Virginia ›Floyd

Skyline Nursing & Rehabilitation

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237 Franklin Pike Road SE, Floyd, VA 24091 (opens Google Maps) · Floyd County · (540) 745-2016· 90 certified beds · avg 85 residents/day · certified since Sep 14, 2000 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

3/5
Health inspection rating (on-site)
inspected Dec 4, 2025
1
Serious findings on record
most recent Dec 4, 2025
$10,358
Fines, last 3 years
3.54
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jan 4, 2026 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.

  1. G · Actual harm, isolated

    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. F-0760

  2. D · Potential for more than minimal harm, isolated

    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. F-0580

  3. D · Potential for more than minimal harm, isolated

    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). F-0628

View all 20 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Dec 4, 2025▲ G · Actual harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Dec 4, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0580
Dec 4, 2025D · Potential for more than minimal harm, isolatedThe 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). · F-0628
Dec 4, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Dec 4, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0688
Dec 4, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Dec 4, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0756
Dec 4, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Dec 4, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Dec 4, 2025C · Potential for minimal harm, widespreadThe 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. · F-0887
Sep 22, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0580
Sep 22, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0623
Sep 22, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0625
Sep 22, 2022D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Oct 3, 2019F · Potential for more than minimal harm, widespreadThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Oct 3, 2019E · Potential for more than minimal harm, patternThe 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. · F-0585
Oct 3, 2019E · Potential for more than minimal harm, patternThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Oct 3, 2019D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Oct 3, 2019D · Potential for more than minimal harm, isolatedThe 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. · F-0744
Oct 3, 2019D · Potential for more than minimal harm, isolatedThe 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. · F-0758

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 10).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2019
All citations: 6
Serious citations (G–L): 0
2022
All citations: 4
Serious citations (G–L): 0
2025
All citations: 10
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
201960F
202240D
2025101G ▲

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)

How to file a complaint about care →

1 fine totaling $10,358, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Dec 4, 2025Fine$10,358
Dec 4, 2025Payment Denial16 days from Mar 4, 2026

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityVirginia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.54
Virginia average: 3.67
U.S. average: 3.95
Registered Nurse hours
This facility: 0.39
Virginia average: 0.66
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.07
Virginia average: 3.21
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityVirginia avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.543.673.95top 37% in Virginia; bottom 38% in the U.S.
Registered Nurse hours0.390.660.69bottom 25% in Virginia; bottom 21% in the U.S.
Weekend total nurse staffing3.073.213.50top 39% in Virginia; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)0.190.460.48bottom 18% in Virginia; bottom 11% in the U.S.
Total nursing staff turnover (%)47.648.145.8top 47% in Virginia; bottom 43% in the U.S.
RN turnover (%)53.848.242.9bottom 40% in Virginia; bottom 30% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.18 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Skyline Nursing & Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.

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Before you compare prices

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Floyd Holdco LLCOrganization5% or Greater Indirect Ownership Interest—05/01/2025
Floyd Parentco LLCOrganization5% or Greater Direct Ownership Interest100%05/01/2025
Vaop Holdco LLCOrganization5% or Greater Indirect Ownership Interest—05/01/2025
Clark, AlyssaIndividualManaging Control - Governing BodyNOT APPLICABLE05/01/2025
Clark, AlyssaIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2025
Clark, AlyssaIndividualADP of the SNFNOT APPLICABLE05/01/2025
Gallimore, DebraIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2025
Gallimore, DebraIndividualADP of the SNFNOT APPLICABLE05/01/2025
Hoback, TiffanyIndividualManaging Control - Governing BodyNOT APPLICABLE05/01/2025
Hoback, TiffanyIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2025
Hoback, TiffanyIndividualADP of the SNFNOT APPLICABLE05/01/2025
Jones, TequillaIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2025
Jones, TequillaIndividualADP of the SNFNOT APPLICABLE05/01/2025
March, JaredIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2025
March, JaredIndividualADP of the SNFNOT APPLICABLE05/01/2025
Schumann, JasonIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2025
Schumann, JasonIndividualADP of the SNFNOT APPLICABLE05/01/2025
SNF Mgr LLCOrganizationOperational/Managerial ControlNOT APPLICABLE05/01/2025
SNF Mgr LLCOrganizationADP of the SNFNOT APPLICABLE04/18/2025

All 19 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Avardis Health — 38 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 37 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 48% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Heritage Hall - Laurel Meadows16.1 miLaurel Fork, VA★★★★★5/5
Blue Ridge Therapy Connection19.4 miStuart, VA★★★★☆4/5
Heritage Hall Blacksburg19.5 miBlacksburg, VA★★★★☆4/5

Compare this facility with the 3 closest →

All facilities in Floyd →

Facility data as of CMS processing date 2026-08-01. CCN 495348.

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