Skyline Nursing & Rehabilitation
237 Franklin Pike Road SE, Floyd, VA 24091 · Floyd County · 90 certified beds · avg 85 residents/day · certified since Sep 14, 2000
Part of chain: AVARDIS HEALTH (38 facilities, chain avg rating 2.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Dec 4, 2025 · F-0760
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.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 4, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (20)
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 |
|---|---|---|
| Dec 4, 2025 | ▲ G · Actual 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 4, 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. |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Dec 4, 2025 | 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 4, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Dec 4, 2025 | 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 4, 2025 | 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. |
| Dec 4, 2025 | 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. |
| Dec 4, 2025 | 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. |
| Dec 4, 2025 | C · Minimal risk, facility-wide | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Sep 22, 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. |
| Sep 22, 2022 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Sep 22, 2022 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Sep 22, 2022 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 3, 2019 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Oct 3, 2019 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Oct 3, 2019 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 3, 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. |
| Oct 3, 2019 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Oct 3, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 6 | 0 | F |
| 2022 | 4 | 0 | D |
| 2025 | 10 | 1 | G ▲ |
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)
1 fine totaling $10,358, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Dec 4, 2025 | Fine | $10,358 |
| Dec 4, 2025 | Payment Denial | 16 days from Mar 4, 2026 |
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) | 3.54 | 3.67 | 3.95 | top 37% in Virginia; bottom 38% in the U.S. |
| Registered Nurse hours | 0.39 | 0.66 | 0.69 | bottom 25% in Virginia; bottom 21% in the U.S. |
| Weekend total nurse staffing | 3.07 | 3.21 | 3.50 | top 39% in Virginia; bottom 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.19 | 0.46 | 0.48 | bottom 18% in Virginia; bottom 11% in the U.S. |
| Total nursing staff turnover (%) | 47.6 | 48.1 | 45.8 | top 47% in Virginia; bottom 43% in the U.S. |
| RN turnover (%) | 53.8 | 48.2 | 42.9 | bottom 40% in Virginia; bottom 30% 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 3.18, RN 0.35, weekend 2.76. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Floyd Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2025 |
| Floyd 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 |
| Gallimore, Debra | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Gallimore, Debra | 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 |
| March, Jared | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| March, Jared | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Schumann, Jason | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Schumann, Jason | 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 | 04/18/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Heritage Hall - Laurel Meadows | 16.1 mi | Laurel Fork, VA | ★★★★★ | 5/5 | |
| Blue Ridge Therapy Connection | 19.4 mi | Stuart, VA | ★★★★☆ | 4/5 | |
| Heritage Hall Blacksburg | 19.5 mi | Blacksburg, VA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 495348.