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No fines or payment denials in the published 3-year window.
940 East Lee Highway, Chilhowie, VA 24319 (opens Google Maps) · Smyth County · (276) 646-8911· 180 certified beds · avg 155 residents/day · certified since Nov 11, 1982 · 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: LIFEWORKS REHAB (64 facilities, chain avg rating 2.1★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · 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.
Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
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. F-0656
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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 12, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Dec 12, 2025 | E · Potential for more than minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Dec 12, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Dec 12, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Dec 12, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Dec 12, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0700 |
| Dec 12, 2025 | D · Potential for more than minimal 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 |
| Dec 12, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Jun 30, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Jun 30, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Jun 30, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0759 |
| Jun 10, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0607 |
| Jun 10, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0609 |
| Jun 10, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0610 |
| Jun 10, 2021 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jun 10, 2021 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
Citations from standard inspections increased between the last two inspection cycles (3 → 8).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 5 | 0 | E |
| 2023 | 3 | 0 | D |
| 2025 | 8 | 0 | 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 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 3.07, RN 0.61, weekend 2.59.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.07 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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: 4/5 · short-stay residents: 1/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Valley Rehabilitation and Nursing Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 - 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 |
All 11 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Lifeworks Rehab — 64 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 63 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 495133.
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