Grayson Health and Rehabilitation

Name: Grayson Health and Rehabilitation
Address: 400 SOUTH INDEPENDENCE AVENUE, Independence, VA, 24348, US
Telephone: 2767730303

400 South Independence Avenue, Independence, VA 24348 · Grayson County · 120 certified beds · avg 113 residents/day · certified since Aug 4, 1998

Part of chain: AVARDIS HEALTH (38 facilities, chain avg rating 2.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.96

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: 5/5

⚠ 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 (31)

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
Nov 20, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Aug 1, 2024	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. · from a complaint
Aug 1, 2024	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. · from a complaint
Dec 14, 2023	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Dec 14, 2023	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.
Dec 14, 2023	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.
Dec 14, 2023	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.
Dec 14, 2023	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.
Dec 14, 2023	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.
Apr 7, 2022	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Apr 7, 2022	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Apr 7, 2022	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.
Apr 7, 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.
Apr 7, 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.
Apr 7, 2022	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.
Apr 7, 2022	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.
Apr 7, 2022	D · Potential for harm, one-off	The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time.
Jan 31, 2019	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.
Jan 31, 2019	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.
Jan 31, 2019	D · Potential for harm, one-off	The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition.
Jan 31, 2019	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 31, 2019	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.
Jan 31, 2019	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jan 31, 2019	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 31, 2019	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 31, 2019	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jan 31, 2019	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 31, 2019	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 31, 2019	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jan 31, 2019	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 31, 2019	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 stayed about the same across the last two inspection cycles (8 → 6).

Year	Citations	Worst severity that year
2019	14	D
2022	8	D
2023	6	E
2024	2	D
2025	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)	2.96	3.67	3.95	bottom 21% in Virginia; bottom 12% in the U.S.
Registered Nurse hours	0.62	0.66	0.69	top 33% in Virginia; top 46% in the U.S.
Weekend total nurse staffing	2.58	3.21	3.50	bottom 24% in Virginia; bottom 12% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.35	0.46	0.48	top 47% in Virginia; bottom 42% in the U.S.
Total nursing staff turnover (%)	45.2	48.1	45.8	top 40% in Virginia; bottom 49% in the U.S.
RN turnover (%)	33.3	48.2	42.9	top 22% in Virginia; top 33% 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 2.72, RN 0.57, weekend 2.37. Staffing rating: 2/5.

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: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Grayson Holdco LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/01/2025
Independence Parentco LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/01/2025
Vaop Holdco LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/01/2025
Clark, Alyssa	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2025
Clark, Alyssa	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Clark, Alyssa	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Hoback, Tiffany	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2025
Hoback, Tiffany	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Hoback, Tiffany	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Jones, Tequilla	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Jones, Tequilla	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Riggins, Bridget	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Riggins, Bridget	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
SNF Mgr LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
SNF Mgr LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/20/2025
Sturgill Fant, Vanessa	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Sturgill Fant, Vanessa	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Sword, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Sword, Robert	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.

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"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
Lotus Village Center for Nursing and Rehabilitatio	8.0 mi	Sparta, NC	★☆☆☆☆	1/5
Waddell Nursing and Rehab Center	12.7 mi	Galax, VA	★★★★★	5/5
Galax Health and Rehab	14.0 mi	Galax, VA	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Independence →

Facility data as of CMS processing date 2026-08-01. CCN 495331.

The Care File

Visit checklist — Grayson Health and Rehabilitation

400 South Independence Avenue, Independence, VA 24348 · 2767730303

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

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "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 495331 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)