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Home / Virginia / Harrisonburg

Blue Ridge Rehabilitation and Nursing

94 South Avenue, Harrisonburg, VA 22801 · Harrisonburg City County · (540) 433-2791

117 certified beds, about 104 residents a day · For profit - Corporation · Medicare and Medicaid since 1984

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495146 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 28, 2024, inspectors cited 22 health deficiencies (the Virginia average is 14.3, the national average 9.2).

Of 58 health citations since March 2019, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 7 fines totaling $50,436 in the last three years; the largest was $13,762, and the latest is dated January 8, 2024.

Nurses and nurse aides worked 3.13 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.

56.8% of nursing staff left within the year CMS measured (Virginia average 48.1%).

CMS links it to Eastern Healthcare Group, an affiliated group of 18 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.

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 58 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
29D
23E
4F
Potential for minimal harm
0A
0B
0C
May 6, 2026Complaint inspection · 2 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 15, 2026
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to inform the physician of a change in condition timely for one of nine residents in the survey sample, (Resident #3).
  2. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 15, 2026
    Inspectors wroteBased on staff interviews, facility document review and clinical record review, the facility staff failed to follow professional standards of quality for one of nine residents in the survey sample (Resident #3).
May 7, 2025Complaint inspection · 1 citation
  1. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 17, 2025
    Inspectors wroteBased on staff interview, and clinical record review, the facility staff failed to develop and implement a baseline care plan for one Resident (Resident #4) in a survey sample of 5 residents.
February 19, 2025Complaint inspection · 3 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 17, 2025
    Inspectors wroteBased on staff interviews, clinical record review, and facility documentation review the facility staff failed to provide notification to the family of a change in condition for one resident (Resident #2, R2) out of a survey sample of 11 residents.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 17, 2025
    Inspectors wroteBased on observation, clinical record review, staff interview and facility documentation review the facility staff failed to administer oxygen according to physician orders for two residents (Resident#3, R3 and Resident #4, R4) out of a survey sample of 11 residents.
  3. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 17, 2025
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility documentation review, the facility staff failed to honor resident's food preferences for two residents (Resident #5, R5 and Resident #6, R6) out of a survey sample of 11 residents.
August 28, 2024Standard inspection, Complaint inspection · 22 citations
  1. E
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on staff interview and clinical record review, the facility failed to ensure preferences were met for showers/bathing for 3 of 31 residents. Resident #'s 71, 57, and 53 did not receive showers on multiple scheduled shower days. The Findings Include: 1. Resident #71 (R71) received one shower between 7/29/24 through 8/27/24. R71's most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 8/5/24 and assessed R71 with a cognitive score of 15 indicating cognitively intact. On an annual MDS dated [DATE] preferences were assessed and indicated that it was very important to choose between tub bath, shower and bed bath. On 8/26/24 at 7:40 PM during an interview with R71, R71 verbalized showers were not being provided twice a week as scheduled and rarely gets a shower anymore and contributed it to staff just not doing their job. [...]
  2. E
    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
    F559 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to provide written notice prior to room changes for five of thirty-one residents in the survey sample (Residents #12, #13, #53, #57 and #200).
  3. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on employee record review, facility document review, and staff interview, the facility staff failed to follow abuse prevention policies regarding pre-employment screening and background checks for 18 of twenty-five records reviewed.
  4. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wrote2. For R57, who fell on 8/13/24, the facility staff failed to review and revise the care plan to indicate the fall and if any needed revisions were needed to prevent a future fall. On 8/26/24 at approximately 7:30 p.m., R57 was visited in his room. R57 reported he had recently fallen. When asked what the facility had done following the fall to prevent future falls, the resident said he didn't know. On 8/27/24, a clinical record review was conducted. This review revealed a nursing note entry dated 8/13/24, that read, Resident was informed that he needs to move to room [ROOM NUMBER]. CNA reports resident became anxious and agitated and called his wife. Afterwards this nurse was called to resident's room, resident was observed on the floor on his left hip/buttock. Resident reports pain in left hip but also has chronic pain in left hip. [...]
  5. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, resident and staff interviews, clinical record reviews, and facility documentation reviews, the facility staff failed to provide activities of daily living (ADL) care to residents who required staff's assistance, for five residents (resident #12- R12, resident #22- R22, resident #57-R57, resident #40-R40, and resident #49-R49), in a survey sample of 31 residents.
  6. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to follow physician orders for three of thirty-one residents in the survey sample (Residents #32, #57 and #77).
  7. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to ensure two residents (Resident #32-R32 and Resident #249) were free from significant medication errors/omissions, in a survey sample of 31 residents.
  8. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility documentation review, the facility staff failed to maintain a complete and accurate clinical record for four residents (resident #79-R79, resident #57-R57, resident #32-R32 and resident #93-R93), in a survey sample of 31 residents.
  9. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on resident interview, staff interviews, clinical record review, and facility documentation review, the facility staff failed to maintain an infection prevention and control program to help prevent the development and transmission of communicable diseases and infections, and failed to respond to a COVID outbreak in accordance with the guidance from the Centers for Disease Prevention and Control (CDC), which involved two residents (Resident #22 and Resident #57) but had the potential to affect numerous residents on 2 of 2 nursing units.
  10. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to provide education and offer the flu and pneumonia immunizations to 3 of 5 residents (Resident #80 - R80, Resident #42 -R42, and Resident #70 - R70) sampled for immunizations.
  11. E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to provide education and offer the COVID-19 immunization to 4 of 5 residents (Resident #80 - R80, Resident #42 - R42, Resident #60 - R60 and Resident #70 - R70). The facility also failed to provide education to the employee regarding the spike vaccine booster for the 2023-2024 season for 1 of 1 staff sampled (Other Employee #8).
  12. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, facility documentation review, and clinical record review the facility staff failed to ensure it was determined clinically appropriate to self-administer medications by the interdisciplinary team for one resident (Resident #79- R79) in a survey sample of 31 Residents.
  13. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on resident interview, staff interview, and clinical record review, the facility staff failed to provide dignity when moving personal property for one of thirty-one residents in the survey sample (Resident #200).
  14. D
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on resident interview, staff interviews, and facility documentation review, the facility staff failed to maintain adequate funds on-site so that two residents (resident #226 - R226 and resident #53 - R53) had access to their personal funds/trust accounts, which had the potential to affect 41 residents with a trust account.
  15. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on staff interview and clinical record review, the facility failed to develop a care plan for one of thirty one residents. Resident #60 (R60) did not have a complete care plan developed for dialysis. The Findings Include: Diagnoses for R60 included: End stage renal disease receiving dialysis, congestive heart failure, pulmonary embolism, and hypertension. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 6/13/24. R60 was assessed with a cognitive score of 12 indicating cognitively intact. Review of R60's blood pressures (BP) from 7/25/24 through 8/24/24 indicated an average systolic pressure of 140's and diastolic pressure of 70's and also indicated recently (on 8/22/24 and 8/23/24) an increase in BP to 183/83 and 179/83. Review of physicians orders did not indicated blood pressure parameters for dialysis. [...]
  16. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on resident interview, staff interview, clinical record review and facility documentation review, the facility staff failed to implement interventions in response to a resident's fall to prevent future falls and prevent accidents for one resident (resident #57-R57) in a survey sample of 31 residents.
  17. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, staff interview and clinical record review, the facility failed to ensure a device was implemented for a catheter for one of thirty one residents and failed to ensure a catheter bag was located to prevent infection for one of thirty one residents. 1. Resident 41 (R41) did not have catheter tube anchored to prevent dislodging. 2. Resident 77 (R77) catheter bag was touching the floor and had potential for infection. The Findings Include: 1. Diagnoses for R41 included; Benign prostatic hyperlasia, and obstructive uropathy requiring catheter. The most current MDS (minimum data set) was an annual assessment with an ARD (assessment reference date) of 7/16/24. R41 was assessed with a cognitive score of 15 indicating cognitively intact. Review of R41's physician orders (on 8/27/24) revealed an order to check placement of catheter strap every shift. [...]
  18. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review, the facility failed to provide oxygen therapy consistent with infection control measure and professional standards of practice for one resident (Resident #79- R79) in a survey sample of 31 residents.
  19. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, interview, record review, and facility menu review, the facility failed to coordinate services and provide meals and/or snacks for one of three sampled residents (Resident #32- R32) reviewed for dialysis and received dialysis treatments at an outside dialysis center.
  20. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to label a medication per pharmacy standards on one of two units (B wing).
  21. D
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to provide a handled cup for one of thirty-one residents in the survey sample (Resident #28).
  22. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, staff interview, and facility documentation review, the facility staff failed to store, prepare, and serve food accordance with professional standards for food safety in the main kitchen and on one of two units (B Wing).
January 3, 2024Complaint inspection · 2 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 26, 2024
    Inspectors wroteBased on observation, resident review, staff interview, facility document review, and clinical record review the facility failed to review and revise the care plan for one of five residents in the survey sample (Resident #3).
  2. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 26, 2024
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility failed to follow professional standards of care for one of five residents in the survey sample (Resident #4). Facility staff failed to document an assessed skin impairment at Resident #4's pacemaker site and failed to provide ongoing assessment/monitoring of the impairment.
December 9, 2021Standard inspection · 14 citations
  1. F
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on staff interview and facility document review, the facility staff failed to employee a qualified dietary manager. The facility's dietary manager had no certifications or education in food service management or food safety.
  2. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on review of facility personnel files, facility policy and procedures, and staff interview, the facility failed to implement the policy and procedure to ensure applicants for employment completed a Sworn Disclosure Statement disclosing .any criminal convictions or pending criminal charges Review of 25 personnel files revealed none of the 25 files reviewed contained a Sworn Disclosure Statement.
  3. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and in the course of complaint investigation, the facility failed to ensure baths/showers were being provided as scheduled for three of 20 residents, Resident # 48, 7, and 13. The Findings Include: 1. Resident #48 was admitted to the facility on [DATE] with a readmission on [DATE]. Diagnoses for Resident #48 included: Diabetes, kidney disease, neuropathy, and dysphagia. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 11/5/21. Resident #48 was assessed with a cognitive score of 15 indicating cognitively intact. On 12/07/21 at 12:00 PM Resident #48 was interviewed. Resident #48 stated that she liked to take baths but had not been receiving baths as scheduled and had been told there was not enough staff to give baths. [...]
  4. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on resident interview, observation, staff interview and clinical record review, the facility staff failed to follow physician orders for four of 20 residents in the survey sample, Residents # 12, 68, 15, and 46. 1. Resident # 12 was not administered the correct probiotic as ordered by the physician. 2. Resident # 68 did not have weekly weights obtained per physician order. 3. Resident #15 was not administered the medications gabapentin and Eliquis as ordered by the physician. 4. Resident #46 did not have daily weights obtained as ordered by the physician.
  5. E
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to assess and attempt non-drug interventions prior to the administration of opioid pain medication for one of 20 residents in the survey sample, Resident #15. Resident #15 was administered twenty-two doses of the pain medication hydromorphone (Dilaudid) without documented pain assessments or prior attempts or offers of non-drug interventions.
  6. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and in the course of complaint investigation, the facility failed to ensure sufficient nursing staff were available to provide nursing care for three of 20 residents, Residents #48, #7, and #13; and failed to promptly respond to call bells for one of 20 residents, Resident #13. The Findings Include: Resident #48 was admitted to the facility on [DATE] with a readmission on [DATE]. Diagnoses for Resident #48 included: Diabetes, kidney disease, neuropathy, and dysphagia. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 11/5/21. Resident #48 was assessed with a cognitive score of 15 indicating cognitively intact. On 12/07/21 at 12:00 PM Resident #48 was interviewed. [...]
  7. E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure one of twenty residents was free from unnecessary medications, Resident #15. Resident #15 was administered multiple doses of the anti-anxiety medication lorazepam without a documented assessment of the need for the medication or of any prior attempts or offers of non-drug interventions.
  8. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on observation, facility document review and staff interview, the facility staff failed to prepare, store and serve food in a sanitary manner in the main kitchen and on one of two nursing units.
  9. E
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to coordinate services with a hospice provider for one of twenty residents in the survey sample, Resident #15. Resident #15, on hospice services since her admission on [DATE], had no hospice plan of care and no evidence of services provided for the resident by hospice personnel.
  10. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on complaint investigation, clinical record review, resident interview, and review of facility documents, the facility failed to acknowledge the resident's personal choice for bathing, for one of 20 residents in the survey sample Resident # 13. Resident # 13, whose personal preference for bathing was a shower, received two showers between October 2, 2021 and December 1, 2021.
  11. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, the facility staff failed to review and revise a comprehensive care plan for 1 of 20 residents in the survey sample, Resident #3. Resident #3's comprehensive care plans were not reviewed and revised for the discontinuation of anticoagulant use.
  12. D
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on staff interview and facility document review, the facility staff failed to provide RN (registered nurse) coverage for two of fourteen days reviewed.
  13. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on resident interview, staff interview and clinical record review, the facility staff failed to ensure medications were available for administration for one of twenty residents in the survey sample, Resident #15. Doses of the medications gabapentin and apixaban (Eliquis) for Resident #15 were not provided from the pharmacy in a timely manner.
  14. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to ensure Tuberculin PPD (purified protein derivative) solution was dated when opened, in one of two medication rooms. One multi-dose vial of PPD solution was observed opened, not dated and available for administration on the A wing.
March 7, 2019Standard inspection · 14 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) April 3, 2019
    Inspectors wroteBased on clinical record review, review of hospital documents, review of facility policy and procedure, and staff interview, the facility failed to ensure a resident received treatment and care in accordance with professional standards of practice to maintain the highest level of practicable well being, for one of 24 residents in the survey sample (Resident # 83). Facility staff failed to monitor blood sugars according to facility hypoglycemic protocol, failed to contact the physician according to facility hypoglycemic protocol and physician orders, and failed to seek emergency help in a timely manner. There was a delay of approximately four hours in sending the resident to the hospital for evaluation and treatment after a second hypoglycemic event within 24 hours. This resulted in harm to the resident who was hospitalized .
  2. G
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) April 3, 2019
    Inspectors wroteBased on observation, staff interview, family interview and clinical record review, the facility staff failed to ensure one of 24 residents maintained acceptable parameters of nutritional status, Resident #70. Resident #70 had a weight loss of 6.12 % in three months and a significant weight loss of 10.20% in six months. Resident #70 was unable to feed herself, and facility staff did not offer assistance at meal time per Resident #70's care plan. This was identified as harm by the survey team.
  3. F
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 3, 2019
    Inspectors wroteBased on staff interview and facility document review, the facility staff failed to ensure qualified dietary staff in the main kitchen. The Dietary Manager (DM) failed to provide evidence of certification or a degree from an accredited institute of higher learning to qualify him as the director of food and nutrition services.
  4. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 3, 2019
    Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to procure, store, prepare, and serve food in a sanitary manner in the main kitchen. Items in the freezer were observed covered in ice due to a malfunctioning condenser, the freezer door did not seal with resulting ice crystals/frost on the items near the freezer door, scoops were stored with handles touching both the flour and sugar in the storage bins, and the can opener blade was covered with dry food debris.
  5. F
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 3, 2019
    Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to ensure the walk-in freezer in the main kitchen was in safe operating condition. The freezer was observed with frozen water on the floor, on food stored under the condenser, and the freezer door did not seal properly.
  6. E
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 3, 2019
    Inspectors wroteBased on observation, resident interview, and staff interview, facility staff failed to ensure one of 24 residents bathing preferences, Resident #20. Facility staff failed to offer Resident #20 a tub/whirlpool bath weekly, stating the tub was broken.
  7. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 3, 2019
    Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review, facility staff failed to implement an ongoing, individual centered activities program for one of 24 residents in the survey sample, Resident #39.
  8. E
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    F800 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 3, 2019
    Inspectors wroteBased on observation, resident interview, family interview, clinical record review, and facility document review, the facility staff failed to provide a nourishing, well-balanced diet, that meets nutritional and special dietary needs; and failed to take into consideration dietary preference for two of 24 residents in the survey sample, Residents #55 and #95. 1. The facility staff failed to provide menu items and serving portions per resident choice for Resident # 55. 2. The facility staff failed to honor the dietary needs and preferences of Resident #95. The resident had a diagnoses of colitis and diverticulitis and was served corn and other food items that were communicated by the resident and documented by staff that the resident did not like or want, but the resident continued to receive the food items.
  9. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 3, 2019
    Inspectors wrote3. On 03/06/19 at 8:10 AM, the medication pass and pour observation was conducted with LPN (Licensed Practical Nurse) #1. LPN #1 prepared medications for Resident #44. While pulling the medications, the LPN stated that this resident took her medications whole in applesauce and then LPN #1 pulled one single packet of OcuSoft (eye lid scrub cloth) from the box, opened it and proceeded into the resident's room with the medications. LPN #1 attempted to administer the applesauce mixture with medications to the resident several times without success. LPN #1 then applied gloves and took the single OcuSoft cloth and began wiping the resident's eyes, the right eye, then the left and then the right again. LPN #1 then removed her gloves went to the sink and turned on the water. LPN #1 applied soap to her hands and washed her hands for approximately two seconds under the running water. [...]
  10. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2019
    Inspectors wroteBased on clinical record review and staff interview, the facility staff failed for one of 24 residents in the survey sample (Resident # 83), to offer a written bed-hold notice. Resident # 83, who was her own Responsible Party, was not offered a written bed-hold notice upon discharge to the hospital.
  11. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2019
    Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review, facility staff failed to develop a comprehensive care plan (CCP) for one of 24 residents in the survey sample, Resident #39. Facility staff failed to develop an activities care plan for Resident #39.
  12. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2019
    Inspectors wroteBased on clinical record review and staff interview, the facility staff failed for two of 24 residents in the survey sample (Residents # 35 and 83) to ensure PRN (as needed) psychotropic medications were not ordered for more than 14 days. 1. Resident # 35 had a PRN order for Lorazepam with out end date. 2. Resident # 85 had two PRN orders for Lorazepam; one for 29 days without a rationale for the extended use, and one with no end date.
  13. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2019
    Inspectors wroteBased on a medication pass and pour observation, staff interview, and clinical record review, the facility staff failed to ensure a medication error rate of less than 5% (percent). The facility staff had a three medication errors out of 26 opportunities which resulted in a medication error rate of 11.54 percent (%).
  14. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2019
    Inspectors wroteBased on resident interview, family interview, clinical record review, and facility document review, the facility staff failed to ensure one of 24 residents was provided routine and/or emergency dental services, Resident #95. Resident #95's lower denture was broken and the facility did not promptly assist the resident with dental services. The facility staff did not document any information regarding the damaged dentures and did not document any information regarding the resident's ability to adequately consume meals during this time.

Fire safety inspections

9 fire safety citations on file: 3 on August 28, 2024, 1 on December 9, 2021, 5 on March 7, 2019.

Every fire safety citation9 citations
  1. D
    Have properly located and lighted "Exit" signs.
    K 293 · August 28, 2024 · Corrected (the home has a date of correction)
  2. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 28, 2024 · Corrected (the home has a date of correction)
  3. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · August 28, 2024 · Corrected (the home has a date of correction)
  4. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 9, 2021 · Corrected (the home has a date of correction)
  5. D
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · March 7, 2019 · Corrected (the home has a date of correction)
  6. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 7, 2019 · Corrected (the home has a date of correction)
  7. D
    Install corridor and hallway doors that block smoke.
    K 363 · March 7, 2019 · Corrected (the home has a date of correction)
  8. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · March 7, 2019 · Corrected (the home has a date of correction)
  9. D
    Have proper medical gas storage and administration areas.
    K 923 · March 7, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
January 8, 2024Fine $4,938
January 2, 2024Fine $4,587
December 11, 2023Fine $13,762
November 20, 2023Fine $4,618
November 13, 2023Fine $4,272
October 23, 2023Fine $10,704
September 25, 2023Fine $7,555

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)3.133.763.86
Registered nurses0.520.690.69
All nursing staff on weekends2.633.293.42
Nurse aides1.81
Licensed practical nurses0.80
Nursing staff turnover (share who left in a year)56.8%48.1%45.8%
Registered nurse turnover66.7%48.2%42.9%
Administrators who left1

CMS expects 3.76 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 3.33 on weekdays and 2.63 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.78 in April to June 2025 to 3.13 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.130.523.332.63 7.4%0 of 90104
Oct to Dec 20252.950.393.132.50 13.3%0 of 92100
Jul to Sep 20252.770.392.912.39 7.9%0 of 92103
Apr to Jun 20252.780.472.902.48 4.2%0 of 91103
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Virginia, Jan to Mar 20263.580.563.763.125.7%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. If you work here, your report helps start one.

Official wage estimates for Virginia

JobMedianMiddle halfEmployed
Virginia, all employers
CNAs (nursing assistants)$20.77$17.80 to $22.5640,580
LPNs and LVNs$31.21$28.66 to $35.8415,550
Registered nurses$45.00$38.51 to $49.5377,490
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

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For Blue Ridge Rehabilitation and Nursing. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeVirginiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
28.014.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.61.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.63.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.91.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
27.915.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.24.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.714.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.122.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.611.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.31.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Blue Ridge Rehabilitation and Nursing's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (38.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

38.3% this home

Worse than the national rate

US median of homes 51.5% · Virginia: 101 better, 22 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 188 eligible stays.

Potentially preventable readmissions

11.3% this home

No different from the national rate

US median of homes 10.7% · Virginia: 1 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 201 eligible stays.

Infections that led to a hospital stay

6.0% this home

No different from the national rate

US median of homes 7.1% · Virginia: 2 better, 8 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 118 eligible stays.

Self-care and mobility at discharge

51.6% this home

Median of homes: Virginia60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 64 residents counted.

Falls with major injury

3.0% this home

Median of homes: Virginia0.7% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 99 residents counted.

New or worsened pressure ulcers

3.8% this home

Median of homes: Virginia2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 99 residents counted.

Medication list given at discharge

95.2% this home

Median of homes: Virginia97.8% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 21 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: BLUE RIDGE REHABILITATION AND NURSING LLC. CMS links this home to Eastern Healthcare Group, a group of 18 nursing homes averaging 1.5 stars overall.

NameRoleTypeShareSince
VA SNF Operations Holdings 2 LLC5% or greater direct ownership interestOrganization100%02/01/2024
Jj United Tr5% or greater indirect ownership interestOrganization50%02/01/2024
Samuels, ShondelW-2 managing employeeIndividual02/01/2024
Shapiro, AkivaCorporate officerIndividual02/01/2024

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 14 problems in this area, most recently on February 19, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 10 problems in this area, most recently on May 6, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on May 6, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 8 problems in this area, most recently on February 19, 2025: "Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.63 hours per resident per day, below the Virginia average of 3.29.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Blue Ridge Rehabilitation and Nursing's Medicare star rating?
CMS rates Blue Ridge Rehabilitation and Nursing 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Blue Ridge Rehabilitation and Nursing get at its last inspection?
22 health deficiencies at the standard inspection on August 28, 2024. The Virginia average is 14.3.
Has Blue Ridge Rehabilitation and Nursing been fined?
Yes. CMS lists 7 fines totaling $50,436 in the last three years.
Does Blue Ridge Rehabilitation and Nursing 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 Blue Ridge Rehabilitation and Nursing?
CMS lists 4 owners and managers, and links the home to Eastern Healthcare Group. Legal business name: BLUE RIDGE REHABILITATION AND NURSING LLC.

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