Francis Marion Manor Health & Rehabilitation
100 Francis Marion Lane, Marion, VA 24354 · Smyth County · (276) 782-1396
109 certified beds, about 60 residents a day · Non profit - Corporation · Medicare and Medicaid since 2005
Last standard inspection more than 2 years ago Inside a hospital Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495384 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 14, 2024, inspectors cited 4 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 9 health citations since February 2020 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 5.03 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.99 of those hours.
47.9% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Ahava Healthcare, an affiliated group of 16 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.
202/20
311/21
408/24
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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
0E
1F
Potential for minimal harm
0A
0B
0C
August 14, 2024Standard inspection · 4 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to ensure information provided on the payroll-based journal (PBJ) was accurate.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on staff interview, employee record review, and facility document review, the facility staff failed to follow their policy regarding screening of new hires for 2 of 15 employees. New hire #1 and #14.
- 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.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to ensure Registered Nurse (RN) coverage for 8 consecutive hours a day 7 days a week for quarter 3 of 2023.
- 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 and clinical record review, the facility staff failed to ensure a complete and accurate clinical record for 2 of 14 residents, Resident #19 and #23.
November 4, 2021Standard inspection · 3 citations
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on observations, staff interviews, and facility document review, it was determined the facility staff failed to accurately implement facility policies, procedures, and/or processes relating to DNR (do not resuscitate) status for two (2) of 21 facility residents (Resident #15 and Resident #49). The following information was found in a facility policy titled DO NOT RESUSCIATE ORDERS (DNR) AND DURABLE DO NOT RESUSCITATE (DDNR) ORDERS - VIRGINIA - (medical corporation name omitted) (with an effective date of 10/1/21): To issue a DDNR order, an Authorized Practitioner must: a. Explain to the patient or Legally Authorized Representative the DDNR Order and alternatives available for response in the event of Cardiac or Respiratory Arrest. b. If the option of a DDNR Order is agreed upon, an Authorized Practitioner will: . Complete the state approved DDNR form .
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to demonstrate a review of pharmacy recommendations for one 1 of 21 residents (Resident #41).
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure residents were free of significant medication errors for 1 of 21 residents in the survey sample, Resident #27.
February 21, 2020Standard inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interview, facility staff failed to ensure that residents receive treatment and care in accordance with the comprehensive person-centered care plan as evidenced by failure to obtain daily weights for 1 of 20 residents in the survey sample, Resident #23. For Resident #23, facility staff failed to obtain daily weights as ordered by the physician. Resident #23's diagnosis list indicated diagnoses, which included, but not limited to Chronic Kidney Disease Stage 4, Unspecified Systolic (Congestive) Heart Failure, Chronic Obstructive Pulmonary Disease, and Essential Primary Hypertension. The most recent annual MDS (minimum data set) with an ARD (assessment reference date) of 11/20/19 assigned the resident a BIMS (brief interview for mental status) score of 15 out of 15 in section C, Cognitive Patterns. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and facility document review, it was determined the facility staff failed to maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections as evidenced by a failure of a staff member to cleanse an injection site prior to the administration of a subcutaneous injection for 1 of 20 residents in the survey sample (Resident #40).
Fire safety inspections
9 fire safety citations on file: 9 on November 4, 2021.
Every fire safety citation9 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly install and monitor supervisory attachments on automatic sprinkler systems.
- F Have properly installed electrical wiring and gas equipment.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Have properly located and lighted "Exit" signs.
- D Provide properly protected cooking facilities.
- D Have elevators that firefighters can control in the event of a fire.
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) | 5.03 | 3.76 | 3.86 |
| Registered nurses | 0.99 | 0.69 | 0.69 |
| All nursing staff on weekends | 4.26 | 3.29 | 3.42 |
| Nurse aides | 2.82 | ||
| Licensed practical nurses | 1.22 | ||
| Nursing staff turnover (share who left in a year) | 47.9% | 48.1% | 45.8% |
| Registered nurse turnover | 27.3% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.09 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 5.35 on weekdays and 4.26 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.31 in April to June 2025 to 5.03 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 | 5.03 | 0.99 | 5.35 | 4.26 | 4.6% | 0 of 90 | 60 |
| Oct to Dec 2025 | 3.73 | 0.84 | 4.00 | 3.05 | 0.6% | 0 of 92 | 57 |
| Jul to Sep 2025 | 3.65 | 0.95 | 3.96 | 2.89 | 0.0% | 0 of 92 | 53 |
| Apr to Jun 2025 | 5.31 | 1.67 | 5.88 | 3.91 | 2.2% | 0 of 91 | 30 |
| 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 | 21.3 | 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 | 0.8 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.8 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 31.0 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.4 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.2 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.5 | 1.8 |
Owners and operators
Legal business name: FRANCIS MARION OPERATING GROUP LLC. CMS links this home to Ahava Healthcare, a group of 16 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Francis Marion Operations Group Holdco LLC | Direct ownership interest | Organization | 05/01/2025 | |
| Ballad Health | Indirect ownership interest | Organization | 05/01/2025 | |
| Bho Operating Group LLC | Indirect ownership interest | Organization | 05/01/2025 | |
| Blue Ridge Medical Management Corporation | Indirect ownership interest | Organization | 05/01/2025 | |
| Mountain States Health Alliance | Indirect ownership interest | Organization | 05/01/2025 | |
| Labin, Shiya | Indirect ownership interest | Individual | 05/01/2025 | |
| Neuman, Benjamin | Indirect ownership interest | Individual | 05/01/2025 | |
| Niederman, Anshel | Indirect ownership interest | Individual | 05/01/2025 | |
| Francis Marion Realty Group LLC | 5% or greater mortgage interest | Organization | 05/01/2025 | |
| Niederman, Anshel | Managing control - governing body | Individual | 05/01/2025 | |
| Ahava Hc LLC | Operational/managerial control | Organization | 05/01/2025 | |
| Clampitt, Robert | Operational/managerial control | Individual | 05/01/2025 | |
| Niederman, Anshel | Operational/managerial control | Individual | 05/01/2025 | |
| Taylor, Stacy | Operational/managerial control | Individual | 05/01/2025 | |
| Ahava Hc LLC | Adp of the SNF | Organization | 06/12/2025 | |
| Ballad Health | Adp of the SNF | Organization | 05/01/2025 | |
| Blue Ridge Medical Management Corporation | Adp of the SNF | Organization | 05/01/2025 | |
| Francis Marion Realty Group LLC | Adp of the SNF | Organization | 05/01/2025 | |
| Mountain States Health Alliance | Adp of the SNF | Organization | 05/01/2025 | |
| Clampitt, Robert | Adp of the SNF | Individual | 05/01/2025 | |
| Niederman, Anshel | Adp of the SNF | Individual | 05/01/2025 | |
| Taylor, Stacy | Adp of the SNF | Individual | 05/01/2025 |
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.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on November 4, 2021: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on August 14, 2024: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on August 14, 2024: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on August 14, 2024: "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."
Other nursing homes nearby
- Sw VA M H Inst Geri Trt Ctr Marion, 1.3 mi · 4 of 5 stars · 5 citations
- Valley Rehabilitation and Nursing Center Chilhowie, 9.9 mi · 4 of 5 stars · 16 citations
- Mountain Laurel Rehabilitation and Nursing Rural Retreat, 13.3 mi · 1 of 5 stars · 87 citations
- Heritage Hall Tazewell Tazewell, 18.9 mi · 2 of 5 stars · 21 citations
- Clinch Valley Medical Center Richlands, 23.4 mi · 5 of 5 stars · 7 citations
- Abingdon Health & Rehab Center Abingdon, 23.6 mi · 5 of 5 stars · 10 citations
- Wythe Cnty Community Hosp Ecu Wytheville, 23.9 mi · 5 of 5 stars · 6 citations
- Holston Health & Rehabilitation Wytheville, 24.6 mi · 1 of 5 stars · 68 citations
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 Francis Marion Manor Health & Rehabilitation's Medicare star rating?
- CMS rates Francis Marion Manor Health & Rehabilitation 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Francis Marion Manor Health & Rehabilitation get at its last inspection?
- 4 health deficiencies at the standard inspection on August 14, 2024. The Virginia average is 14.3.
- Has Francis Marion Manor Health & Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Francis Marion Manor Health & Rehabilitation 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 Francis Marion Manor Health & Rehabilitation?
- CMS lists 22 owners and managers, and links the home to Ahava Healthcare. Legal business name: FRANCIS MARION OPERATING GROUP 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.