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Lynchburg Health & Rehabilitation Center

5615 Seminole Avenue, Lynchburg, VA 24502 · Lynchburg City County · (434) 239-2657

180 certified beds, about 163 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1977

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495105 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 12, 2024, inspectors cited 29 health deficiencies (the Virginia average is 14.3, the national average 9.2).

Of 62 health citations since September 2019, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.82 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.

68.0% of nursing staff left within the year CMS measured (Virginia average 48.1%).

CMS links it to Lifeworks Rehab, an affiliated group of 64 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 62 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
43D
17E
1F
Potential for minimal harm
0A
0B
0C
July 14, 2026Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · deficient, provider has August 13, 2026
    Inspectors wroteBased on facility documentation reviews, staff interviews and observations, the facility staff failed to maintain an accurate record of the narcotic count record for on-coming and off-going staff for two out of nine medication carts.
November 13, 2025Complaint inspection · 5 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · 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) January 12, 2026
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to develop a care plan for one of two residents in a survey sample. The Findings Include: Resident #1 (R1) did not have a care plan for noncompliance to medications, treatments, hygiene, and incontinence care. R1diagnoses include paraplegia, osteomyelitis, urinary tract infection, indwelling catheter, and MRSA (methicillin-resistant-Staphylococcus aureus. The most recent MDS (minimum data set) was a significant change dated 7/24/25 and indicated R1 was cognitively intact. Review of R1's clinical record including medication administration records, treatment administration record, nursing progress notes, physician progress notes, and activity of daily living (ADL) tool indicated R1 was refusing care and treatments, and medications at times. [...]
  2. 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) January 12, 2026
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to follow professional standards of care regarding skin assessments for one of two residents in the survey sample (Resident #2).
  3. 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 · found on a complaint visit · Corrected (the home has a date of correction) January 12, 2026
    Inspectors wroteBased on resident interview, staff interview and clinical record review, the facility staff failed to administer medication as ordered by the physician for one of two residents in the survey sample (Resident #2)
  4. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 12, 2026
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure a complete and accurate clinical record for one of two residents in a survey sample.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 12, 2026
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to follow infection control practices during dressing changes for one of two residents in the survey sample (Resident #2).
April 9, 2025Complaint inspection · 4 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to notify the responsible party of a change in condition for one of four residents in the survey sample (Resident #3).
  2. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · 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) May 15, 2025
    Inspectors wroteBased on staff interview and facility document review, the facility staff failed to ensure a clean, homelike room environment for one of four residents in the survey sample (Resident #3).
  3. 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) May 15, 2025
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to follow professional standards of quality for one of four residents in the survey sample (Resident #3).
  4. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to provide a complete and accurate clinical record for one of four residents in the survey sample (Resident #3).
September 12, 2024Standard inspection · 29 citations
  1. F
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    F909 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to implement a bed safety program for the entire facility affecting all residents residing on 3 of 3 units.
  2. E
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, staff interview, and resident interview, the facility failed to accommodate the resident's preference to dine in the dining room affecting multiple residents on three of three units.
  3. E
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on Resident interview, staff interview, and facility documentation review, the facility staff failed to provide Residents with quarterly statements of their trust account/bank accounts and failed to allow residents to readily access their trust funds, affecting all 140 residents with trust accounts.
  4. E
    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, pattern · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on resident interview, staff interview and clinical record review, the facility staff failed to review and revise the comprehensive care plan for four of thirty-three residents in the survey sample (Residents #49, #66, #30 and #131).
  5. E
    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, pattern · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to follow physician orders for five of thirty-three residents in the survey sample (Residents #66, #159, #99, #149, and #92).
  6. E
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, staff interviews, resident interviews, clinical record reviews, and facility documentations the facility staff failed to provide trauma informed care for six residents, (Resident #30-R30, Resident #39-R39, Resident #105-R105, Resident #134-R134, Resident #149-R149 and Resident #367-R367) out of a survey sample of 33 residents.
  7. E
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
    F808 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide a therapeutic diet as ordered by the physician for four residents (Resident #139, #55, #9, and #30), in a survey sample of 33 residents.
  8. 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) October 28, 2024
    Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to store, prepare and serve food in a sanitary manner from the main kitchen and on one of three units (West unit).
  9. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to maintain effective pest control.
  10. 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) October 28, 2024
    Inspectors wroteBased on observation and staff interview, the facility staff failed to distribute meals in a manner to maintain and enhance a residents dignity affecting several residents on one of three units.
  11. 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 28, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility documentation review, the facility staff failed to ensure residents dignity was upheld for one resident, (Resident #99 - R99) in a survey sample of 33 residents.
  12. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on staff interview, facility documentation review, and clinical record review, the facility staff failed to issue an ABN (Advanced Beneficiary Notice) to one resident (Resident #107-R107) in a survey sample of three residents reviewed for such notices.
  13. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility documentation review, the facility staff failed to provide a homelike environment and clean medical equipment for resident use, affecting two residents (Resident #99- R99 and Resident #55- R55) in a survey sample of 33 residents.
  14. 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 · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on resident interview, staff interview, clinical record review and facility documentation review, the facility staff failed to report an allegation of abuse to the state survey agency and other officials as required for an incident involving two residents (Resident #14 - R14 and Resident #99 - R99) in a survey sample of 33 residents.
  15. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, staff interview, clinical record review and facility documentation review, the facility staff failed to develop a comprehensive resident-centered care plan for one resident (Resident #49-R49) in a survey sample of 33 residents.
  16. 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 · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, staff interview, clinical record review and facility documentation review, the facility staff failed to follow professional standards of practice for three of 33 residents in the survey sample. (Residents #268, #134, #49).
  17. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wrote2. For resident #92 (R92), the facility staff failed to provide activities to meet the psychosocial well-being of the resident and in accordance with resident preferences. On 9/9/24 at approximately 11:45 p.m., the surveyor was approached by a certified nursing assistant (CNA #3) who reported for the surveyor to not enter a room [which the CNA identified as R92's room]. CNA #3 reported the resident had behaviors and could be extremely combative. On 9/9/24 at approximately 12:30 p.m., R92 was observed in his room. It was noted that the room was dark, the curtains were pulled, no lights were on, and the resident was sitting in a wheelchair in the middle of the room. The room was noted to be empty with no personal possessions, no television, no radio, no books, magazines or other things for the resident to do to occupy his time. [...]
  18. 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) October 28, 2024
    Inspectors wroteBased on staff interview, and clinical record review, the facility staff failed to implement interventions for care/treatment of pressure ulcer for one of 33 residents in the survey sample (Resident #268).
  19. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility documentation review, the facility staff failed to provide services to maintain good foot health of two residents (resident #49-R49 and resident #30-R30) in a survey sample of 33 residents.
  20. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to implement interventions for a resident with contractures, to prevent the worsening of contractures for one resident (Resident #49-R49) in a survey sample of 33 residents.
  21. 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 · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure suction was in place for respiratory care of a tracheostomy for one of 33 residents, Resident #159 (R159).
  22. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on resident interview, staff interview, facility document review, and clinical record review, the facility failed to provide physician ordered dialysis services and failed to share/communicate care provided during a dialysis treatment for one of thirty-three residents (Resident #2).
  23. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to attempt alternatives prior to implementing the use of bed rails for one resident (Resident #49-R49) in a survey sample of 33 residents.
  24. 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) October 28, 2024
    Inspectors wroteBased on resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to ensure a medication was available for administration for one of thirty-three residents in the survey sample (Resident #79).
  25. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to label an insulin pen when opened on one of three units (West unit).
  26. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, staff interview, resident interview, and clinical record the facility staff failed to provide food in accordance with the menu for one, (Resident #39, R39) out of 33 residents in the survey sample.
  27. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on observation, resident interview, and staff interviews the facility staff failed to provide food preferences for one of 33 residents. Resident # 69 (R69) was not provided side salads as requested.
  28. D
    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, isolated · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to provide a complete and accurate clinical record for three of thirty-three residents in the survey sample (Resident #268, #30 and #149).
  29. 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 28, 2024
    Inspectors wroteBased on observation, staff interviews, clinical record review and facility documentation review the facility staff failed to provide a negative urinalysis prior to removing contact isolation for one resident, Resident #134 (R134) in a survey sample of 33 residents.
April 16, 2024Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to ensure resident identifiable information was not released to the public for 41 of 42 residents in the survey sample, Residents 1- 41.
July 1, 2021Standard inspection · 12 citations
  1. K
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · Corrected (the home has a date of correction) October 19, 2021
    Inspectors wrote9. Resident #32 was originally admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included schizoaffective disorder, hypertension, colon cancer, muscle weakness, unspecified psychosis, major depression disorder, anemia, dysphasia, unspecified severe protein-calorie malnutrition, and Parkinson's disease. The most recent minimum data set (MDS) dated [DATE] was the admission assessment and assessed Resident #32 as moderately impaired for daily decision making with a score of 9 out of 15. On [DATE], Resident #32's clinical record was reviewed. Observed on the physician's order summary was the following order: obtain weekly weight. Order Status: Active. Order Date: [DATE] Observed on the care plans was the following: Nutrition risk r/t (related to) colon cancer/tx (treatment), hx (history) overweight. [...]
  2. E
    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, pattern · Corrected (the home has a date of correction) October 19, 2021
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to notify the physician in a timely manner of medication (Hydrocodone) not given per order, for one of thirteen residents, Resident #201.
  3. E
    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, pattern · Corrected (the home has a date of correction) October 19, 2021
    Inspectors wroteBased on clinical record review, staff interview, and facility document review, the facility staff failed to review and revise the comprehensive care plan for 5 of 38 Residents, (Resident #10, #23, #133, and #71). Resident #10's care plan was not reviewed and revised regarding hospice services, enhanced droplet precautions, and diabetes mellitus. Resident #23's care plan was not reviewed and revised regarding the resolution of pressure ulcers. Resident #133's care plan did not include hospice services. Resident #86's care plan was not reviewed and revised to include hospice admission and the use of geri-sleeves. Resident #71's care plan was not revised with problems, goals and interventions regarding pressure ulcers.
  4. E
    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, pattern · Corrected (the home has a date of correction) October 19, 2021
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure medications were available for two of 13 residents, Resident # 201 and Resident # 210. Resident #201 did not receive Hydrocodone three times per day as ordered by the physician because it was not available for administration. Resident # 210 was not administered Ofloxacin three times a day as ordered, and once a day as ordered.
  5. 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) September 21, 2021
    Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to store and prepare food in a sanitary manner in the main kitchen.
  6. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 6, 2021
    Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to ensure an accurate minimum data set (MDS) for one of 38 residents in the survey sample. An admission MDS for Resident #56 had an inaccurate assessment of the resident's dental issues.
  7. 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) September 21, 2021
    Inspectors wroteBased on observations, complaint investigation, clinical record review, and staff interview, the facility staff failed for three of 38 residents in the survey sample (Residents # 80, 88 and 127), to provide routine foot care. Residents # 80, 88 and 127 had elongated toenails with clearly visible debris under the great toes on their left and right feet.
  8. 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 · Corrected (the home has a date of correction) October 19, 2021
    Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to ensure one of ten residents was administered oxygen as ordered by the physician, Resident #106.
  9. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 21, 2021
    Inspectors wroteBased on observation, document review, and staff interview, the facility staff failed to ensure expired vaccine was not available for administration on one of 3 units: East unit. A bag containing seven expired vials of Afluria, an influenza vaccine, was in a thermal container in the medication room refrigerator.
  10. D
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    F800 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2021
    Inspectors wroteBased on observation, resident interview, and staff interview the facility staff failed to honor food preferences for one of 38 residents in the survey sample: Resident # 18.
  11. D
    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, isolated · Corrected (the home has a date of correction) August 6, 2021
    Inspectors wroteBased on clinical record review and staff interview, the facility staff failed to ensure a complete and accurate clinical record for two of 38 residents (Resident #285 and Resident #71). Resident #285's clinical record contained another resident's Covid-19 vaccination record, and Resident #71 had an incomplete treatment record for pressure ulcer dressing changes.
  12. 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) September 21, 2021
    Inspectors wroteBased on observation, staff interview, facility policy review and clinical record review, the facility staff failed to follow infection control practices during meal tray distribution on one of three nursing units. Staff members on the South wing failed to don gowns and gloves when serving meal trays to residents on droplet precautions.
September 17, 2019Standard inspection · 10 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) November 1, 2019
    Inspectors wroteBased on observation, staff interview, resident interview, and clinical record review, the facility staff failed to follow physician orders for 4 of 39 residents in the survey sample. A physician ordered knee brace for Resident # 86 was not applied per order; fluid restriction for Resident # 408 was not implemented as ordered; TED hose (compression stockings) were not applied as ordered for Resident # 143; and medications were not administered per physician's orders for Resident #355.
  2. E
    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, pattern · Corrected (the home has a date of correction) November 1, 2019
    Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to implement interventions for the prevention of pressure ulcers for one of 39 residents in the survey sample. Resident #121, with a recent history of pressure ulcers on both heels, did not have dressings, topical treatment and protective booties applied for 10 consecutive days as required by physician orders and the care plan for pressure ulcer prevention.
  3. E
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 1, 2019
    Inspectors wroteBased on observation, staff interview, and clinical record review the facility staff failed to provide restorative nursing services for one of 39 residents in the survey sample, Resident # 86.
  4. E
    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, pattern · Corrected (the home has a date of correction) November 1, 2019
    Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to implement interventions for fall and injury prevention for one of 39 residents in the survey sample. Resident #112's fall mats were not implemented for over a month following an unwitnessed fall from his bed.
  5. 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) November 1, 2019
    Inspectors wroteBased on observation and staff interview, the facility staff failed to ensure a dignified dining experience on one of three dining areas. During breakfast in the East unit restorative dining room, facility staff stood over residents while feeding them and fed them without initiating any conversation.
  6. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2019
    Inspectors wroteBased on resident interview, staff interview and clinical record review the facility staff failed to implement the care plan (CP) for Resident # 86 for restorative services, and failed to develop a comprehensive plan of care (CCP) for Resident # 408's fluid restriction.
  7. 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) November 1, 2019
    Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to review and revise the comprehensive care plan for two of 39 residents in the survey sample. Resident #112's care plan was not revised to include use of fall mats and an air mattress. Resident #69's care plan was not revised regarding a healed pressure ulcer.
  8. 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 · Corrected (the home has a date of correction) November 1, 2019
    Inspectors wroteBased on observation, staff interview, and resident record review, the facility staff failed to follow physician orders for oxygen administration for 2 of 39 resdients in the survey sample, Residents #46 and #114. The Findings Include: 1. Resident #46 was admitted to the facility on [DATE]. Diagnoses for Resident #46 included: Congestive heart failure, diabetes, chronic obstructive pulmonary disease, and sleep apnea. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 7/17/19. Resident #46 was assessed as being cognitively intact. On 09/16/19 at 9:12 AM, Resident # 46 was interviewed. During the interview Resident #46 was asked if staff change out oxygen tubing and asked to observed oxygen concentrator. Resident #46 stated that staff do change the oxygen tubing. [...]
  9. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2019
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to assess one of 39 residents (Resident #112) for entrapment risks prior to use of bed rails with a specialty mattress.
  10. 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) November 1, 2019
    Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to perform hand hygiene during meal assistance in one of three dining rooms (East unit restorative).

Fire safety inspections

9 fire safety citations on file: 6 on September 12, 2024, 1 on July 1, 2021, 2 on September 17, 2019.

Every fire safety citation9 citations
  1. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · September 12, 2024 · Corrected (the home has a date of correction)
  2. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 12, 2024 · Corrected (the home has a date of correction)
  3. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 12, 2024 · Corrected (the home has a date of correction)
  4. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · September 12, 2024 · Corrected (the home has a date of correction)
  5. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 12, 2024 · Corrected (the home has a date of correction)
  6. D
    Meet other general requirements.
    K 932 · September 12, 2024 · Corrected (the home has a date of correction)
  7. D
    Have proper power supply for life support equipment.
    K 915 · July 1, 2021 · Corrected (the home has a date of correction)
  8. E
    Meet other general requirements.
    K 200 · September 17, 2019 · Corrected (the home has a date of correction)
  9. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · September 17, 2019 · Corrected (the home has a date of correction)

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.

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)3.823.763.86
Registered nurses0.450.690.69
All nursing staff on weekends3.533.293.42
Nurse aides2.49
Licensed practical nurses0.89
Nursing staff turnover (share who left in a year)68.0%48.1%45.8%
Registered nurse turnover64.0%48.2%42.9%
Administrators who left2

CMS expects 4.48 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 3.94 on weekdays and 3.53 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 32.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 3.82 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.820.453.943.53 32.9%0 of 90163
Oct to Dec 20253.430.563.483.30 37.6%0 of 92169
Jul to Sep 20253.410.563.572.99 20.8%0 of 92161
Apr to Jun 20253.640.473.853.11 19.2%0 of 91159
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.

Staff pay reports

Staff pay at this home

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.

Official wage estimates for Virginia

JobMedianMiddle halfEmployed
Virginia, all employers
CNAs (nursing assistants)$20.77$17.80 to $22.5640,580
LPNs and LVNs$31.21$28.66 to $35.8415,550
Registered nurses$45.00$38.51 to $49.5377,490
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

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
14.914.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.60.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.51.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.73.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.71.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
18.915.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.74.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
26.614.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
18.122.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.411.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.91.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Lynchburg Health & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

49.5% 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. 111 eligible stays.

Potentially preventable readmissions

12.7% this home

No different from the national rate

US median of homes 10.7% · Virginia: 1 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 125 eligible stays.

Infections that led to a hospital stay

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. 76 eligible stays.

Self-care and mobility at discharge

46.3% 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. 41 residents counted.

Falls with major injury

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. 64 residents counted.

New or worsened pressure ulcers

1.1% 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. 64 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 19 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.

Owners and operators

Legal business name: LYNCHBURG CARE CENTER LLC. CMS links this home to Lifeworks Rehab, a group of 64 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Lynchburg Holdings I LLC5% or greater direct ownership interestOrganization100%05/28/2021
Ak 2003 Family Trust5% or greater indirect ownership interestOrganization05/28/2021
Al 2003 Family Trust5% or greater indirect ownership interestOrganization05/28/2021
Charles 1994 Family Grantor Trust5% or greater indirect ownership interestOrganization05/28/2021
Golden 2017 Family Grantor Trust5% or greater indirect ownership interestOrganization05/28/2021
Golden 2017 LLC5% or greater indirect ownership interestOrganization05/28/2021
Matt 2002 Family Grantor Trust5% or greater indirect ownership interestOrganization05/28/2021
Matt 2002 LLC5% or greater indirect ownership interestOrganization05/28/2021
Nathan 5604 & Family LLC5% or greater indirect ownership interestOrganization05/28/2021
Nathan 5604 Family Grantor Trust5% or greater indirect ownership interestOrganization05/28/2021
Nathan 5604 LLC5% or greater indirect ownership interestOrganization05/28/2021
Sas 1998 Family Trust5% or greater indirect ownership interestOrganization05/28/2021
Saul 2012 Family Grantor Trust5% or greater indirect ownership interestOrganization05/28/2021
Silverstone East LLC5% or greater indirect ownership interestOrganization05/28/2021
Flynn, KennedyW-2 managing employeeIndividual09/13/2023
Rybst Central Manager LLCOperational/managerial controlOrganization05/28/2021

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.

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 19 problems in this area, most recently on November 13, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 15 problems in this area, most recently on November 13, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 10 problems in this area, most recently on April 9, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on September 12, 2024: "Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law."
  5. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Virginia contacts for a concern about a nursing home

These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.

Common questions

What is Lynchburg Health & Rehabilitation Center's Medicare star rating?
CMS rates Lynchburg Health & Rehabilitation Center 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Lynchburg Health & Rehabilitation Center get at its last inspection?
29 health deficiencies at the standard inspection on September 12, 2024. The Virginia average is 14.3.
Has Lynchburg Health & Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Lynchburg Health & Rehabilitation Center 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 Lynchburg Health & Rehabilitation Center?
CMS lists 16 owners and managers, and links the home to Lifeworks Rehab. Legal business name: LYNCHBURG CARE CENTER LLC.

Sources

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