5872 Hanks Street, Dublin, VA 24084 · Pulaski County · (540) 674-4193
132 certified beds, about 125 residents a day · For profit - Corporation · Medicare and Medicaid since 1998
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495333 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 26, 2026, inspectors cited 13 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 46 health citations since October 2021 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 3.69 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
64.2% 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 46 health citations on file.
Inspectors wroteBased on observation, resident interview, staff interview, and facility document review, the facility staff failed to meet the daily nutritional and dietary needs of all residents that receive nutrition by oral means and the facility staff failed to maintain an overall system to manage and execute its food and nutritional services during a lapse in food service management.
Inspectors wroteBased on observations, staff interview, and facility document review, the facility staff failed to prepare, store, distribute, and serve food in accordance with professional standards for food service safety in the facility kitchen and in 4 of 4 unit pantries/nutrition rooms.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to provide and/or review a baseline care plan (BCP) for 5 of 25 residents, Residents #6, #2, #13, #126, and #134 and failed to complete a BCP for 1 of 25 residents, Resident #84.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to include the resident and/or resident representative in reviews and/or revisions of the comprehensive person-centered care plan for (1) one of (25) twenty-five sample residents, Resident #50 and the facility staff failed to develop and implement a comprehensive person-centered care plan for (3) three of (25) sampled residents, Resident #116, Resident #11, and Resident #32.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to provide activities of daily living care for 7 of 25 resident's, Resident #6, #84, #42, #51, #62, #67, and #116.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to assess 2 of 25 residents for self-administration of medications, Residents #32 and #116.
Inspectors wroteBased on staff interview and facility document review the facility staff failed to provide 2 of 3 residents with the appropriate beneficiary notices, Residents #36 and #42.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to notify the office of the state long-term care ombudsman of a resident transfer/discharge for (1) one of (25) twenty-five sampled residents, Resident #13.
Inspectors wroteBased on staff interview, clinical record review and facility document review the facility staff failed to follow up on pharmacy recommendations for 2 of 25 residents, Resident #5 and Resident #72.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to safely store drugs and/or biologicals in a locked and secure manner for 2 of 25 residents, Resident #4 and #32. Joy1. For Resident #4, the facility nursing staff left hydrocortisone in the resident's room unattended. Resident #4's diagnoses included, Parkinson's disease, respiratory failure, and epilepsy. Section C (cognitive patterns) of Resident #4's quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of 02/13/26 included a brief interview for mental status (BIMS) score of 10, indicating Resident #4 was moderately impaired in cognitive skills for daily decision making. On 02/24/2026, during initial tour, the surveyor observed a white cream in a clear plastic medicine cup sitting on the top of an extended outlet box. [...]
Inspectors wroteBased on observations, resident interviews, staff interviews, and facility document review, the facility staff failed to address resident concerns regarding food services.
Inspectors wroteBased on observation, staff interview and facility document review the facility staff failed to follow established infection control procedures.
Inspectors wroteBased on observations and staff interviews, the facility staff failed to provide adequate training and skill sets for dietary staff to carry out the functions of the food and nutrition services of the facility.
Inspectors wroteBased on observations, staff interview, and facility document review, the facility staff failed to employ an infection preventionist with the required training prior to assumption of the role.
Inspectors wroteBased on observation, staff interview, resident interview and facility document review the facility staff failed to provide a reasonable accommodation of needs for 1 of 16 residents, Resident #15.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to follow the medical provider orders for medication administration for 1 of 16 sampled residents (Resident #6).
Inspectors wroteBased on observation, staff interview, resident interview, clinical record review and facility document review the facility staff failed to follow and established infection control program for 3 of 10 residents, Resident #15, Resident #12, and Resident #16.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to provide Activity of Daily Living (ADL) care for 5 of 18 dependent care residents, Resident's #2, #1, #12, #13 and #17.
Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review, the facility staff failed to ensure the residents call system was within reach for 1 of 13 current residents, Resident #1.
Inspectors wroteBased on observation and staff interview the facility staff failed to ensure a clean, comfortable, and homelike environment for 1 of 13 current residents, Resident #17.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to follow up on a grievance for 1 of 5 closed record reviews, Resident #2.
Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review the facility staff failed to follow professional standards of practice for the administration of medications for 1 of 13 current residents, Resident #14.
Inspectors wroteBased on staff interview, clinical record review and facility document review the facility staff failed to follow physician's orders for 1 of 13 current residents, Resident #14.
Inspectors wroteBased on staff interview and clinical record review the facility staff failed to ensure medications were available for administration for 1 of 13 current residents, Resident #14.
Inspectors wroteBased on staff interview, clinical record review, and facility document review the facility staff failed to ensure 1 of 13 current residents was free of significant medication error, Resident #14.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to assist residents in obtaining dental care from an outside source for 1 of 13 current residents in the survey sample, Resident #15.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to operate in compliance with all applicable Virginia state regulations as evidenced by failing to determine if a potential resident was a registered sex offender prior to admission for 1 of 13 current residents in the survey sample, Resident #8.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to maintain a complete and accurate clinical record for 1 of 13 current residents, Resident #1.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to follow established infection control guidelines for 2 of 13 current residents, Resident #1 and #13.
Inspectors wroteBased on observation, staff interview, and resident interview the facility staff failed to ensure a clean, comfortable, homelike environment for 1 of 4 shower rooms in the facility.
Inspectors wroteBased on observation, staff interview, resident interview, clinical record review, and facility document review, the facility staff failed to develop and implement a comprehensive person-centered care plan to meet the needs of the resident for 1 of 26 residents in the survey sample.
Inspectors wroteBased on staff interview, resident interview, clinical record review and facility document review the facility staff failed to follow professional standards of practice for physician notifications and documentation of medications and/or treatments for 2 of 26 residents, Resident #99, and Resident #376.
Inspectors wroteBased on staff interviews, clinical record review, and facility document review, the facility staff failed to develop and implement an effective discharge planning process for 1 of 4 residents in the closed record sample.
Inspectors wroteBased on clinical record review, facility document review and staff interviews, the facility staff failed to complete a discharge summary for one of 4 residents in the closed record sample.
Inspectors wroteBased on observation, resident interview, staff interviews, clinical record review, and facility document review the facility staff failed to ensure residents received treatment and care in accordance with provider orders and the comprehensive person-centered care plan for 2 of 26 current residents, Resident #88 and #66.
Inspectors wroteBased on interviews and facility document review, the facility staff failed to ensure a registered nurse was working at the facility for two (2) of 30 days reviewed for nursing staffing.
Inspectors wroteBased on staff interviews, clinical record review, and facility document review, the facility staff failed to ensure a medical provider approved medication regimen review (MRR) recommendation was implemented for one (1) of five (5) residents sampled for MRRs. The MRR recommendation had to be requested by the pharmacist a second time prior to it being implemented.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide laboratory services to meet the needs of the resident for 1 of 26 residents in the survey sample, Resident #78.
Inspectors wroteBased on interviews, clinical record review, and facility document review, the facility staff failed to maintain complete and/or accurate clinical record/documentation for three (3) of 26 sampled current residents (Resident #25, Resident #105, and Resident #108).
Inspectors wroteBased on observations, staff interviews, and document review, the facility staff failed to ensure gloves were worn by a staff member when completing a finger stick blood sugar (FSBS) test for one (1) of 26 sampled current residents (Resident #58).
Inspectors wroteBased on observation, staff interview and facility document review the facility staff failed to properly store and label medications for 1 of 7 medication carts and dispose of expired medications for 1 of 7 medication carts and 1 of 4 medication rooms.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to ensure a complete and accurately documented clinical record for 4 of 25 residents in the survey sample, Resident #19, #87, #108, and #74.
Inspectors wroteBased on observation, Resident interview, staff interview and facility document review the facility staff failed to protect personal privacy for 1 of 25 residents, Resident #48.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to review and revise the comprehensive person-centered care plan for 2 of 25 residents in the survey sample, Resident #76 and #74.
Inspectors wroteBased on resident interview, staff interview, and clinical record review, the facility staff failed to ensure that residents who are unable to carry out ADLs (activities of daily living) receive the necessary care and services to maintain personal hygiene and grooming for 1 of 25 residents in the survey sample, Resident #19.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to follow physician's orders for 1 of 25 residents in the survey sample, Resident #76.
20 fire safety citations on file: 1 on February 26, 2026, 10 on April 26, 2023, 9 on October 8, 2021.
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) | 3.69 | 3.76 | 3.86 |
| Registered nurses | 0.39 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.07 | 3.29 | 3.42 |
| Nurse aides | 1.96 | ||
| Licensed practical nurses | 1.34 | ||
| Nursing staff turnover (share who left in a year) | 64.2% | 48.1% | 45.8% |
| Registered nurse turnover | 76.5% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.29 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.94 on weekdays and 3.07 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.82 in April to June 2025 to 3.69 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 | 3.69 | 0.39 | 3.94 | 3.07 | 12.4% | 1 of 90 | 125 |
| Oct to Dec 2025 | 3.90 | 0.34 | 4.08 | 3.43 | 15.3% | 1 of 92 | 121 |
| Jul to Sep 2025 | 4.15 | 0.41 | 4.36 | 3.59 | 25.0% | 0 of 92 | 125 |
| Apr to Jun 2025 | 3.82 | 0.39 | 4.05 | 3.23 | 20.4% | 0 of 91 | 116 |
| 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 | 13.8 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.3 | 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 | 15.5 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.1 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.0 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.7 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.2 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 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 Highland Ridge Rehab Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
50.6% this home
No different from 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.
9.5% 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. 214 eligible stays.
7.0% 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. 134 eligible stays.
37.5% 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. 64 residents counted.
2.6% 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. 113 residents counted.
8.8% 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. 113 residents counted.
100.0% this home
Median of homes: Virginia97.8% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 37 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: HIGHLAND 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 |
|---|---|---|---|---|
| Landmark Operations Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 07/01/2019 |
| Vnb New York LLC | 5% or greater security interest | Organization | 07/01/2019 | |
| Viar, Lori J | W-2 managing employee | Individual | 07/01/2019 | |
| Idels, Shimon | Corporate officer | Individual | 07/01/2019 | |
| Lieberman, Joseph | Corporate officer | Individual | 07/01/2019 | |
| Schwartz, Steven | Corporate officer | Individual | 07/01/2019 | |
| Hvh Landmark Management LLC | Operational/managerial control | Organization | 07/01/2019 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.