Berkshire Health & Rehabilitation Center
705 Clearview Drive, Vinton, VA 24179 · Roanoke County · (540) 982-6691
180 certified beds, about 172 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995
Last standard inspection more than 2 years ago Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495293 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 18, 2024, inspectors cited 8 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 28 health citations since January 2020 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.21 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
56.1% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Lifeworks Rehab, an affiliated group of 64 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1101/20
508/22
1106/24
105/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 28 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
25D
2E
0F
Potential for minimal harm
0A
1B
0C
May 27, 2026Complaint inspection · 1 citation
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on staff interview, clinical record review and facility document review, the facility staff failed to ensure medications were available for administration for 1 of 3 residents in the survey sample, Resident #2.
June 18, 2024Standard inspection, Complaint inspection · 11 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to store, monitor, and discard refrigerated cold food properly and failed to maintain cleanliness of food preparation equipment in accordance with professional standards for food safety.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on resident interview, staff interview, and clinical record review, facility staff failed to implement a person-centered care plan that addressed the resident's actual reported pain for 1 of 33 current residents in the survey sample (Resident #50). Resident #50 was admitted with diagnoses which included cerebral infarction, bilateral hemiplegia/hemiparesis, morbid obesity, type 2 diabetes mellitus, chronic osteomyelitis right thigh, epilepsy, heart failure, abscess of bursa left hip, primary osteoarthritis, hypertension, and chronic kidney disease. On the most recent Minimum Data Set (MDS) full assessment with assessment reference date 5/20/24, the resident scored 10/15 on the Brief Interview for Mental status and was assessed as without signs of delirium, psychosis, or behavior affecting care. [...]
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interviews and document review, the facility staff failed to review and revise care plans for two (2) of 40 sampled residents (Resident #63 and Resident #121).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observations, interviews, and clinical record review, facility staff failed to ensure provider ordered medications were available for administration for 1 of 40 sampled residents (Resident #116).
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure a medication error rate of less than 5%. There were two (2) medication errors in 30 opportunities for a medication error rate of 6.67%. These medication errors affected Resident #116 and #120.
- D Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide timely radiology or other diagnostic services to meet the needs of a resident for 1 of 40 sampled residents, Resident #30.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews, clinical record review, and facility document review, (a) the facility staff failed to correctly perform hand hygiene during wound care for one (1) of 40 sampled residents (Resident #75), (b) the facility staff failed to follow enhanced barrier precautions during resident care for one (1) of 40 sampled residents (Resident #75), and (c) the facility staff failed to correctly perform hand hygiene and/or glove change during wound care for one (1) observation of an unsampled resident (Resident #82).
- B Post nurse staffing information every day.
Inspectors wroteBased on interviews and the review of facility documents, the facility staff failed to ensure the daily staff posting contained the required information.
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on interviews and document review, the facility staff failed to ensure clinical documentation supported the need for the resident's transfer for one (1) of 40 sampled residents (Resident #219).
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on interviews and the review of documents, the facility staff failed to provide behavior health care/interventions to address changes in condition for one (1) of 40 sampled residents (Resident #219).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interviews and document review, the facility staff failed to maintain complete and/or accurate clinical documentation for one (1) of 40 sampled residents (Resident #219).
August 18, 2022Standard inspection · 5 citations
- E Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interviews and facility document review, it was determined the facility staff failed to provide Beneficiary Protection Notifications, when discharged from a Medicare covered Part A stay with benefit days remaining, for three (3) of three (3) residents sampled for beneficiary notice review (Resident #17, Resident #72, and Resident #225).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure an accurate minimum data set (MDS) assessment for 1 of 3 discharged residents reviewed for discharge process, Resident #163. For Resident #163, the facility staff coded the discharge MDS assessment indicating the resident was discharged to an acute hospital when in fact the resident had been discharged to an independent living facility.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to provide activities of daily living (ADL) care in regards to nail care for 2 of 34 Residents, Resident #146 and #144. For Resident #146, fingernails were observed to long and jagged with debris present. For Resident #144, fingernails and toenails were observed to long and jagged.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, staff interview, clinical record review and during a medication pass and pour the facility staff failed to follow physician's orders for 1 of 34 Residents, Resident #15. For Resident #15, the facility staff failed to follow physician's orders for the administration of the medication, venlafaxine 25 mg. Venlafaxine is a medication used to treat, depression, generalized anxiety disorder and panic disorder.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to maintain a complete and accurate clinical record for 2 of 8 closed record reviews, Resident #362 and Resident #163. Resident #362's clinical record did not include a discharge summary or a discharge order. Resident #163's clinical records did not include a physicians discharge order.
January 22, 2020Standard inspection · 11 citations
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, staff interview, and during the course of a complaint investigation, the facility staff failed to maintain a clean, comfortable, and homelike environment on 1 of 3 units (unit 2). The surveyor observed a brown substance on the shower chair in shower room [ROOM NUMBER] and one cracked shower chair in shower room [ROOM NUMBER].
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to complete a baseline care plan that included the residents isolation status for 1 of 39 Residents, Resident #159.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, family interview, staff interview, and clinical record review, the facility staff failed to implement the comprehensive care plan in regards to floor mats for 1 of 39 residents, Resident #140.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, resident interview, and clinical record review, the facility staff failed to ensure that residents receive treatment and care for 2 of 39 residents (Residents #81 and #126) by not scheduling a medical appointment until it was brought to their attention by the surveyor and failed to administer medications per the physician's orders.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, family interview, staff interview, and clinical record review, the facility staff failed to ensure a hazard free environment as evidenced by not following the residents comprehensive care plan in regards to fall mats for 1 of 39 residents, Resident #140.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on staff interview, clinical record review and facility document review, the facility staff failed to provide pharmaceutical services to meet the needs of each resident as evidenced by failure to administer a physician's ordered medication for 1 of 39 residents in the survey sample, Resident #126.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure 1 of 39 Residents (Resident #161) was free of an unnecessary drug. Resident #161 was administered the medication Midodrine without adequate indications for use.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on staff interview, clinical record review, and during a medication pass and pour observation, it was determined the facility staff failed to ensure a medication error rate of less than 5%. There were two (2) errors in 25 opportunities for a medication error rate of 8%. These medication errors occurred during the administration of Resident #14's medications.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to dispose of expired treatment supplies and laboratory blood tubes that were stored on 1 of 3 units (unit 2) and failed to keep schedule II narcotics and controlled substances with the potential for abuse in a separately locked compartment that were stored on 1 of 3 units (unit 3).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews, clinical record review, and facility document review, it was determined the facility staff failed to perform point-of-care testing in a manner to prevent the risk of transmitting potentially infections material for two (2) of 39 residents (Residents #6 and #71).
- D Have policies on smoking.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to implement their policy in regards to completing a self-smoking assessment and a patient smoking acknowledgement form for 1 of 39 residents, Resident #159.
Fire safety inspections
6 fire safety citations on file: 2 on August 18, 2022, 4 on January 22, 2020.
Every fire safety citation6 citations
- D Have properly located and lighted "Exit" signs.
- D Meet other general requirements.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Install corridor and hallway doors that block smoke.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Have power receptacles that are properly grounded.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.21 | 3.76 | 3.86 |
| Registered nurses | 0.47 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.72 | 3.29 | 3.42 |
| Nurse aides | 1.80 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | 56.1% | 48.1% | 45.8% |
| Registered nurse turnover | 46.2% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.42 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.41 on weekdays and 2.72 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 18.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.31 in April to June 2025 to 3.21 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.21 | 0.47 | 3.41 | 2.72 | 18.5% | 0 of 90 | 172 |
| Oct to Dec 2025 | 3.07 | 0.41 | 3.25 | 2.63 | 8.7% | 0 of 92 | 170 |
| Jul to Sep 2025 | 3.08 | 0.36 | 3.28 | 2.57 | 5.0% | 0 of 92 | 170 |
| Apr to Jun 2025 | 3.31 | 0.25 | 3.50 | 2.82 | 3.9% | 0 of 91 | 174 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Virginia
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 11.3 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.2 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.2 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.8 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.2 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.3 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.1 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.7 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 1.5 | 1.8 |
Owners and operators
Legal business name: BERKSHIRE OPERATIONS LLC. CMS links this home to Lifeworks Rehab, a group of 64 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Berkshire Holdings I LLC | 5% or greater direct ownership interest | Organization | 100% | 05/28/2021 |
| America West LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Charles 1994 & Family LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Charles 1994 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Charles 1994 LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Edward 1998 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Edward 1998 LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Kss 2000 Family Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Ml 2000 Family Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Mrv West LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Redrock West LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Saul 2012 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Saul 2012 LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Farmer, Benjamin | W-2 managing employee | Individual | 01/25/2024 | |
| Farmer, Benjamin | Corporate officer | Individual | 01/25/2024 | |
| Rczbm West Manager LLC | Operational/managerial control | Organization | 05/28/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on May 27, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on June 18, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on June 18, 2024: "Ensure each resident must receive and the facility must provide necessary behavioral health care and services."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on June 18, 2024: "Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.72 hours per resident per day, below the Virginia average of 3.29.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Star City Rehabilitation and Nursing Roanoke, 1.8 mi · 2 of 5 stars · 31 citations
- Springtree Healthcare & Rehab Center Roanoke, 2.1 mi · 3 of 5 stars · 40 citations
- Our Lady of the Valley Roanoke, 3.1 mi · 5 of 5 stars · 12 citations
- Old Southwest Health and Rehabilitation Roanoke, 3.6 mi · 1 of 5 stars · 126 citations
- Friendship Health and Rehab Center Roanoke, 4.8 mi · 4 of 5 stars · 17 citations
- Raleigh Court Health and Rehabilitation Center Roanoke, 5.1 mi · 4 of 5 stars · 29 citations
- Pheasant Ridge Nursing and Rehabilitation Roanoke, 5.4 mi · 1 of 5 stars · 44 citations
- South Roanoke Nursing and Rehabilitation Roanoke, 5.4 mi · 3 of 5 stars · 39 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Berkshire Health & Rehabilitation Center's Medicare star rating?
- CMS rates Berkshire Health & Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Berkshire Health & Rehabilitation Center get at its last inspection?
- 8 health deficiencies at the standard inspection on June 18, 2024. The Virginia average is 14.3.
- Has Berkshire Health & Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Berkshire Health & Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Berkshire Health & Rehabilitation Center?
- CMS lists 16 owners and managers, and links the home to Lifeworks Rehab. Legal business name: BERKSHIRE OPERATIONS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.