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Galax Health and Rehab

836 Glendale Rd, Galax, VA 24333 · Galax City County · (276) 236-9991

120 certified beds, about 96 residents a day · For profit - Corporation · Medicare and Medicaid since 1991

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495250 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 16, 2023, inspectors cited 23 health deficiencies (the Virginia average is 14.3, the national average 9.2).

Of 40 health citations since September 2018, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $13,627 in the last three years; the largest was $13,627, and the latest is dated November 21, 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 0.49 of those hours.

48.3% of nursing staff left within the year CMS measured (Virginia average 48.1%).

CMS links it to Trio Healthcare, an affiliated group of 9 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.

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 40 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
32D
6E
0F
Potential for minimal harm
0A
0B
1C
November 21, 2024Complaint inspection · 2 citations
  1. J
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    F678 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 23, 2025
    Inspectors wroteBased on staff interview, clinical record review and facility document review the facility staff failed provide basic life support, including cardiopulmonary resuscitation (CPR) to 1 of 13 residents, Resident #2, which constututed a determination of Immediate Jeopardy (IJ). The scope and severity was originally cited at Immediate Jeopardy, Level IV isolated and was reduced to a Level II isolated after the facility was cleared of Immediate Jeopardy. The Administrator, DON (director of nursing) regional vice-president of operations and regional clinical director were notified on [DATE] that the extended survey process had begun at 1:30 pm, as the survey team had identified Immediate Jeopardy in the area of Quality of Life.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 23, 2025
    Inspectors wroteBased on observation, resident interview, staff interview, and facility document review, the facility staff failed to ensure a hazard free environment on 1 of 2 units, Unit B.
June 17, 2024Complaint inspection · 2 citations
  1. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 19, 2024
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to complete provider ordered treatments for 1 of 5 residents, Resident #1.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 19, 2024
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to administer provider ordered nebulizer treatments for 1 of 5 residents, Resident #1.
November 16, 2023Standard inspection, Complaint inspection · 26 citations
  1. E
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on staff interview, clinical record, facility document review the facility staff failed to develop a baseline care plan within 48 hours of admission for 4 of 22 residents sampled. Resident #64, #77, 294, and #86.
  2. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on staff interview and facility document review, the facility staff failed to complete reviews of nurse aide's at least every 12 months and failed to provide in-service education based on the outcome of these reviews.
  3. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wrote3. For Resident #48, facility staff failed to administer the antihypertensive medication per administration parameters. Resident #48 was admitted to the facility with diagnoses including essential hypertension, type 2 diabetes mellitus with complications, cerebrovascular disease, major depression, dysphagia, and muscular weakness. On the Minimum Data Set Assessment with Assessment Reference Date 10/10/23, the resident scored 3/15 on the Brief Interview for Mental Status and was assessed with signs of delirium with fluctuating inattention and disorganized thinking. Clinical record review revealed a physician order dated 7/8/2022 for metoprolol tartrate tablet 25 milligrams (mg). Give 25 mg by mouth two times a day related to essential hypertension hold if SBP (systolic blood pressure) <100 or DBP (diastolic blood pressure)<60 or HR (heart rate) <55. [...]
  4. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to store, prepare and distribute food in accordance with professional standards for food service safety.
  5. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure a complete and accurate clinical record for 5 of 22 residents, Resident's #71, #34, #46, #8 and #69.
  6. E
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on staff interview and facility document review, the facility staff failed to provide 12 hours of in-service training for nurse aides.
  7. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on observation, staff interview, Resident interview and facility document review the facility staff failed to respect residents' rights to a dignified existence for 1 of 22 residents, Resident #8.
  8. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on staff interview, clinical record review, facility document review, the facility staff failed to notify the MD and/or RP of significant changes in the resident's physical, mental or psychosocial status for 3 of 22 residents sampled. Resident # 19, 26, 64.
  9. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on documents received at the Office of Licensure and Certification (OLC), facility staff failed to ensure the right to secure and confidential medical records for 1 of 22 residents sampled (Resident #68). Resident #68 was admitted to the facility with diagnoses which included Alzheimer's dementia, hypertension, congestive heart failure, dysphagia, recurrent falls, and diabetes mellitus type 2 with neuropathy. On the Minimum Data Set assessment with Assessment Reference Date 10/6/23, the resident scored 9/15 on the brief interview for mental status, indicating impairment in daily decision-making skills, and was assessed as without signs of delirium, psychosis, or behaviors affecting care of self or others. On 11/15/2023, a complaint was received in OLC which included a screen shot of a resident's progress note in the electronic clinical record. [...]
  10. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on staff interviews and facility document review the facility staff failed to provide the ongoing re-evaluation of the need for physical restraints for 1 of 22 sampled residents. Resident #33.
  11. D
    Prepare residents for a safe transfer or discharge from the nursing home.
    F624 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to provide sufficient preparation and orientation to residents to ensure a safe and orderly discharge from the facility for 1 of 22 residents in the survey sample, Resident #86.
  12. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to review and revise the comprehensive care plan for 3 of 22 residents sampled. Resident # 26, # 64, and # 33.
  13. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review the facility staff failed to follow standards of professional practice for 2 of 22 residents, Resident's #242 and #24.
  14. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on observation, staff interview, clinical record review, facility document review, the facility staff failed to follow physician's orders for 3 of 22 residents, Resident #51, Resident #86, and Resident #242.
  15. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to ensure a resident with pressure ulcers receives necessary treatment and services to promote healing for 1 of 22 residents in the survey sample, Resident #86.
  16. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to ensure each resident received assistance devices to prevent accidents for 1 of 22 residents in the survey sample, Resident #24.
  17. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on staff interview, clinical record review, facility document review and during a medication pass and pour the facility staff failed to ensure medications were available for administration of 2 of 22 residents, Resident #3 and Resident #294.
  18. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to act upon drug regimen review recommendations for 1 of 22 residents in the survey sample, Resident #24.
  19. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure PRN (as needed) orders for psychotropic drugs were limited to 14 days for 1 of 22 residents in the survey sample, Resident #24.
  20. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on observation, staff interview, clinical record review and during a medication pass and pour the facility staff failed to ensure a medication error rate of less than 5%. There were 2 errors in 30 opportunities for a medication error rate of 6.67%. These errors affected Resident #3 and Resident #12.
  21. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on facility document review and staff interview facility staff failed to ensure the IPCP program was reviewed annually. The surveyor was provided the Infection Control Program- Antibiotic Stewardship F881 policy and procedure with effective date 2/2017. The surveyor spoke with the regional vice president of operations (RVPO) about the need for an Infection Prevention and Control Program (IPCP) policy and for the policies to be reviewed and revised annually. The Antibiotic Stewardship Policy the RVPO had also was effective 2/2017 and had not been revised. RN#4, who became the acting ICP on 11/25/23, found a manual for Infection Control Program Version 4 revised October 2020. The October 2020 Version 4 represented the most recently revised infection control policies available in the facility. [...]
  22. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on staff interview and clinical review facility staff failed to ensure the pneumococcal immunization was offered to 1 of 5 residents reviewed for immunizations (Resident #82). Resident #82 was admitted to the facility with diagnoses which included cerebral infarction with hemiplegia and hemiparesis, diabetes mellitus type 2, atherosclerotic heart disease, and cardiopulmonary disease. On the most recent Minimum Data Set assessment with Assessment Reference date 10/4/23, the resident scored 11/14 on the brief interview for mental status and was assessed as without signs of delirium, psychosis, or behaviors affecting care. The resident's clinical record was reviewed for offer, education, and receipt of required vaccinations. The record indicated the resident received influenza vaccine October 2023 and Covid 19 [NAME] in 2021 and a booster July 2023. [...]
  23. C
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on staff interview and facility document review the facility staff failed to conduct and document a facility-wide assessment to determine what resources were necessary to care for its residents.
  24. D
    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
    F563 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to allow family visitation for 1 of 4 closed record reviews, Resident #92.
  25. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on staff interview, clinical record review, and facility document review the facility staff failed to ensure injuries of unknown origin were reported for 1 of 22 current residents sampled and one of 4 closed records sampled. Resident #19 and Resident #26.
  26. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on staff interview, clinical record review, facility document review, facility staff failed to initiate a thorough investigation of an injury of unknown origin for 1 of 22 active residents sampled and 1 of 4 closed records. Resident # 19 and Resident # 26.
October 6, 2023Complaint inspection · 1 citation
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2023
    Inspectors wroteBased on clinical record review, staff interview, resident interview and during the course of a complaint investigation, the facility staff failed to provide Activities of Daily Living care to one of 7 residents. Resident # 7.
December 16, 2021Standard inspection · 3 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 31, 2021
    Inspectors wroteBased on observation, staff interview, resident interview, and clinical record review, the facility staff failed to ensure that a resident who was unable to carry out ADL's (activities of daily living) received the necessary care and services to maintain personal hygiene for one of 17 residents, Resident #19. The facility staff failed to provide nail care for a dependent resident. Resident #19's fingernails were observed to be long and jagged, with debris observed underneath the nails.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 6, 2022
    Inspectors wroteBased on staff interviews and facility document review, it was determined the facility staff failed to properly implement processes to prevent and/or contain COVID-19 as evidence by two (2) of three (3) staff members, sampled for COVID-19 screening, not being consistently screened prior to starting their work shift (CNA (Certified Nurse Aide) #21 and CNA #22).
  3. D
    Perform COVID19 testing on residents and staff.
    F886 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 31, 2021
    Inspectors wroteBased on staff interviews and facility document review, it was determined the facility staff failed to consistently implement processes to prevent and/or contain COVID-19 as evidence by two (2) of three (3) staff members (CNA (Certified Nurse Aide) #21 and CNA #22), who were sampled for COVID-19 screening, who had not been tested for COVID-19 as required by the facility's high community transmission level.
September 13, 2018Standard inspection · 6 citations
  1. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 12, 2018
    Inspectors wroteBased on observation and staff interviews, the facility staff failed to provide privacy in a manner that maintained or enhanced the dignity of the residents during a resident council meeting on 9/12/18.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 12, 2018
    Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to follow physician orders for medication administration for 1 of 28 residents (Resident #53).
  3. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 12, 2018
    Inspectors wroteBased on observation, staff interviews and clinical record review it was determined the facility staff failed to provide 1 of 25 residents (Resident #43) with a diet as ordered by the physician.
  4. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 12, 2018
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure that 1 of 25 residents in the survey sample was free of unnecessary psychotropic medication (Resident #24).
  5. D
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 12, 2018
    Inspectors wroteBased on observation, staff interview, and facility document review, facility staff failed to ensure that milk in personal refrigerators had not expired for 2 of 27 residents in the survey sample (Residents #9 and 79). 1. For Resident #9, facility staff failed to discard expired milk stored in the personal refrigerator in the resident's room. Resident #9 was admitted to the facility on [DATE]. Diagnoses included alzheimer's disease, urinary tract infection, gastrointestinal hemorrhage, pain, hallucinations, dementia, hypertension, and anxiety. On the Quarterly Minimum Data Set Assessment with assessment reference date 6/26/18, the resident was assessed with short and long term memory impairment and without symptoms of delirium, or psychosis. The resident exhibited physical behavior symptoms toward others 1-3 of the 7 days prior to the assessment. [...]
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 12, 2018
    Inspectors wroteBased on staff interview, facility document review, and during a medication administration observation the facility staff failed to follow established infection control guidelines in regards to hand hygiene on 1 of 2 units (unit A).

Fire safety inspections

18 fire safety citations on file: 9 on November 16, 2023, 9 on December 16, 2021.

Every fire safety citation18 citations
  1. D
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · November 16, 2023 · Corrected (the home has a date of correction)
  2. D
    Conduct risk assessment and an All-Hazards approach.
    E 6 · November 16, 2023 · Corrected (the home has a date of correction)
  3. D
    Develop Emergency Preparedness policies and procedures.
    E 13 · November 16, 2023 · Corrected (the home has a date of correction)
  4. D
    Develop a communication plan.
    E 29 · November 16, 2023 · Corrected (the home has a date of correction)
  5. D
    List the names and contact information of those in the facility.
    E 30 · November 16, 2023 · Corrected (the home has a date of correction)
  6. D
    Provide emergency officials' contact information.
    E 31 · November 16, 2023 · Corrected (the home has a date of correction)
  7. D
    Establish emergency prep training and testing.
    E 36 · November 16, 2023 · Corrected (the home has a date of correction)
  8. D
    Establish staff and initial training requirements.
    E 37 · November 16, 2023 · Corrected (the home has a date of correction)
  9. D
    Conduct testing and exercise requirements.
    E 39 · November 16, 2023 · Corrected (the home has a date of correction)
  10. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · December 16, 2021 · Corrected (the home has a date of correction)
  11. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 16, 2021 · Corrected (the home has a date of correction)
  12. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 16, 2021 · Corrected (the home has a date of correction)
  13. F
    Install corridor and hallway doors that block smoke.
    K 363 · December 16, 2021 · Corrected (the home has a date of correction)
  14. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · December 16, 2021 · Corrected (the home has a date of correction)
  15. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · December 16, 2021 · Corrected (the home has a date of correction)
  16. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · December 16, 2021 · Corrected (the home has a date of correction)
  17. D
    Use approved construction type or materials.
    K 161 · December 16, 2021 · Corrected (the home has a date of correction)
  18. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · December 16, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 21, 2024Fine $13,627

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)3.353.763.86
Registered nurses0.490.690.69
All nursing staff on weekends2.993.293.42
Nurse aides2.02
Licensed practical nurses0.84
Nursing staff turnover (share who left in a year)48.3%48.1%45.8%
Registered nurse turnover45.5%48.2%42.9%
Administrators who left0

CMS expects 3.86 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.49 on weekdays and 2.99 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% 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.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.350.493.492.99 0.3%0 of 9096
Oct to Dec 20253.340.373.413.17 0.2%0 of 9297
Jul to Sep 20253.320.333.433.05 0.0%0 of 9297
Apr to Jun 20253.430.263.493.27 3.4%0 of 9193
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Virginia, Jan to Mar 20263.580.563.763.125.7%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.

MeasureThis homeVirginiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
24.914.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.60.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.91.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.73.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
4.41.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
27.415.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.24.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
24.514.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
18.322.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.311.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.51.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.51.8

Owners and operators

Legal business name: GL VIRGINIA BLUE RIDGE LLC. CMS links this home to Trio Healthcare, a group of 9 nursing homes averaging 1.6 stars overall.

NameRoleTypeShareSince
Gl Virginia Holdings LLC5% or greater direct ownership interestOrganization100%12/16/2016
Trio Health Care - East, LLC5% or greater indirect ownership interestOrganization05/24/2019
Trio Healthcare Investors LLC5% or greater indirect ownership interestOrganization12/16/2016
Trio Healthcare LLC5% or greater indirect ownership interestOrganization12/10/2019
Gentry, Boyd5% or greater indirect ownership interestIndividual12/16/2016
Rubenstein, David5% or greater indirect ownership interestIndividual12/16/2016
Viers, RobertW-2 managing employeeIndividual10/16/2019
Gentry, BoydCorporate officerIndividual12/16/2016
Rubenstein, DavidCorporate officerIndividual12/16/2016

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on November 21, 2024: "Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on November 16, 2023: "Ensure that residents are free from significant medication errors."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on November 16, 2023: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on November 16, 2023: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.99 hours per resident per day, below the Virginia average of 3.29.

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Common questions

What is Galax Health and Rehab's Medicare star rating?
CMS rates Galax Health and Rehab 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Galax Health and Rehab get at its last inspection?
23 health deficiencies at the standard inspection on November 16, 2023. The Virginia average is 14.3.
Has Galax Health and Rehab been fined?
Yes. CMS lists 1 fine totaling $13,627 in the last three years.
Does Galax Health and Rehab 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 Galax Health and Rehab?
CMS lists 9 owners and managers, and links the home to Trio Healthcare. Legal business name: GL VIRGINIA BLUE RIDGE LLC.

Sources

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