173 Brockman Park Drive, Amherst, VA 24521 · Amherst County · (434) 946-2861
120 certified beds, about 113 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495363 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 2, 2022, inspectors cited 8 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 25 health citations since January 2019, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $12,740 in the last three years; the largest was $12,740, and the latest is dated March 5, 2026.
Nurses and nurse aides worked 3.29 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
49.6% 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.
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 25 health citations on file.
Inspectors wroteBased on observation, staff interviews, and facility documentation review, the facility staff failed to ensure a clean and sanitary environment in one of two dining rooms within the facility.
Inspectors wroteBased on observation, facility document review, staff interview and clinical record review, the facility staff failed to review and revise the comprehensive care plan for six of fifteen residents in the survey sample (Residents #106, #109, #111, #113, #114 and #115).
Inspectors wroteBased on observation, staff interviews, and facility document review the facility staff failed to ensure that meals were served at palatable temperatures for one of two kitchenettes within the facility.
Inspectors wroteBased on observation, staff interviews, and facility documentation review the facility staff failed to ensure food items in the walk-in freezer were within expiration dates in the main kitchen.
Inspectors wroteBased on observations, staff interviews, resident interviews, and clinical record reviews, the facility staff failed to implement measures to promote healing to pressure ulcers for one resident, Resident #111 (R111) out of a survey sample of 15 residents.
Inspectors wroteBased on observation, staff interviews, and facility documentation the facility staff failed to ensure appropriate infection control practices for one resident, Resident #111 (R111) out of a survey sample of 15 residents.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to provide timely toileting assistance for one of eleven residents in the survey sample (Resident #10).
Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review, the facility staff failed to use a meal ticket that accurately reflected food allergies for one of eleven residents in the survey sample (Resident #3).
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to accommodate food allergies for one of eleven residents in the survey sample (Resident #10).
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to implement an antibiotic stewardship program. The facility's documented program regarding protocols and monitoring of antibiotic use was not implemented. The census in the facility was 111 residents.
Inspectors wroteBased on staff interview, record review, and facility document review, the facility failed to ensure drug irregularities were noted in the pharmacy review for one of 25 residents, Resident #42. The pharmacy did not report an ongoing order of an as needed (PRN) anti-psychotic medication for Resident #42. The Findings Include: Resident #42 was admitted with diagnoses which included: Dementia with behaviors, cerebrovascular disease, dysphagia, and hypertension. The most current MDS (minimum data set) was an annual assessment with an ARD (assessment reference date) of 3/30/22. Resident #42's cognitive score indicated having long and short-term memory problems and severely impaired cognitively. Resident #42's physician orders documented an order dated 2/4/22 that read: Quetiapine (seroquel, antipsychotic) tablet 25 MG (milligrams) Give 1 tablet by mouth every 6 hours as needed for agitation . [...]
Inspectors wroteBased on staff interview, record review, and facility document review, the facility failed to ensure an as needed anti-psychotic medication was limited to 14 days for one of 25 resident's. Resident #42's as needed order for Seroquel was in place for 4 months. The Findings Include: Diagnoses for Resident #42 included: Dementia with behaviors, cerebrovascular disease, dysphagia, and hypertension. The most current MDS (minimum data set) was an annual assessment with an ARD (assessment reference date) of 3/30/22. Resident #42's cognitive score indicated having long and short-term memory problems and severely impaired cognitively. Resident #42's physician orders documented an order dated 2/4/22 that read: Quetiapine (seroquel, antipsychotic) tablet 25 MG (milligrams) Give 1 tablet by mouth every 6 hours as needed (PRN) for agitation . [...]
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to ensure food was properly stored in the main kitchen.
Inspectors wroteBased on clinical record review and staff interview, the facility staff failed to develop a comprehensive care plan for 2 of 25 residents in the survey sample, Resident #103 and Resident #89. Resident #103's care plan did not include focus areas with goals and interventions for the use Insulin and for the use of the antidepressant Venlafaxine (Effexor). Resident #89's care plan did include a focus area with goals and interventions for the use of the diuretic Furosemide (Lasix).
Inspectors wroteBased on staff interview, clinical record review and facility document review, the facility staff failed to ensure a complete and accurate record for for one of 25 residents, Resident #71. Resident #71's advance directives were not included in the EMR (electronic medical record).
Inspectors wroteBased on staff interviews, clinical record review and facility document review, the facility staff failed to ensure professional standards of practice by a hospice provider for 1 of 25 residents in the survey sample, Resident #89. Records of weekly hospice visits for Resident #89 were not provided to the facility as required in the hospice services agreement.
Inspectors wroteBased on observation and staff interview, the facility staff failed to ensure proper function of the condenser in the walk in freezer of the main kitchen. The condenser was leaking water creating thick white ice on food stored underneath.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, facility staff failed to ensure 1 one of 25 residents, Resident #88 was free from a significant, medication error, causing harm. The facility implemented a plan of correction for this deficiency and no other issues were identified during the survey. This is cited as past non-compliance.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to review and revise a comprehensive care plan for one of 25 in the survey sample. Resident #42's care plan was not revised to reflect the use of anticoagulant medication.
Inspectors wroteBased on observation and staff interview, the facility staff failed to ensure a homelike environment in one of 16 rooms on the Meadows Wing. The wall in room [ROOM NUMBER] was scuffed, gouged and without paint in one area.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review, clinical record review and in the course of a complaint investigation, facility staff failed to ensure one of 25 residents in the survey sample was free of an accident with injury, Resident #84. Facility staff failed to ensure Resident #84 did not sustain first and second degree burns on her thighs from spilled coffee on 07/05/2018.
Inspectors wroteBased on staff interview, and clinical record review, facility staff failed to follow physician orders for one of 25 residents in the survey sample, Resident #55. Facility staff failed to obtain physician ordered daily weights from 10/21/2018 through 01/20/19 for Resident #55.
Inspectors wroteBased on staff interview, and clinical record review, facility staff failed to ensure one of 25 residents in the survey sample received behavioral health services, Resident #55. Facility staff failed to ensure Resident #55 was seen by behavioral health services from October 01, 2018 to currently.
Inspectors wroteBased on clinical record review and staff interview, the facility staff failed for one of 25 residents in the survey sample (Resident # 24), to develop a plan of care that included the resident's participation in Hospice care. Resident # 24's care plan failed to include a delineation of care functions to be carried out by the facility and by Hospice.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility failed to ensure proper hand hygiene was performed during medication pass on one of 4 units. The medication nurse on the [NAME] Run unit did not use hand hygiene between Resident's during medication pass observation. The Findings Include: On 1/23/19 a medication pass and pour was observed from 7:47 AM to 8:10 AM. During the medication pass three Resident's were observed receiving medications from license practical nurse (LPN #1). During the observation LPN #1 was observed touching Resident's, and moving inanimate objects in Resident's rooms on top of the over bed tables. After each medication pass LPN #1 returned back to the medication cart and begin pulling medications for the next Resident without using any hand sanitizing agent or washing hands. [...]
15 fire safety citations on file: 14 on June 2, 2022, 1 on March 4, 2020.
| Date | Penalty | Amount or length |
|---|---|---|
| March 5, 2026 | Fine | $12,740 |
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) | 3.29 | 3.76 | 3.86 |
| Registered nurses | 0.55 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.91 | 3.29 | 3.42 |
| Nurse aides | 1.94 | ||
| Licensed practical nurses | 0.80 | ||
| Nursing staff turnover (share who left in a year) | 49.6% | 48.1% | 45.8% |
| Registered nurse turnover | 35.7% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.12 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 3.45 on weekdays and 2.91 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.08 in April to June 2025 to 3.29 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 | 3.29 | 0.55 | 3.45 | 2.91 | 15.6% | 0 of 90 | 113 |
| Oct to Dec 2025 | 3.15 | 0.53 | 3.27 | 2.83 | 15.5% | 0 of 92 | 114 |
| Jul to Sep 2025 | 3.17 | 0.53 | 3.33 | 2.73 | 14.7% | 0 of 92 | 113 |
| Apr to Jun 2025 | 3.08 | 0.49 | 3.22 | 2.73 | 14.7% | 0 of 91 | 113 |
| 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 | 8.8 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.0 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.4 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.6 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.0 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.9 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Fairmont Crossing Health and Rehab Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (60.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
60.4% 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. 214 eligible stays.
10.7% 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. 214 eligible stays.
6.7% 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. 155 eligible stays.
63.8% 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. 80 residents counted.
0.0% 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. 132 residents counted.
6.0% 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. 132 residents counted.
98.3% 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. 59 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: AMHERST 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 |
|---|---|---|---|---|
| Amherst SNF Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 11/01/2021 |
| Timberlake Operations Holdings LLC | 5% or greater indirect ownership interest | Organization | 100% | 11/01/2021 |
| Wade, Sarah | W-2 managing employee | Individual | 11/01/2021 | |
| Idels, Shimon | Corporate officer | Individual | 11/01/2021 | |
| Hvh Timberlake Management LLC | Operational/managerial control | Organization | 11/01/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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