Francis Marion Manor Health & Rehabilitation
100 Francis Marion Lane, Marion, VA 24354 · Smyth County · 109 certified beds · avg 60 residents/day · certified since Jun 1, 2005
Part of chain: AHAVA HEALTHCARE (16 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 (9)
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 |
|---|---|---|
| Aug 14, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Aug 14, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Aug 14, 2024 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Aug 14, 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. |
| Nov 4, 2021 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Nov 4, 2021 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Nov 4, 2021 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Feb 21, 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. |
| Feb 21, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 2 | 0 | D |
| 2021 | 3 | 0 | D |
| 2024 | 4 | 0 | F |
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) | 4.72 | 3.67 | 3.95 | top 16% in Virginia; top 18% in the U.S. |
| Registered Nurse hours | 0.92 | 0.66 | 0.69 | top 14% in Virginia; top 19% in the U.S. |
| Weekend total nurse staffing | 3.99 | 3.21 | 3.50 | top 18% in Virginia; top 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.46 | 0.48 | bottom 38% in Virginia; bottom 29% in the U.S. |
| Total nursing staff turnover (%) | 47.9 | 48.1 | 45.8 | top 48% in Virginia; bottom 42% in the U.S. |
| RN turnover (%) | 27.3 | 48.2 | 42.9 | top 15% in Virginia; top 24% 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 5.03, RN 0.99, weekend 4.26. Staffing rating: 5/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ballad Health | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Bho Operating Group LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Blue Ridge Medical Management Corporation | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Francis Marion Operations Group Holdco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Labin, Shiya | Individual | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Mountain States Health Alliance | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Neuman, Benjamin | Individual | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Niederman, Anshel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Ahava HC LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Ahava HC LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/12/2025 |
| Ballad Health | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Blue Ridge Medical Management Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Clampitt, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Clampitt, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Francis Marion Realty Group LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/01/2025 |
| Francis Marion Realty Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Mountain States Health Alliance | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Niederman, Anshel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2025 |
| Niederman, Anshel | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Niederman, Anshel | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
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 do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 | Flags |
|---|---|---|---|---|---|
| SW VA M H Inst Geri TRT Ctr | 1.3 mi | Marion, VA | ★★★★☆ | 4/5 | |
| Valley Rehabilitation and Nursing Center | 9.8 mi | Chilhowie, VA | ★★★★☆ | 4/5 | |
| Mountain Laurel Rehabilitation and Nursing | 13.3 mi | Rural Retreat, VA | ★☆☆☆☆ | 1/5 | abuse |
| Heritage Hall Tazewell | 18.9 mi | Tazewell, VA | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 495384.