2406 Atherholt Road, Lynchburg, VA 24501 · Lynchburg City County · (434) 846-3200
89 certified beds, about 80 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495302 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 15, 2022, inspectors cited 5 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 34 health citations since April 2019 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 3.59 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.
43.9% 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 34 health citations on file.
Inspectors wroteBased on interview, record review, document review, and facility policy review, the facility failed to protect a resident's right to be free from misappropriation of resident property for 1 (Resident #98) of 4 sampled residents reviewed for abuse. Specifically, Licensed Practical Nurse (LPN) #18 misappropriated Resident #98's oxycodone pain medication without the resident's permission on 04/11/2025.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to permit a resident to return to the facility following hospitalization for one resident (Resident #3- R3), in a survey sample of four residents.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to have medication available for administration in accordance with physician orders for two residents (Resident #3-R3 and Resident #4-R4) in a survey sample of four residents.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to have medication available for administration in accordance with physician orders for two residents (Resident #3-R3 and Resident #4-R4) in a survey sample of four residents.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to ensure residents were free from significant medication errors, resulting in multiple missed doses of intravenous (IV) antibiotics for two residents (Resident #3- R3 and Resident #4-R4) in a survey sample of four residents.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to implement a physician's order for one of eighteen residents in the survey sample, Resdient #29. Resident #29's physician ordered eye drops were not administered for three weeks.
Inspectors wroteBased on observation, resident interview, staff interview, facility policy review and clinical record review, the facility staff failed to provide food items per the menu and/or meal ticket for two of eighteen residents in the survey sample, Resident #29 and #32. Resident #29 and 32 were not routinely provided food per their meal ticket or as listed on the menu.
Inspectors wroteBased on medication pass and pour observation, staff interview, and facility document review, the facility failed to ensure medications were available for one of 18 residents in the survey sample, Resident #32. Resident #32's Omeprazole10 milligrams (for reflux) was not available for administration. The Findings Include: Resident #32 was admitted with diagnoses which included: End stage renal failure, reflux, peripheral vascular disease, and diabetes. The most current MDS (minimum data set) was an annual assessment with an ARD (assessment reference date) of 4/27/22. Resident #32's cognitive score was a 5 indicating severely impaired cognitively. On 06/15/22 at 8:04 AM, a medication pass and pour observation was conducted. Resident #32's Omeprozole 10 milligrams was ordered to be given at 9:00 AM. Registered nurse (RN #2) could not find Resident #32's Omeprozole in the medication cart. [...]
Inspectors wroteBased on medication pass and pour observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure a medication error rate less than 5 percent. There were two errors out of 38 opportunities resulting in a medication error rate of 5.26 percent. The Findings Include: On 06/15/22 at 8:04 AM a medication pass and pour observation was conducted with RN #2. Resident #32's Omeprozole 10 milligrams was ordered to be given at 9:00 AM. Registered nurse (RN #2) could not find Resident #32's Omeprozole in the medication cart. RN #2 said that the medication was not available over the counter (because of the dosage) and had to be ordered through the pharmacy. RN #2 stated that pharmacy was going to send the medication later in the day. [...]
Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to follow infection control protocols regarding hand hygiene. A staff member failed to perform hand hygiene between resident contacts during a dining observation on 6/14/22.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to develop comprehensive care plans for eleven of 22 residents in the survey sample, Resident #'s 10, 17, 33, 39, 5, 12, 31, 18, 8, 301, and 11. Resident #10 had no care plan developed for activities of daily living, incontinence, falls, nutrition, pressure ulcer prevention, psychoactive medication use, pain management, dialysis, fluid intake restrictions or insomnia. Resident #17 had no care plan developed for activities of daily living, incontinence, falls, dehydration, dental problems, pressure ulcer prevention or psychotropic medication use. Resident #33 had no care plan developed to address communication, activities of daily living, incontinence, falls, nutrition, dehydration or psychoactive medication use. Resident #39 had no care plan developed to address hospice care. [...]
Inspectors wroteBased on staff interview and clinical record review, the facility failed to develop a baseline care plan for skin integrity for for one of 37 Residents, Resident #198. The findings Include: Resident #198 was admitted to the facility on [DATE]. Diagnoses for Resident #198 included; Dementia, sepsis, kidney disease, and stage 2 pressure ulcer to buttocks. The most current MDS (minimum data set) was an entry assessment with an ARD (assessment reference date) of 02/15/21. Resident #198 was assessed with a cognitive score of 05 indicating cognitively impaired. On 2/24/21 Resident #198's medical record was reviewed and indicated that Resident #198 was newly admitted with a stage 2 pressure ulcer to right buttock. [...]
Inspectors wroteBased on clinical record review and staff interview, the facility staff failed to review and revise care plans for two of 22 residents in the survey sample, Resident #12 and Resident #35. Resident #12's care plan had not been reviewed or revised since 04/16/2020. Resident #35's care plan was not reviewed and revised for care and treatment of pressure ulcers.
Inspectors wroteBased on observations, staff interview and clinical record review, the facility staff failed to provide assistive devices for one of 22 residents in the survey sample, Resident #44, and failed to ensure a safe bed environment for one of 22 residents, Resident #35. Resident #44, who was identified as having a history of falls was observed without bilateral falls mats to each side of the bed. Resident #35's bed rails/grab bars were observed with a bent clip with a sharp edge.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to obtain informed consent and attempt alternatives prior to the use of bed rails for one of 22 residents in the survey sample. Resident #35, assessed with severe cognitive impairment, had bed rails in use without prior informed consent from her family or any attempted alternatives to the rails.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to ensure expired medications were not readily available for distribution on the East Wing.
Inspectors wroteBased on observation, staff interview, and facility document review, it was determined that the facility failed to store and label food in a sanitary manner and failed to follow proper sanitizing procedures.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure a complete and accurate medical record for one of 22 residents in the survey sample, Resident #47B. No documentation was entered in Resident #47B's record regarding her death on [DATE].
Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to follow infection control practices during a dining observation on one of two nursing units. A staff member failed to perform hand hygiene between residents during a meal observation on the [NAME] unit.
Inspectors wrote4. Resident # 29 was admitted to the facility on [DATE] with diagnoses that included multiple myeloma, osteoarthritis, gout, hypothyroidism, Vitamin D deficiency, benign prostatic hyperplasia, chronic kidney disease, and non-rheumatic aortic valve disorder. According to the most recent Minimum Data Set, a Medicare 90-Day, with an Assessment Reference Date of 1/28/19, the resident was assessed under Section C (Cognitive Patterns) as being cognitively impaired, with a Summary Score of 3 out of 15. Resident # 29 had the following wound care order, dated 3/30/19, Wound care to heel; Santyl - nickel thick into the wound bed and edges. Cover this with Dakins solution soaked gauze and wrap with Kling. Change everyday. Wear soft boot on L (Left) foot all times. May remove during bath. The order was also transcribed on the Treatment Administration Record (TAR) for March and April 2019. (NOTE: [...]
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to develop a comprehensive care plan for four of 21 residents in the survey sample. 1. Resident #9, assessed with two pressure ulcers, had no comprehensive care plan regarding pressure ulcers. 2. Resident #23 had no comprehensive care plan regarding cognitive impairment, impaired vision, activities of daily living, incontinence, falls, pressure ulcer prevention, use of psychotropic medication and pain. 3. Residents #41 had no plan of care available and/or developed regarding any care areas. 4. Resident #43 had no plan of care available and/or developed regarding any care areas.
Inspectors wrote2. Resident #2 was admitted to the facility on [DATE] with diagnoses that included: hypertension, osteoarthritis, hemiplegia of the right dominant side, muscle weakness, glaucoma, and hypothyroidism. The most recent minimum data set (MDS) dated [DATE] which was a quarterly assessment, assessed Resident #2 as being modernly impaired for daily decision making with a score of 12 out of 15. Resident #2's clinical record was reviewed on [DATE] at 9:30 a.m. A review of the nurses notes documented the following: [DATE] - Care plan conference mtg. held today. Resident in attendance. RP (responsible party) invited, but did not attend. Resident with no questions or concerns. Continue with current POC (plan of care). See care plan conference summary. On [DATE], a copy of the most recent MDS assessment and care plans were requested from the MDS Coordinator (RN #1). [...]
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to follow physician's orders for two of 21 in the survey sample, Resident #60 and Resident #66. 1. The facility staff failed to accurately document Resident #60's fluid intake in every 24-hour as ordered by the physician. 2. Facility staff failed to apply physician ordered geri sleeves and TED hose to Resident # 66.
Inspectors wroteBased on observation and staff interview the facility staff failed to ensure essential equipment in the laundry area was in proper working order. A washer, identified during the survey conducted in the facility 5/29/18 through 5/31/18 as having broken and not replaced, was identified during the current survey to still not be replaced. A dryer, identified as not safe to use, also identified during the May 2018 survey, was again identified as unsafe to operate, and had not been repaired or replaced.
Inspectors wroteBased on observations, clinical record review, and staff interviews, the facility staff failed to maintain the dignity of one of 21 residents in the survey sample (Resident # 66). Resident # 66 was observed eating with a plastic spoon during two separate meal observations.
Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review, the facility staff failed to ensure one of 21 residents in the survey sample was assessed to self administer medications: Resident # 43. Resident # 43 was observed alone in her room with a nebulizer (aerosolized medication) treatment in place without staff.
Inspectors wrote2. Resident #9 was admitted to the facility on [DATE] with a re-admission on [DATE]. Diagnoses for Resident #9 included altered mental status, congestive heart failure, end stage dementia, cerebrovascular accident (stroke) and atrial fibrillation. The MDS dated [DATE] assessed Resident #9 with moderately impaired cognitive skills. Resident #9's clinical record documented a quarterly MDS was completed on 6/29/18. There were no additional assessments completed until 12/21/18. There was no MDS completed in September 2018. On 4/10/19 at 1:50 p.m., the registered nurse (RN #1) MDS coordinator was interviewed about Resident #9's quarterly assessments. RN #1 reviewed the submitted MDS records and stated, I missed the one [MDS] due in September [2018]. RN #1 stated a quarterly MDS for Resident #9 was completed in June 2018 and the next MDS was not done until December 2018. [...]
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to develop a baseline care plan for two of 21 residents in the survey sample. Residents #175 and #176 did not have a baseline care plan developed within 48 hours of their admission to the facility.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to follow standards of professional practice for one of 21 residents in the survey sample. Nursing failed to provide a documented assessment of Resident #23 at the time of a fall.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to provide proper care and treatment of pressure ulcers for two of 21 residents in the survey sample. 1. A nurse failed to perform hand hygiene between glove changes during a dressing application to Resident #9's pressure sore. In addition, the nurse failed to date and/or initial the newly applied dressing. 2. A nurse failed to perform proper hand hygiene during a dressing change to Resident #23's pressure ulcer and failed date and/or initial the newly applied dressing. The facility staff also failed to follow physician's orders for a pressure relieving boot for Resident #23.
Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review, the facility staff failed to ensure correct placement of a urinary catheter drainage bag for one of 21 residents in the survey sample, Resident # 42. Resident # 42 was observed in his wheelchair with the catheter drainage bag in the seat of the wheelchair without a privacy cover.
Inspectors wroteBased on staff interview, and clinical record review, the facility staff failed to develop a dementia care plan for two of 21 residents, Resident's #41 and #68.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to ensure expired medications were not available for administration on one of two units: East unit. A vial of expired PPD (tuberculin skin test solution) was in the refrigerator and available for use.
Inspectors wroteBased on clinical record review and staff interview, the facility staff failed to ensure a complete and accurate clinical record for one of 21 residents in the survey sample: Resident # 63. Resident # 63's clinical record had two other resident's information co-mingled in the record.
17 fire safety citations on file: 8 on June 15, 2022, 4 on February 25, 2021, 5 on April 11, 2019.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.59 | 3.76 | 3.86 |
| Registered nurses | 0.43 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.12 | 3.29 | 3.42 |
| Nurse aides | 2.05 | ||
| Licensed practical nurses | 1.11 | ||
| Nursing staff turnover (share who left in a year) | 43.9% | 48.1% | 45.8% |
| Registered nurse turnover | 44.4% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.71 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 3.79 on weekdays and 3.12 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.59 in April to June 2025 to 3.59 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 | 3.59 | 0.43 | 3.79 | 3.12 | 2.3% | 0 of 90 | 80 |
| Oct to Dec 2025 | 3.64 | 0.46 | 3.86 | 3.09 | 3.0% | 0 of 92 | 79 |
| Jul to Sep 2025 | 3.55 | 0.41 | 3.74 | 3.07 | 2.1% | 0 of 92 | 83 |
| Apr to Jun 2025 | 3.59 | 0.44 | 3.80 | 3.05 | 3.3% | 1 of 91 | 82 |
| 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.
| 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 | 27.1 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.3 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.2 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 44.3 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.0 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.1 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.7 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Forest Health & Rehab Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (59.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
59.3% 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. 231 eligible stays.
10.5% 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. 226 eligible stays.
6.4% 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. 125 eligible stays.
56.2% 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. 121 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. 175 residents counted.
1.0% 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. 175 residents counted.
81.3% 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. 32 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: FOREST 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 |
|---|---|---|---|---|
| Wwbv Holdings LLC | 5% or greater indirect ownership interest | Organization | 100% | 06/01/2021 |
| Grant, Pamela | W-2 managing employee | Individual | 06/01/2021 | |
| Volpe, Benjamin | Corporate director | Individual | 06/01/2021 | |
| Weisberg, William | Corporate director | Individual | 06/01/2021 | |
| Nicoluzakis, Gregory | Corporate officer | Individual | 06/01/2021 | |
| Volpe, Benjamin | Corporate officer | Individual | 06/01/2021 | |
| Weisberg, William | Corporate officer | Individual | 06/01/2021 | |
| Saber Governance LLC | Operational/managerial control | Organization | 06/01/2021 |
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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