Blue Ridge Therapy Connection
105 Landmark Drive, Stuart, VA 24171 · Patrick County · (276) 694-7161
190 certified beds, about 158 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495306 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 25, 2025, inspectors cited 7 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 12 health citations since October 2022 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 3.40 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.
43.9% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Hill Valley Healthcare, an affiliated group of 43 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.
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 12 health citations on file.
September 25, 2025Standard inspection · 7 citations
- E 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 staff interview, clinical record, and facility document review, the facility staff failed to develop a comprehensive care plan for 6 of 33 current residents, Residents #1, #6, #126, #2, #12, and #17.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, the facility staff failed to treat each resident with respect and dignity for one of 33 current residents in the survey sample, resident # 155 (R155).
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on staff interview, clinical record review, and facility document review the facility staff failed to complete a Level II Preadmission Screening and Resident Review (PASARR) for 1 of 33 current sampled residents. (Resident #12)
- 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, clinical record review and facility document review, the facility staff failed to provide the resident or resident representative with a copy of the baseline care plan for one of 37 residents in the survey sample, resident #28 (R28).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, the facility staff failed to ensure a resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for one of 33 current residents in the survey sample, resident # 155 (R155).
- 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, clinical record review, and facility document review, the facility staff failed to ensure a complete and accurate clinical record for 1 of 37 residents, Resident (R) #1.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to maintain an infection prevention and control program to provide a safe, sanitary environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 33 current sampled residents, Resident #110.
February 29, 2024Standard inspection · 2 citations
- 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 for 1 of 30 dependent care residents, Resident #45.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide the pneumococcal (pneumonia) vaccine for 1 of 5 residents reviewed for immunizations, Resident #66.
October 19, 2022Standard inspection · 3 citations
- E 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, resident interview, staff interview, and facility document review, the facility staff failed to maintain a clean, comfortable home-like environment for 1 of 3 units (2nd Floor) and 5 of 27 residents in the survey sample, Resident #18, #106, #58, #41, and #55.
- E Keep all essential equipment working safely.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to maintain essential equipment for 1 of 27 resident (Resident #122) and for 3 of 3 facility elevators.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to accurately code a discharge minimum data set (MDS) assessment for 1 of 3 closed record reviews, Resident #139.
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) | 3.40 | 3.76 | 3.86 |
| Registered nurses | 0.66 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.88 | 3.29 | 3.42 |
| Nurse aides | 1.98 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 43.9% | 48.1% | 45.8% |
| Registered nurse turnover | 55.2% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.15 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 3.62 on weekdays and 2.88 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.26 in April to June 2025 to 3.40 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 | 3.40 | 0.66 | 3.62 | 2.88 | 14.8% | 0 of 90 | 158 |
| Oct to Dec 2025 | 3.39 | 0.59 | 3.56 | 2.96 | 13.0% | 0 of 92 | 159 |
| Jul to Sep 2025 | 3.32 | 0.63 | 3.46 | 2.95 | 14.6% | 0 of 92 | 163 |
| Apr to Jun 2025 | 3.26 | 0.60 | 3.43 | 2.85 | 17.6% | 0 of 91 | 163 |
| 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.
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 | 11.5 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.1 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.9 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.7 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.5 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.4 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.8 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.9 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.8 |
Owners and operators
Legal business name: BLUE RIDGE SNF OPERATIONS LLC. CMS links this home to Hill Valley Healthcare, a group of 43 nursing homes averaging 1.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Landmark Operations Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 07/01/2019 |
| Vnb New York LLC | 5% or greater security interest | Organization | 07/01/2019 | |
| Greeley, Michael | W-2 managing employee | Individual | 07/01/2019 | |
| Idels, Shimon | Corporate officer | Individual | 07/01/2019 | |
| Lieberman, Joseph | Corporate officer | Individual | 07/01/2019 | |
| Schwartz, Steven | Corporate officer | Individual | 07/01/2019 | |
| Hvh Landmark Management LLC | Operational/managerial control | Organization | 07/01/2019 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on September 25, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on September 25, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on September 25, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on September 25, 2025: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.88 hours per resident per day, below the Virginia average of 3.29.
Other nursing homes nearby
- Heritage Hall - Laurel Meadows Laurel Fork, 13.2 mi · 5 of 5 stars · 13 citations
- Stokes County Nursing Home Danbury, 15.3 mi · 3 of 5 stars · 15 citations
- Stanleytown Health and Rehabilitation Center Bassett, 18.1 mi · 4 of 5 stars · 27 citations
- Skyline Nursing & Rehabilitation Floyd, 19.4 mi · 3 of 5 stars · 20 citations
- Surry Community Health Center by Harborview Mount Airy, 21.3 mi · 1 of 5 stars · 33 citations
- King's Grant Lacy Health Center Martinsville, 21.7 mi · 5 of 5 stars · 4 citations
- Central Continuing Care Mount Airy, 21.8 mi · 3 of 5 stars · 9 citations
- Northern Regional Hospital Mount Airy, 21.9 mi · 5 of 5 stars · 1 citation
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 Blue Ridge Therapy Connection's Medicare star rating?
- CMS rates Blue Ridge Therapy Connection 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Blue Ridge Therapy Connection get at its last inspection?
- 7 health deficiencies at the standard inspection on September 25, 2025. The Virginia average is 14.3.
- Has Blue Ridge Therapy Connection been fined?
- CMS lists no fines in the last three years.
- Does Blue Ridge Therapy Connection 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 Therapy Connection?
- CMS lists 7 owners and managers, and links the home to Hill Valley Healthcare. Legal business name: BLUE RIDGE SNF 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.