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SHENANDOAH VALLEY HEALTH AND REHAB

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SHENANDOAH VALLEY HEALTH AND REHAB is a for profit - corporation facility in BUENA VISTA, VA with 93 certified beds and a 2-star overall CMS rating. The facility has 38 deficiency records on file. Total penalties: $62K.

3737 CATALPA AVE, BUENA VISTA, VA 24416

Phone: 5402617444

Overall Rating

2/5

Health Inspection

2/5

Staffing

2/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
495168
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
93
Residents
83
In Hospital
No
County
Buena Vista City
Last Inspection
Feb 23, 2023

Staffing Data

RN Hours
0.45 (nat'l avg: 0.68)
LPN Hours
0.91
CNA Hours
2.04
Total Nursing Hours
3.40 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
74.0%
RN Turnover
68.2%

What the CMS Record Reveals About SHENANDOAH VALLEY HEALTH AND REHAB

SHENANDOAH VALLEY HEALTH AND REHAB operates 93 certified beds in BUENA VISTA, VA with approximately 83 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (2★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 38 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $62K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.40 total nursing hours per resident day (national average 3.89), with RN coverage at 0.45 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, SHENANDOAH VALLEY HEALTH AND REHAB falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 74.0%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (38 most recent)

D — Isolated - Minimal harm Jan 23, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jan 17, 2025

D — Isolated - Minimal harm Jan 23, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 17, 2025

F — Widespread - Minimal harm Jan 31, 2024 Tag: 0944

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Category: Administration Deficiencies

Corrected: Apr 1, 2024

F — Widespread - Minimal harm Jan 31, 2024 Tag: 0940

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Category: Administration Deficiencies

Corrected: Apr 1, 2024

F — Widespread - Minimal harm Jan 31, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 1, 2024

D — Isolated - Minimal harm Jan 31, 2024 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 1, 2024

F — Widespread - Minimal harm Jan 31, 2024 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Apr 1, 2024

D — Isolated - Minimal harm Jan 31, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Apr 1, 2024

F — Widespread - Minimal harm Jan 31, 2024 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 1, 2024

G — Isolated - Actual harm Jan 31, 2024 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 1, 2024

G — Isolated - Actual harm Jan 31, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 1, 2024

D — Isolated - Minimal harm Jan 31, 2024 Tag: 0626

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Category: Resident Rights Deficiencies

Corrected: Apr 1, 2024

G — Isolated - Actual harm May 31, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: May 24, 2023

D — Isolated - Minimal harm Feb 23, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 23, 2023

F — Widespread - Minimal harm Feb 23, 2023 Tag: 0847

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Category: Administration Deficiencies

Corrected: Mar 23, 2023

D — Isolated - Minimal harm Feb 23, 2023 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 23, 2023

D — Isolated - Minimal harm Feb 23, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Mar 23, 2023

D — Isolated - Minimal harm Feb 23, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Mar 23, 2023

D — Isolated - Minimal harm Feb 23, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 23, 2023

E — Pattern - Minimal harm May 27, 2021 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 25, 2021

E — Pattern - Minimal harm May 27, 2021 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 20, 2021

E — Pattern - Minimal harm May 27, 2021 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Jun 25, 2021

D — Isolated - Minimal harm May 27, 2021 Tag: 0800

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 25, 2021

D — Isolated - Minimal harm May 27, 2021 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jun 25, 2021

D — Isolated - Minimal harm May 27, 2021 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jun 25, 2021

G — Isolated - Actual harm May 27, 2021 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 25, 2021

D — Isolated - Minimal harm May 27, 2021 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 20, 2021

D — Isolated - Minimal harm May 27, 2021 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 25, 2021

D — Isolated - Minimal harm May 27, 2021 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 25, 2021

D — Isolated - Minimal harm May 27, 2021 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 25, 2021

D — Isolated - Minimal harm May 27, 2021 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Jun 25, 2021

D — Isolated - Minimal harm May 27, 2021 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Jun 25, 2021

E — Pattern - Minimal harm Mar 14, 2019 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 3, 2019

E — Pattern - Minimal harm Mar 14, 2019 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 3, 2019

D — Isolated - Minimal harm Mar 14, 2019 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 3, 2019

E — Pattern - Minimal harm Mar 14, 2019 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 3, 2019

D — Isolated - Minimal harm Mar 14, 2019 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 3, 2019

D — Isolated - Minimal harm Mar 14, 2019 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Apr 3, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 25.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 11.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 12.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 29.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 24.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 92.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 6.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 26.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 3.8% Yes

Penalty History 2 penalties totaling $62K

Date Type Amount
Jan 31, 2024 Fine $51K
May 31, 2023 Fine $11K

Frequently Asked Questions

What is the overall CMS rating for SHENANDOAH VALLEY HEALTH AND REHAB?
SHENANDOAH VALLEY HEALTH AND REHAB has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (3★).
What are the staffing levels at SHENANDOAH VALLEY HEALTH AND REHAB?
SHENANDOAH VALLEY HEALTH AND REHAB reports 3.40 total nursing hours per resident day (national average: 3.89). RN hours are 0.45 per resident day (national average: 0.68). Nursing staff turnover is 74.0%.
How many beds does SHENANDOAH VALLEY HEALTH AND REHAB have?
SHENANDOAH VALLEY HEALTH AND REHAB has 93 certified beds with approximately 83 residents. The facility is located at 3737 CATALPA AVE, BUENA VISTA, VA 24416.
Does SHENANDOAH VALLEY HEALTH AND REHAB have any deficiencies on record?
Yes, SHENANDOAH VALLEY HEALTH AND REHAB has 38 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has SHENANDOAH VALLEY HEALTH AND REHAB received any fines or penalties?
Yes, SHENANDOAH VALLEY HEALTH AND REHAB has received 2 penalties totaling $62K.
Who owns SHENANDOAH VALLEY HEALTH AND REHAB?
SHENANDOAH VALLEY HEALTH AND REHAB is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was SHENANDOAH VALLEY HEALTH AND REHAB last inspected?
The most recent health inspection for SHENANDOAH VALLEY HEALTH AND REHAB was on Feb 23, 2023. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for SHENANDOAH VALLEY HEALTH AND REHAB?
SHENANDOAH VALLEY HEALTH AND REHAB is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial