Deficiency Index

Valley Rehabilitation and Nursing Center

Chilhowie, Virginia · CCN 495133

17 surveys since 2010, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
123
Surveys
17
Harm or worse
0
Immediate jeopardy
0
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file14/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
180
Ownership
For profit - Limited Liability company
Chain
LIFEWORKS REHAB
County
Smyth · rural
Medicare-certified since
1982

CMS ratings

Overall
4
Health inspection
4
Staffing
3
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 73 for-profit facilities with 128 or more beds in Virginia.

Last survey on record

Dec 12, 2025

332 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.073.34
Registered-nurse hours per resident day0.61—
Annual nurse turnover35.6%50.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD956.3%E743.8%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 16 of the 123 citations on record.

In the surveyor’s words

From the most serious findings on record at Valley Rehabilitation and Nursing Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF584Dec 12, 2025

    Based on observation, resident interview, staff interview, and facility document review the facility staff failed to provide a safe, clean, comfortable environment for 1 of 3 units in the facilty. The findings included: During the initial tour of the facility on 12/9/25 several residents on the second floor complained of cold showers, which were fairly consistent for approximately two months. On 12/9/25 at 1:20 PM this surveyor interviewed resident #5. Resident #5 stated, Showers are sometimes cold and sometimes the water fluctuates, it'll be hot and then all of the sudden it goes really cold then it might get hot again. When asked if this was a recent or new issue they stated, No, it's been going on for a long time, a couple months probably. […]

  • No harm, potential for more than minimal, patternF641Dec 12, 2025

    Based on resident interview, staff interview, and clinical record review the facility staff failed to ensure an accurate minimum data set assessment for 4 of 35 residents, Resident #18, Resident #2, Resident #61, and Resident #69. The findings included:1. For Resident #18 the facility staff incorrectly coded high-risk medications on the minimum data set. Resident #18's clinical record included diagnoses which included but not limited to Alzheimer's disease, dementia, anxiety, and depression. Resident #18's most recent quarterly minimum data set (MDS) with an assessment reference date of 09/12/25 coded the resident as having both long- and short-term memory loss with severely impaired skills for daily decision making, in Section C, cognitive pattern. […]

  • No harm, potential for more than minimal, patternF656Dec 12, 2025

    Based on staff interview, clinical record review and facility document review the facility staff failed to develop/implement a person-centered comprehensive care plan for 4 of 35 residents, Resident #2, Resident #15, Resident #75, and Resident #13. The findings included:1. For Resident #2 the facility staff failed to develop and or implement a comprehensive person-centered activity care plan to address the resident's activity preferences, interests, and psychosocial needs. Resident #2's diagnosis list indicated diagnoses that included, but were not limited to, difficulty in walking, dementia, depression, anxiety disorder, macular degeneration-bilateral, and legal blindness. […]

  • No harm, potential for more than minimal, patternF679Dec 12, 2025

    Based on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to provide an ongoing, person-centered activity program to support resident choice, interests and physical, mental, and psychosocial well-being for 4 of 35 sampled residents, Resident #2, Resident #15, Resident #75, and Resident #13. The findings included:1. For Resident #2, the facility staff failed to provide an ongoing, person-centered, activity program to support resident choice, interests, and physical, mental, and psychosocial well-being. Resident #2's diagnosis list indicated diagnoses that included, but were not limited to, difficulty in walking, dementia, depression, anxiety disorder, macular degeneration-bilateral, and legal blindness. […]

  • No harm, potential for more than minimal, patternF921Apr 28, 2022

    Based on observations, interviews, facility document review, and in the course of a complaint investigation, the facility staff failed to ensure a functional environment for four (4) resident bathrooms. The facility staff failed to ensure four (4) resident bathrooms had functioning toilet paper holders. The findings include: Resident bathrooms were observed on 4/26/22. The resident bathroom shared by room 206 and room 208 was missing a toilet paper holder; two (2) rolls of toilet paper were noted to be tied to the handrail with what appeared to be plastic garbage bags. The following three (3) resident bathrooms were noted to have broken toilet paper holders: (a) room 218's bathroom, (b) the bathroom shared by room 209 and room 211; and (c) the bathroom shared by room 216 and room 214. […]

Read 20 findings in full →The most serious and the most recent: 20 of 123 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 12, 2025Standard8 findings
  • Jun 30, 2023Standard3 findings
  • Apr 28, 2022Complaint2 findings
  • Jan 28, 2022Complaint5 findings
  • Jun 10, 2021Standard and complaint5 findings
  • Oct 22, 2020Infection control1 finding
  • Jun 26, 2020Infection control1 finding
  • Apr 16, 2019Standard and complaint17 findings
Show the 9 earlier surveys
  • Jan 26, 2018Standard13 findings
  • Nov 3, 2016Standard7 findings
  • Dec 2, 2015Standard5 findings
  • Jan 29, 2015Standard9 findings
  • Jan 8, 2014—13 findings
  • Dec 5, 2012—15 findings
  • Oct 13, 2011—9 findings
  • May 6, 2011—3 findings
  • Nov 4, 2010—7 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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