The Wybe and Marietje Kroontje Health Care Center
1000 Litton Lane, Blacksburg, VA 24060 · Montgomery County · 60 certified beds · avg 52 residents/day · certified since Nov 1, 2010
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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)
▲ Immediate jeopardy, repeated · Apr 13, 2026 · F-0700
The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Why it matters: Improperly used bed rails can trap or injure residents — in the worst cases, causing serious harm.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: May 27, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (22)
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 |
|---|---|---|
| Apr 13, 2026 | ▲ K · Immediate jeopardy, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Apr 13, 2026 | F · Potential for harm, facility-wide | 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 13, 2026 | E · Potential for harm, repeated | 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. |
| Apr 13, 2026 | E · Potential for harm, repeated | 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 13, 2026 | E · Potential for harm, repeated | The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better. |
| Apr 13, 2026 | 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. |
| Apr 13, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Apr 13, 2026 | 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). |
| Apr 13, 2026 | 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. |
| Apr 13, 2026 | 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 13, 2026 | 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. |
| Apr 13, 2026 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Apr 13, 2026 | D · Potential for harm, one-off | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. |
| Apr 13, 2026 | 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. |
| Apr 13, 2026 | D · Potential for harm, one-off | The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs. |
| Sep 17, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Sep 17, 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. · from a complaint |
| Sep 17, 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 |
| Apr 21, 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 21, 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 21, 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 21, 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | D |
| 2024 | 3 | 0 | D |
| 2026 | 15 | 1 | K ▲ |
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 $80,880.
| Date | Type | Amount / length |
|---|---|---|
| Apr 13, 2026 | Fine | $80,880 |
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) | 4.05 | 3.67 | 3.95 | top 22% in Virginia; top 37% in the U.S. |
| Registered Nurse hours | 1.27 | 0.66 | 0.69 | top 9% in Virginia; top 8% in the U.S. |
| Weekend total nurse staffing | 3.60 | 3.21 | 3.50 | top 22% in Virginia; top 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.02 | 0.46 | 0.48 | top 5% in Virginia; top 6% in the U.S. |
| Total nursing staff turnover (%) | 78.3 | 48.1 | 45.8 | bottom 1% in Virginia; bottom 3% in the U.S. |
| RN turnover (%) | 58.8 | 48.2 | 42.9 | bottom 30% in Virginia; bottom 23% 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 4.13, RN 1.30, weekend 3.67. Staffing rating: 4/5.
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: 2/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Allen, Katherine | Individual | Corporate Director | NOT APPLICABLE | 11/12/2015 |
| Bookout, Allan | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2021 |
| Dalton, Brad | Individual | Contracted Managing Employee | NOT APPLICABLE | 10/01/2020 |
| Dalton, Brad | Individual | Corporate Director | NOT APPLICABLE | 10/01/2020 |
| Flannagan, Korie | Individual | Corporate Director | NOT APPLICABLE | 10/01/2020 |
| Gearhart, Heather | Individual | Corporate Director | NOT APPLICABLE | 08/30/1998 |
| Johnson, Charles | Individual | Corporate Director | NOT APPLICABLE | 03/13/1997 |
| Lo, Hing Har | Individual | Corporate Director | NOT APPLICABLE | 11/10/2005 |
| McDearis, Tommy | Individual | Corporate Director | NOT APPLICABLE | 10/01/2020 |
| McMahon, Bridget | Individual | Corporate Director | NOT APPLICABLE | 11/12/2009 |
| Nevitt, Molly | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2019 |
| Pierce, Thomas | Individual | Corporate Director | NOT APPLICABLE | 10/01/2012 |
| Pospichal, Jason | Individual | Corporate Director | NOT APPLICABLE | 10/01/2010 |
| Price, William | Individual | Corporate Director | NOT APPLICABLE | 09/30/1986 |
| Shepherd, Richard | Individual | Corporate Director | NOT APPLICABLE | 10/01/2020 |
| Spencer, Edward | Individual | Corporate Director | NOT APPLICABLE | 10/01/2013 |
| Stone, Meg | Individual | Corporate Officer | NOT APPLICABLE | 11/12/2015 |
| Teaster, Pamela | Individual | Corporate Director | NOT APPLICABLE | 10/01/2020 |
| Vosburgh, Tracy | Individual | Corporate Director | NOT APPLICABLE | 10/01/2019 |
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 alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "How do frontline staff report care problems, and how does your quality improvement program act on them?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "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 Blacksburg | 1.2 mi | Blacksburg, VA | ★★★★☆ | 4/5 | |
| Radford Health and Rehab Center | 9.4 mi | Radford, VA | ★★★★☆ | 3/5 | |
| Highland Ridge Rehab Center | 15.6 mi | Dublin, VA | ★☆☆☆☆ | 2/5 | |
| Richfield Health Center - Salem | 17.1 mi | Salem, VA | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 495406.