D · Potential for more than minimal harm
2021-06-24
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 2021-08-30
D · Potential for more than minimal harm
2021-06-24
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-08-30
Inspection history
Recent health citations
E · Potential for more than minimal harm
2021-06-24
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2021-07-20
D · Potential for more than minimal harm
2021-06-24
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 2021-07-20
D · Potential for more than minimal harm
2021-06-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-07-20
D · Potential for more than minimal harm
2019-08-09
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 2019-09-18
D · Potential for more than minimal harm
2019-08-09
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 2019-09-18
D · Potential for more than minimal harm
2019-08-09
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-09-18
D · Potential for more than minimal harm
2019-08-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-09-18
D · Potential for more than minimal harm
2019-08-09
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 2019-09-18
D · Potential for more than minimal harm
2019-08-09
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 2019-09-18
D · Potential for more than minimal harm
2019-08-09
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-09-18
D · Potential for more than minimal harm
2019-08-09
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 2019-09-18
D · Potential for more than minimal harm
2019-08-09
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-09-18
D · Potential for more than minimal harm
2019-08-09
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 2019-09-18
D · Potential for more than minimal harm
2019-08-09
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-09-18
D · Potential for more than minimal harm
2019-08-09
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-09-18
D · Potential for more than minimal harm
2019-08-09
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2019-09-18
D · Potential for more than minimal harm
2019-08-09
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 2019-09-18
D · Potential for more than minimal harm
2019-08-09
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 2019-09-18
D · Potential for more than minimal harm
2019-08-09
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2019-09-18
D · Potential for more than minimal harm
2019-08-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-09-18
Penalties and ownership
What sits behind the stars
Ownership
Shg Autumn, LLC
5% Or Greater Direct Ownership Interest · Organization
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)
5% Or Greater Indirect Ownership Interest · Organization
Bnv Dynasty LLC
5% Or Greater Indirect Ownership Interest · Organization
Davis, Mitchell
Operational/Managerial Control · Individual
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020
5% Or Greater Indirect Ownership Interest · Organization
Nicoluzakis, Gregory
Corporate Officer · Individual
Saber Governance LLC
Operational/Managerial Control · Organization
Saber Healthcare Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Shelor, Thomas
W-2 Managing Employee · Individual
Shh Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Volpe, Benjamin
Corporate Director · Individual
Volpe, Benjamin
Corporate Officer · Individual
Weisberg, William
Corporate Director · Individual
Weisberg, William
Corporate Officer · Individual
Wiw Dynasty LLC
5% Or Greater Indirect Ownership Interest · Organization
Wwbv Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Galax Health And Rehab
Galax, VA
1-star overall rating with 2-star inspections with $13,627 in total fines with 23 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
Grayson Health and Rehabilitation
Independence, VA
5-star overall rating with 4-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Hillsville Health & Rehab Center
Hillsville, VA
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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