Berkshire Health & Rehabilitation Center

Name: Berkshire Health & Rehabilitation Center
Address: 705 CLEARVIEW DRIVE, Vinton, VA, 24179, US
Telephone: 5409826691

705 Clearview Drive, Vinton, VA 24179 · Roanoke County · 180 certified beds · avg 172 residents/day · certified since Jan 1, 1995

Part of chain: LIFEWORKS REHAB (64 facilities, chain avg rating 2.1★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.78

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (28)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 27, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Jun 18, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 18, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 18, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jun 18, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 18, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jun 18, 2024	D · Potential for harm, one-off	The facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them.
Jun 18, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 18, 2024	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint
Jun 18, 2024	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint
Jun 18, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jun 18, 2024	B · Minimal risk, repeated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Aug 18, 2022	E · Potential for harm, repeated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Aug 18, 2022	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 18, 2022	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Aug 18, 2022	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 18, 2022	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jan 22, 2020	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 22, 2020	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Jan 22, 2020	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 22, 2020	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 22, 2020	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 22, 2020	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 22, 2020	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jan 22, 2020	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jan 22, 2020	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 22, 2020	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 22, 2020	D · Potential for harm, one-off	The facility did not have policies on smoking.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 8).

Year	Citations	Worst severity that year
2020	11	D
2022	5	E
2024	11	E
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Virginia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.78	3.67	3.95	bottom 13% in Virginia; bottom 8% in the U.S.
Registered Nurse hours	0.41	0.66	0.69	bottom 28% in Virginia; bottom 24% in the U.S.
Weekend total nurse staffing	2.36	3.21	3.50	bottom 10% in Virginia; bottom 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.46	0.48	bottom 46% in Virginia; bottom 37% in the U.S.
Total nursing staff turnover (%)	56.1	48.1	45.8	bottom 33% in Virginia; bottom 23% in the U.S.
RN turnover (%)	46.2	48.2	42.9	top 47% in Virginia; bottom 42% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.21, RN 0.47, weekend 2.72. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
America West LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Berkshire Holdings I LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/28/2021
Charles 1994 & Family LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Charles 1994 Family Grantor Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Charles 1994 LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Edward 1998 Family Grantor Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Edward 1998 LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
KSS 2000 Family Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
ML 2000 Family Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
MRV West LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Redrock West LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Saul 2012 Family Grantor Trust	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Saul 2012 LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/28/2021
Farmer, Benjamin	Individual	W-2 Managing Employee	NOT APPLICABLE	01/25/2024
Farmer, Benjamin	Individual	Corporate Officer	NOT APPLICABLE	01/25/2024
RCZBM West Manager LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/28/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"If a resident needs an x-ray, how is it done and how long does it usually take?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Star City Rehabilitation and Nursing	1.8 mi	Roanoke, VA	★★☆☆☆	3/5
Springtree Healthcare & Rehab Center	2.0 mi	Roanoke, VA	★★★☆☆	3/5
Our Lady of the Valley	3.1 mi	Roanoke, VA	★★★★☆	4/5
Old Southwest Health and Rehabilitation	3.5 mi	Roanoke, VA	★☆☆☆☆	1/5
Friendship Health and Rehab Center	4.8 mi	Roanoke, VA	★★★★☆	4/5
Raleigh Court Health and Rehabilitation Center	5.2 mi	Roanoke, VA	★★★★☆	3/5
Pheasant Ridge Nursing and Rehabilitation	5.4 mi	Roanoke, VA	★★☆☆☆	2/5
South Roanoke Nursing and Rehabilitation	5.4 mi	Roanoke, VA	★★★☆☆	2/5
Davis and McDaniel Veterans Care Center	7.1 mi	Roanoke, VA	★★★★★	5/5
Brandon Oaks Nursing and Rehabilitation Center	7.1 mi	Roanoke, VA	★★★★★	4/5
Friendship Health and Rehab Center - South	7.4 mi	Roanoke, VA	★★★☆☆	3/5
Salem Health & Rehabilitation	7.5 mi	Salem, VA	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Vinton →

Facility data as of CMS processing date 2026-08-01. CCN 495293.

The Care File

Visit checklist — Berkshire Health & Rehabilitation Center

705 Clearview Drive, Vinton, VA 24179 · 5409826691

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "If a resident needs an x-ray, how is it done and how long does it usually take?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 495293 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)