Valley Rehabilitation and Nursing Center

Name: Valley Rehabilitation and Nursing Center
Address: 940 EAST LEE HIGHWAY, Chilhowie, VA, 24319, US
Telephone: 2766468911

940 East Lee Highway, Chilhowie, VA 24319 · Smyth County · 180 certified beds · avg 155 residents/day · certified since Nov 11, 1982

Part of chain: LIFEWORKS REHAB (64 facilities, chain avg rating 2.1★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.11

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: 4/5

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 (16)

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 12, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 12, 2025	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 12, 2025	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.
Dec 12, 2025	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Dec 12, 2025	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.
Dec 12, 2025	D · Potential for harm, one-off	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.
Dec 12, 2025	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 12, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jun 30, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Jun 30, 2023	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.
Jun 30, 2023	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.
Jun 10, 2021	E · Potential for harm, repeated	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.
Jun 10, 2021	E · Potential for harm, repeated	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.
Jun 10, 2021	E · Potential for harm, repeated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jun 10, 2021	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.
Jun 10, 2021	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

Citations from standard inspections increased between the last two inspection cycles (3 → 8).

Year	Citations	Worst severity that year
2021	5	E
2023	3	D
2025	8	E

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)	3.11	3.67	3.95	bottom 31% in Virginia; bottom 18% in the U.S.
Registered Nurse hours	0.62	0.66	0.69	top 34% in Virginia; top 46% in the U.S.
Weekend total nurse staffing	2.63	3.21	3.50	bottom 27% in Virginia; bottom 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.44	0.46	0.48	top 29% in Virginia; top 42% in the U.S.
Total nursing staff turnover (%)	35.6	48.1	45.8	top 20% in Virginia; top 25% in the U.S.
RN turnover (%)	34.8	48.2	42.9	top 28% in Virginia; top 38% 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 3.07, RN 0.61, weekend 2.59. Staffing rating: 3/5.

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: 4/5 · short-stay residents: 1/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Charles 1994 Family Grantor Trust	Organization	5% or Greater Indirect Ownership Interest	—	01/01/2020
Edward 1998 Family Grantor Trust	Organization	5% or Greater Indirect Ownership Interest	—	01/01/2020
Isva Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	01/01/2020
Jkva Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	01/01/2020
Mlva Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	01/01/2020
Rajchenbach, Moshe	Individual	5% or Greater Indirect Ownership Interest	—	01/17/2020
Saul 2012 Family Grantor Trust	Organization	5% or Greater Indirect Ownership Interest	—	01/01/2020
Virginia Care Holco LLC	Organization	5% or Greater Direct Ownership Interest	100%	01/01/2020
Innovative Healthcare Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2020
Lindsey, Jason	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2020
Rajchenbach, Moshe	Individual	W-2 Managing Employee	NOT APPLICABLE	01/17/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"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
SW VA M H Inst Geri TRT Ctr	9.4 mi	Marion, VA	★★★★☆	4/5
Francis Marion Manor Health & Rehabilitation	9.8 mi	Marion, VA	★★★★★	4/5
Abingdon Health & Rehab Center	13.8 mi	Abingdon, VA	★★★★★	5/5
Deer Meadows Rehabilitation and Nursing	16.7 mi	Abingdon, VA	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Chilhowie →

Facility data as of CMS processing date 2026-08-01. CCN 495133.

The Care File

Visit checklist — Valley Rehabilitation and Nursing Center

940 East Lee Highway, Chilhowie, VA 24319 · 2766468911

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

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "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 495133 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)