184 Buffalo Road, Clarksville, VA 23927 · Mecklenburg County · (434) 374-4141
168 certified beds, about 144 residents a day · For profit - Corporation · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495379 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on November 30, 2022, inspectors cited 4 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 38 health citations since January 2019, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $22,874 in the last three years; the largest was $22,874, and the latest is dated June 19, 2024.
Nurses and nurse aides worked 3.35 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.
23.1% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Saber Healthcare Group, an affiliated group of 126 nursing homes.
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.
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 38 health citations on file.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, the facility staff failed to ensure a complete and accurate clinical record for five of thirty-six residents in the survey sample (Residents #5, #6, #12, #14 and #152).
Inspectors wroteBased on observation, resident interview, staff interview, and facility documentation review, the staff failed to uphold the residents right to receive services with reasonable accommodation of individual needs for one resident, Resident #76 (76) out of a survey sample of 36 residents.
Inspectors wroteBased on observation, resident interview, staff interview, and facility documenation review, the facility staff failed to maintain a homelike environment on two of six units (Sundrop and [NAME] Lane units).
Inspectors wroteBased on observation, staff interview, and facility documentation review, the facility staff failed to maintain an enviornment free of accident hazards regarding water temperatures on two of six units (Sundrop and [NAME] Lane).
Inspectors wroteBased on staff interview, clinical record review and facility documentation review the facility failed to ensure appropriate monitoring and assessment of a change in condition related to a urinary catheter for one resident, Resident #156 (R156) out of a survey sample of 36 residents.
Inspectors wroteBased on staff interview, facility documentation review, and clinical record review, the facility staff failed to provide care and services to ensure residents received care to prevent development of pressure ulcer(s) for one resident (Resident # 3- R3) in a survey sample of 5 residents, resulting in harm for R3.
Inspectors wroteBased on staff interviews, resident interviews, clinical record and facility documentation, the facility staff failed to provide pain management, resulting in numerous instances of untreated pain, which constituted harm for one resident (Resident #2 - R2), in a survey sample of five residents.
Inspectors wroteBased on observation, staff interview, and facility documentation review, the facility staff failed to provide care to residents within the professional standards of practice and within the scope of practice of staff providing care for residents on 3 of 6 nursing units.
Inspectors wroteBased on staff interviews, resident interviews, clinical record, and facility document review, it was determined the facility staff failed to provide a complete and accurate investigation for an injury of unknown origin that affected one resident, (Resident #2, R2) in a sample of five residents.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to complete a comprehensive assessment timely for 1 resident (Resident #3- R3), in a survey sample of 5 residents.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to develop and implement a baseline care plan for one Resident (Resident #3- R3) in a survey sample of 5 Residents.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to maintain a complete and accurate clinical record review for 2 residents (Resident #2 - R2 and Resident #3 - R3), in a survey sample of 5 residents.
Inspectors wroteBased on staff interview, record review, and facility documentation review, the facility staff failed to follow professional standards of nursing practice for 3 Residents (Resident #1, #2, and #3) in a survey sample of 8 Residents. For Resident #1, #2, and #3, the facility staff failed to administer medications in accordance with physician orders and failed to notify the physician that the ordered medications were not administered.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to provide adequate devices and interventions to maintain a safe environment to prevent accidents, affecting two Residents (Resident #1 and #4) in a survey sample of 8 Residents.
Inspectors wroteBased on staff interview, clinical record review and facility document review, the facility staff failed to ensure a GDR (gradual dose reduction) for one 22 residents in the survey sample, Resident #59.
Inspectors wroteBased on resident interview, staff interview and clinical record review, the facility failed to develop a care plan for one of 22 resident's in the survey sample. The Findings Include: Resident #66 did not have a care plan for bowel and bladder incontinence. Diagnoses for Resident #66 included; Dysphagia, chronic obstructive pulmonary disease, bowel and bladder incontinence. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 10/12/2022. Resident #66 was assessed with a cognitive score of 12 indicating cognitively intact. Section G (Activities of Daily Living) of the current MDS documented Resident #66 needs extensive assistance with one person physical assist for toilet use. Section F (Bladder and Bowel) of the MDS documented Resident #66 is frequently incontinent of bladder and bowel. [...]
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to ensure an initial assessment was completed at the time of admission for one of 22 residents, Resident #98.
Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to label opened insulin pens on one of four nursing units. Two insulin pens stored in a medication cart on [NAME] unit were not marked with the date opened to ensure proper storage.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to follow professional standards of practice for one of 20 residents in the survey sample. Nurses documented duplicate administration of the controlled medication lorazepam to Resident #38 for 27 consecutive days and failed to correct duplicate physician orders and entries on the resident's medication administration record (MAR).
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to follow physician orders for two of 20 residents in the survey sample. Resident #38 was administered an incorrect dose of the controlled medication Ativan (lorazepam). Fluid intake for Resident #22 was not monitored as ordered by the physician.
Inspectors wroteBased on employee record review, staff interview andfacility document review, the facility staff failed to implement policies andprocedures for abuse prevention for 3 of 25 staff. One personnel file did not contain a sworn statement and two personnel files did not contain a sworn statementor criminal background check.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to review and revise the comprehensive care plan for two of 20 residents in the survey sample. Resident #38's care plan was not updated regarding interventions for contractures. Resident #427's plan of care was not updated to include care of oxygen administration equipment.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to implement interventions to address hand/wrist contractures for one of 20 residents in the survey sample. Resident #38, with contractures in her left hand/wrist had no interventions in place to prevent a further decrease in range of motion.
Inspectors wroteBased on a medication pass and pour observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure a medication error rate of less than 5%. The facility had 31 medication opportunities with two medication errors, which resulted in a medication error rate of 6.45%.
Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to ensure drugs and biologicals were stored in accordance with professional standards of practices in one of three medication storage rooms, and on one of five medications carts.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure physician ordered laboratory services were obtained for one of 20 residents, Resident #278. The Finding Include: Resident #278 was admitted to the facility on [DATE]. Diagnoses for Resident #278 included: Chronic obstructive pulmonary disease, cirrhosis of liver, protein calorie malnutrition, alcohol dependence with withdrawal. The most current MDS (minimum data set) was a 5 day assessment with an ARD (assessment reference date) of 3/29/21. Resident #278 was assessed with a cognitive score of 14 indicating cognitively intact. On 3/30/21 Resident #278's medical record was reviewed. A physician's order dated 3/25/21 documented CBC [complete blood count], CMP [chemical metabolic panel], Mag [magnesium], phos [phosphorus], pre-Albumin in a.m. [...]
Inspectors wroteBased on observation, staff interview, and clinical record review the facility failed to ensure a complete and accesible medical record for one of 20 residents in the survey sample, Resident #47. The care plan for Resident #47 was not in the electronic medical record, and was not available/accesible to direct care staff on the unit where the resident resided. The Findings Include: Resident #47 was admitted to the facility on [DATE]. Diagnoses for Resident #47 included; Guillain-Barre syndrome, chronic kidney disease, and neurogenic bladder. The most current MDS (minimum data set) was a annual assessment with an ARD (assessment reference date) of 2/5/21. Resident #47 was assessed with a cognitive score of 15 indicating cognitively intact. On 03/30/21 at 02:08 Resident #47 was interviewed. [...]
Inspectors wroteBased on observation, staff interview, resident interview, group interview, and facility document review, the facility staff failed to ensure appealing, alternate food options of similar nutritive value were available for residents. The facility staff failed to provide appealing, alternate food options of similar nutritive value to residents who do not eat food that was initially served or had requested a different meal choice, and failed to ensure that the alternate food options were clearly communicated and/or documented for resident knowledge of optimum alternate food choices.
Inspectors wroteBased on observation, staff interview and facility policy review, the facility staff failed to develop and implement a water management program to identify the risk of Legionella, and also failed to perform hand hygiene during meal service. 1. The facility staff failed to develop and implement a water management program to identify the risk of Legionella. 2. A nurse failed to perform hand hygiene between residents during a meal observation on the Honeysuckle unit.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and in the course of a complaint investigation, the facility staff failed to develop a CCP (comprehensive care plan) for the care and services for three of 28 residents in the survey sample, Resident #115, #106 and #101. 1. The facility staff failed to develop a CCP for Resident #115's AV (arteriovenous) graft (hemodialysis) access site for the provision of care and assessment with interventions. 2. Resident #106 did not have a care plan to address antipsychotic medications. 3. Resident #101 had no care plan developed regarding a leaking ileostomy and a skin rash/excoriation from contact with the leaking liquid stool.
Inspectors wroteBased on observation, staff interview, clinical record review and complaint investigation, the facility staff failed to assess and implement interventions for care of an ileostomy for one of 28 residents in the survey sample. Resident #101 was observed with a leaking ileostomy bag and red, excoriated skin in the area of the leaking stool. The facility failed to assess and implement interventions for the excoriated skin related to the leaking ileostomy. The facility staff failed to initiate and/or implement interventions to prevent stool leakage from the ileostomy that direct care staff stated had been ongoing for at least three months.
Inspectors wroteBased on resident interview, staff interview and clinical record review, the facility staff failed to ensure care and services of a hemodialysis catheter access site was provided for one of 28 residents in the survey sample, Resident #115. The facility staff failed to assess Resident #115's AV graft (hemodialysis) access site for the provision of care, assessment and care planning. The facility staff were not assessing the resident's AV (arteriovenous) graft on a daily basis to ensure proper blood flow and/or assess for any changes or potential complications related to a hemodialysis access site.
Inspectors wroteBased on resident interview, group interview, facility document review and staff interview, the facility staff failed to respond to call bells in a timely manner. During interviews, multiple residents stated they waited at times from 30 minutes to one hour for staff response to call bells.
Inspectors wroteBased on observation and staff interview, the facility staff failed to ensure a dignified dining experience on one of five living units. Without seeking the resident's permission, a nurse administered an injection to a resident in front of others during the lunch meal on the Honeysuckle unit. In addition, a nurse stood beside two residents while feeding them their lunch.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to follow physician's orders for treatment and care of skin integrity for one of 28, Resident #91. Resident #91 did not have physician ordered heel protectors on while in bed. The Findings Include: Resident #91 was admitted to the facility on [DATE]. Diagnoses included: Muscle contractures, osteoarthritis, lower extermety edema, and stage 3 pressure ulcer to sacral area. The most current MDS (minimum data set) was a significant change assessment with an assessment reference date (ARD) of 12/26/18. Resident #91 was assessed with a cognitive score of 15, indicating cognitively intact. On 01/29/19 at 2:36 PM, Resident #91 was interviewed. Resident #91 was laying in bed; a pair of Prevlon boots (used to protect heels) were observed in a chair beside the bed. [...]
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to anchor the tubing for a Foley urinary catheter for one of 28 residents in the survey sample. Resident #101 did not have the Foley catheter tubing anchored to her thigh as ordered by the physician and required in her plan of care.
Inspectors wroteBased on observation, staff interview, and clinical record review, facility staff failed to provide a diet per physician order for one of 28 residents in the survey sample, Resident #2. Facility staff failed to provide finger foods per physician order for Resident #2 at each meal.
Inspectors wroteBased on observation, and staff interview, the facility staff failed to ensure expired biological's were not readily available for use on one of 5 units. Expired lab collection tubes were readily available for use on the Primrose unit. The Findings Include: On [DATE] at 10:15 AM, storage of medications and biological's were observed on the Primrose unit. Three lab collection tubes were observed by this surveyor and license practical nurse (LPN #1) to be expired and mixed in with lab tubes that were not expired. Two of the lab tubes had an expiration date of [DATE] and one lab collection tube had an expiration date of [DATE]. LPN #1 was interviewed concerning the finding. LPN #1 verbalized that all nurses should be checking for expiration dates and discarding any lab tubes that are expired so the tubes couldn't be used. [...]
23 fire safety citations on file: 10 on November 30, 2022, 9 on April 1, 2021, 4 on January 31, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| June 19, 2024 | Fine | $22,874 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.35 | 3.76 | 3.86 |
| Registered nurses | 0.48 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.07 | 3.29 | 3.42 |
| Nurse aides | 1.98 | ||
| Licensed practical nurses | 0.89 | ||
| Nursing staff turnover (share who left in a year) | 23.1% | 48.1% | 45.8% |
| Registered nurse turnover | 23.1% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.29 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.46 on weekdays and 3.07 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.43 in April to June 2025 to 3.35 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 | 3.35 | 0.48 | 3.46 | 3.07 | 0.0% | 0 of 90 | 144 |
| Oct to Dec 2025 | 3.41 | 0.47 | 3.54 | 3.09 | 0.1% | 0 of 92 | 136 |
| Jul to Sep 2025 | 3.44 | 0.45 | 3.61 | 2.99 | 0.0% | 0 of 92 | 139 |
| Apr to Jun 2025 | 3.43 | 0.44 | 3.59 | 3.03 | 0.1% | 0 of 91 | 135 |
| 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
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.
| 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.
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 | 10.5 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.5 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.4 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.8 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.3 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.6 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Clarksville Health & Rehab Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (58.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
58.0% this home
Better 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. 201 eligible stays.
10.9% 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. 221 eligible stays.
6.2% 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. 151 eligible stays.
67.7% 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. 102 residents counted.
0.8% 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. 121 residents counted.
1.4% 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. 121 residents counted.
100.0% 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. 79 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.
Legal business name: CLARKSVILLE HEALTH & REHAB CENTER LLC. CMS links this home to Saber Healthcare Group, a group of 126 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Chough Holdings, LLC | 5% or greater indirect ownership interest | Organization | 90% | 01/01/2026 |
| Ohi Asset Saber Opco Jv, LLC | 5% or greater indirect ownership interest | Organization | 10% | 01/01/2026 |
| Ohi Asset (VA) Clarksville LLC | 5% or greater security interest | Organization | 11/01/2020 | |
| Volpe, Benjamin | Corporate director | Individual | 11/01/2020 | |
| Weisberg, William | Corporate director | Individual | 11/01/2020 | |
| Nicoluzakis, Gregory | Corporate officer | Individual | 11/01/2020 | |
| Volpe, Benjamin | Corporate officer | Individual | 11/01/2020 | |
| Weisberg, William | Corporate officer | Individual | 11/01/2020 | |
| Shg Management LLC | Operational/managerial control | Organization | 11/01/2020 | |
| Farmer, Alexis | Operational/managerial control | Individual | 05/31/2024 | |
| Hopkins, Joseph | Operational/managerial control | Individual | 05/08/2023 | |
| Citrin Cooperman Advisors LLC | Adp of the SNF | Organization | 11/01/2020 | |
| Huntington National Bank | Adp of the SNF | Organization | 12/02/2022 | |
| Ohi Asset (VA) Clarksville LLC | Adp of the SNF | Organization | 11/01/2020 | |
| Saber Governance LLC | Adp of the SNF | Organization | 11/01/2020 | |
| Saber Healthcare Group LLC | Adp of the SNF | Organization | 04/30/2026 | |
| Shg Boa LLC | Adp of the SNF | Organization | 02/26/2026 | |
| Shg Management LLC | Adp of the SNF | Organization | 04/30/2026 | |
| Shg Mt, LLC | Adp of the SNF | Organization | 02/26/2026 | |
| Walker & Associates PC | Adp of the SNF | Organization | 11/01/2020 | |
| Farmer, Alexis | Adp of the SNF | Individual | 05/31/2024 | |
| Hopkins, Joseph | Adp of the SNF | Individual | 05/08/2023 | |
| Madhoun, Mazen | Adp of the SNF | Individual | 01/20/2025 | |
| Nicoluzakis, Gregory | Adp of the SNF | Individual | 11/01/2020 | |
| Volpe, Benjamin | Adp of the SNF | Individual | 11/01/2020 | |
| Weisberg, William | Adp of the SNF | Individual | 11/01/2020 |
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.
Chosen from this home's own inspection record.
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.