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Lynn Care Center

1000 Shenandoah Avenue, Front Royal, VA 22630 · Warren County · (540) 636-0300

120 certified beds, about 109 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495316 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 12, 2026, inspectors cited 19 health deficiencies (the Virginia average is 14.3, the national average 9.2).

Of 54 health citations since August 2021, 4 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 1 fine totaling $38,110 in the last three years; the largest was $38,110, and the latest is dated January 12, 2026.

Nurses and nurse aides worked 4.11 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.

56.6% 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.

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 54 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
2K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
44D
5E
0F
Potential for minimal harm
0A
0B
1C
January 12, 2026Standard inspection, Complaint inspection · 19 citations
  1. K
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to protect the residents' right to be free from physical abuse by other residents for 11 of 52 residents in the survey sample, Residents #127, #94, #126, #128, #25, #13, #41, #68, and #58, resulting in the identification of immediate jeopardy; and for Residents #48 and #35.
  2. K
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to provide care, services, and adequate supervision for resident safety for two of 52 residents in the survey sample, Resident #99, resulting in the identification of immediate jeopardy and for Resident #40, resulting in harm.
  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 · found on a complaint visit · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to review and revise the comprehensive care plan for four of 52 residents in the survey sample, Residents #94, #128, #25, and #13.
  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) March 10, 2026
    Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to prepare store and serve food in a sanitary manner in one of one facility kitchens.
  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) February 10, 2026
    Inspectors wroteBased on observation and staff interview, facility staff failed to promote resident's dignity for one of 52 residents in the survey sample, Resident #45.
  6. 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) February 10, 2026
    Inspectors wroteBased on observation, clinical record review and facility document review, it was determined that the facility staff failed to maintain a clean, homelike environment for two of 52 residents in the survey sample, Residents #48 and #131.
  7. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on facility document review, clinical record review and staff interview, it was determined that the facility staff failed to implement their abuse policy for timely reporting of an abuse allegation for one of 52 residents in the survey sample, Resident #99.
  8. 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) February 10, 2026
    Inspectors wroteBased on facility document review, clinical record review and staff interview, it was determined that the facility staff failed to report an abuse allegation in a timely manner for one of 52 residents in the survey sample, Resident #99.
  9. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to notify the ombudsman of a discharge for one of 52 residents in the survey sample, Resident #119.
  10. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on clinical record review, staff interview and facility document review, facility staff failed to obtain a Level I (one) PASARR (preadmission screening and resident review) for two of 52 residents in the survey sample, Resident #11 and #38.
  11. 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) February 10, 2026
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to provide respiratory care and services in a sanitary manner for two of 52 residents in the survey sample, Residents #8 and #97.
  12. D
    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, isolated · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on staff interview and facility document review, the facility staff failed to complete an annual performance evaluations for two of five CNA (certified nursing assistant) records reviewed, CNAs #5 and #6.
  13. D
    Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
    F840 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on staff interview and facility document review, the facility staff failed to evidence agreements for contractual services for one of one facility.
  14. 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) February 10, 2026
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to follow infection control procedures for one of 52 residents in the survey sample, Resident #8.
  15. D
    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
    F942 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on employee record review and staff interview, the facility staff failed to provide required training on resident rights for one of five staff records reviewed, OSM (other staff member) #8, a member of the dietary staff.
  16. D
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    F944 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on employee record review and staff interview, the facility staff failed to provide required training on QAPI (quality assurance and performance improvement)for one of five staff records reviewed, OSM (other staff member) #8, a member of the dietary staff.
  17. D
    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
    F945 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on employee record review and staff interview, the facility staff failed to provide required infection control training for one of five staff records reviewed, OSM (other staff member) #8, a member of the dietary staff.
  18. D
    Provide training in compliance and ethics.
    F946 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on employee record review and staff interview, the facility staff failed to provide required training on compliance and ethics for one of five staff records reviewed, OSM (other staff member) #8, a member of the dietary staff.
  19. D
    Provide behavior health training consistent with the requirements and as determined by a facility assessment.
    F949 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on employee record review and staff interview, the facility staff failed to provide required behavioral health training for one of five staff records reviewed, OSM (other staff member) #8, a member of the dietary staff.
February 7, 2025Complaint inspection · 3 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2025
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined the facility staff failed to ensure medications were available for administration for two of six residents in the survey sample, Residents #1 and #4.
  2. 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) March 25, 2025
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to notify the physician and/or responsible party when medications were not administered for three of six residents in the survey sample, Residents #1, #3, and #4.
  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) March 25, 2025
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to administer medications/supplements per the physician order for two of six residents in the survey sample, Residents #3 and #4.
July 16, 2024Complaint inspection · 3 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) October 18, 2024
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined the facility staff failed to review and revise the comprehensive care plan for two of four residents in the survey sample, Resident #2 and #3.
  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) October 18, 2024
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to follow professional standards of practice for one of four residents in the survey sample, Resident #1.
  3. 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide supervision to prevent elopement for three of four residents in the survey sample, Residents #2, #3, and #4.
January 6, 2023Standard inspection · 20 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on staff interview, resident interview, facility document review and clinical record review, it was determined the facility staff failed to provide adequate supervision and monitoring during a transfer resulting in a fall and fracture which constitutes harm, for one of 44 residents in the survey sample; Resident #32. This was cited as past non-compliance.
  2. 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) February 20, 2023
    Inspectors wroteBased on observation, staff interview and facility document review, it was determined the facility staff failed to store and prepare food in a sanitary manner in one of one kitchens.
  3. 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) February 20, 2023
    Inspectors wroteBased on staff interview, facility document review, clinical record review and in the course of a complaint investigation, it was determined the facility staff failed to notify the responsible party of a change in condition for one of 44 residents in the survey sample, Resident #18 (R18).
  4. D
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2023
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility staff failed to evidence that all required documentation was provided to the receiving facility upon a hospital transfer for one of 44 residents in the survey sample; Resident #25.
  5. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2023
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility staff failed to evidence that a written notice of a hospital transfer was provided to the resident's representative upon a hospital transfer for one of 44 residents in the survey sample; Resident #25.
  6. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2023
    Inspectors wroteBased on clinical record review, staff interview, and facility document review, it was determined that the facility staff failed to complete a significant change Minimum Data Set (MDS) assessment for one of 44 residents in the survey sample; Resident #25.
  7. 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) February 20, 2023
    Inspectors wroteBased on observation, clinical record review, staff interview and facility document review, it was determined that the facility staff failed to accurately code the MDS (minimum data set) for two of 44 residents in the survey sample, Residents #15 (R15) and #79 (R79).
  8. D
    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, isolated · Corrected (the home has a date of correction) February 20, 2023
    Inspectors wroteBased on observation, resident interview, staff interview, facility document review, and clinical record, the facility staff failed to complete a baseline care plan for two of 44 residents in the survey sample, Residents #337 and #237.
  9. 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) February 20, 2023
    Inspectors wroteBased on observations, staff interview, resident interview, clinical record review and facility document review, it was determined the facility staff failed to implement the care plan for two of 44 residents in the survey sample, Resident #32 and Resident #15.
  10. 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) February 20, 2023
    Inspectors wroteBased on staff interview, facility document review, clinical record review, and in the course of a complaint investigation, it was determined the facility staff failed to review and revise the care plan for one of 44 residents in the survey sample, Resident #18 (R18).
  11. 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) February 20, 2023
    Inspectors wroteBased on observation, resident interview, staff interview, facility document interview, and clinical record review, it was determined that the facility staff failed to obtain a physician's order for a newly-admitted resident's method of transfer from bed to chair for one of 44 residents in the survey sample, Resident #337.
  12. 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) February 20, 2023
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to provide toenail care to one of 44 residents in the survey sample, Resident #17.
  13. 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) February 20, 2023
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that facility staff failed to provide respiratory care and services for one of 44 residents in the survey sample, Resident #15 (R15).
  14. 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) February 20, 2023
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to provide care and services for a complete dialysis (1) program for one of 44 residents in the survey sample, Resident #237 (R237).
  15. 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) February 20, 2023
    Inspectors wroteBased on observation, resident interview, staff interview, facility document review, and clinical record, the facility staff failed to assess a resident for the safe use of side rails for one of 44 residents in the survey sample, Resident #337.
  16. D
    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, isolated · Corrected (the home has a date of correction) February 20, 2023
    Inspectors wroteBased on staff interview and employee record review it was determined that the facility staff failed to ensure three of five CNAs (certified nursing assistants) received annual performance reviews, CNA #4, #5, and #6.
  17. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2023
    Inspectors wroteBased on staff interview, facility document review and in the course of a complaint investigation, it was determined the facility staff failed to prepare and serve food at an appetizing temperature in one of three nursing units, Shenandoah Farms.
  18. D
    Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
    F811 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2023
    Inspectors wroteBased on observation, staff interview, and facility document review, it was determined the facility staff failed to ensure a staff member was a trained feeding assistant prior to allowing staff member (OSM #17) to feed one of 44 residents in the survey sample, Resident #26 (R26).
  19. D
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2023
    Inspectors wroteBased on observation, staff interview, and facility document review, it was determined the facility staff failed to maintain kitchen equipment in operating condition in one of one kitchens. The three-compartment sink was not functional.
  20. D
    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, isolated · Corrected (the home has a date of correction) February 20, 2023
    Inspectors wroteBased on staff interview and employee record review it was determined that the facility staff failed to ensure CNAs (certified nursing assistants) received required training as part of the annual performance reviews for three of five CNA records reviewed, CNA #4, #5, and #6.
August 31, 2021Standard inspection · 9 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) October 5, 2021
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide care and services for the prevention and treatment of a pressure injury for one of 28 residents in the survey sample, Resident #6. On 12/9/20, a knee immobilizer was placed on Resident #6's right leg in the emergency department due to a fracture. The facility staff failed to obtain a physician's order regarding removal of the immobilizer for assessments/checks of the resident's skin beneath and the area surrounding the immobilizer, failed to conduct weekly body skin assessments or assessments of the skin surrounded by the immobilizer from 12/11/20 until 12/21/20. On 12/21/20, documentation evidenced Resident #6 developed a DTI (deep tissue injury) pressure injury (1) on the right posterior calf. [...]
  2. 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) November 15, 2021
    Inspectors wroteBased on observation and staff interview, it was determined facility that the facility staff failed to store food in a sanitary manner. In the walk in freezer one nine pound half full box of crab cakes and one half full one pound box of frozen egg patties were observed open to the environment, and in the walk in refrigerator one 40 ounce package of provolone cheese was open to the environment. A mixer and blender on a food preparation table available for use were observed with food debris in the mixer bowl and the blender pitcher.
  3. 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 15, 2021
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to implement the comprehensive care plan for two of 28 residents in the survey sample, Residents #6 and #73. The facility staff failed to implement weekly skin assessments per Resident #6's comprehensive care plan, and failed to implement Resident #73's comprehensive care plan for fall mats.
  4. 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 15, 2021
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to review and revise the comprehensive care plan for one of 28 residents in the survey sample, Resident #6. The facility staff failed to review and revise Resident #6's comprehensive care plan when Resident #6 developed a DTI (deep tissue injury) pressure injury (1) on 12/21/20.
  5. 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) November 15, 2021
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide adequate supervision and implement a fall intervention for two of 28 residents in the survey sample, Resident #41 and 73. 1. On 7/21/21, staff observed Resident #73 inappropriately touch Resident #41 on the thigh. The facility staff failed to provide adequate supervision to ensure Resident #41 was not inappropriately touched again by Resident #73. Within a half hour of the first incident, Resident #73 was observed by staff with his hand inside of Resident #41's shirt. 2. The facility staff failed to implement fall mats per the plan of care for Resident #73 who had a history of falls and who was assessed and as being high risk for falls.
  6. 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 5, 2021
    Inspectors wroteBased on staff interview, resident interview, facility document review and clinical record review, it was determined the facility staff failed to evidence of ongoing communication and collaboration with the dialysis facility for one of 28 resident in the survey sample, Resident #29. The dialysis communication records for Resident #29, from 7/28/21-8/25/21, evidenced a total of three missing communication forms for the dates of: 8/11, 8/16, and 8/27.
  7. 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) November 15, 2021
    Inspectors wroteBased on observation, staff interview and review of facility documentation it was determined the facility staff failed to ensure expired medications were not available for resident administration on two of six medication carts, (Blue Ridge Terrace Unit medication cart, and Sycamore Terrace Unit medication cart). Observation revealed four Prosource (1) 1.5 milliliter pouches, with an expiration date of 10/24/220 were available for administration on the Blue Ridge Terrace Unit medication cart and a bottle of polyethylene glycol (2) with an expiration date of 08/24/2021, was available for resident administration on the Sycamore Terrace Unit medication cart.
  8. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 5, 2021
    Inspectors wroteBased on observation, and staff interview, it was determined that the facility staff failed to ensure expired laboratory medical supplies were not available for resident use in one of two facility medication storage rooms, Blue Ridge Terrace Unit medication storage room. The first floor medical supply cabinet was observed to contain multiple expired laboratory tube supplies that were available for resident use.
  9. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) October 5, 2021
    Inspectors wroteBased on observation and staff interview, it was determined that the facility staff failed to post current nurse staffing information. Nurse staffing information for 8/29/21 was not posted on 8/29/21. Instead, nurse staffing information for 8/27/21 was posted.

Fire safety inspections

9 fire safety citations on file: 1 on January 12, 2026, 5 on January 6, 2023, 3 on August 31, 2021.

Every fire safety citation9 citations
  1. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · January 12, 2026 · Corrected (the home has a date of correction)
  2. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · January 6, 2023 · Corrected (the home has a date of correction)
  3. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · January 6, 2023 · Corrected (the home has a date of correction)
  4. D
    Have properly located and lighted "Exit" signs.
    K 293 · January 6, 2023 · Corrected (the home has a date of correction)
  5. D
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · January 6, 2023 · Corrected (the home has a date of correction)
  6. D
    Have simulated fire drills held at unexpected times.
    K 712 · January 6, 2023 · Corrected (the home has a date of correction)
  7. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · August 31, 2021 · Corrected (the home has a date of correction)
  8. D
    Provide properly protected cooking facilities.
    K 324 · August 31, 2021 · Corrected (the home has a date of correction)
  9. D
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · August 31, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
January 12, 2026Fine $38,110

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)4.113.763.86
Registered nurses0.700.690.69
All nursing staff on weekends3.453.293.42
Nurse aides2.31
Licensed practical nurses1.09
Nursing staff turnover (share who left in a year)56.6%48.1%45.8%
Registered nurse turnover56.7%48.2%42.9%
Administrators who left1

CMS expects 4.25 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 4.37 on weekdays and 3.45 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 33.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.83 in April to June 2025 to 4.11 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.110.704.373.45 33.6%0 of 90109
Oct to Dec 20253.910.704.123.38 29.4%0 of 92110
Jul to Sep 20253.930.774.123.45 24.6%0 of 92110
Apr to Jun 20253.830.864.043.31 26.5%0 of 91111
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
10.914.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.71.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.43.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.11.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.315.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.84.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
5.814.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.522.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.911.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.51.8

Owners and operators

Legal business name: SHENANDOAH OPERATIONS HOLDINGS LLC. CMS links this home to Hill Valley Healthcare, a group of 43 nursing homes averaging 1.7 stars overall.

NameRoleTypeShareSince
Shenandoah SNF Operations Holdings LLC5% or greater direct ownership interestOrganization100%02/01/2022
Idels, ShimonCorporate officerIndividual02/01/2022
Shenandoah Operators Manager LLCOperational/managerial controlOrganization02/01/2022
Long, JasonOperational/managerial controlIndividual05/20/2024
Long, JasonAdp of the SNFIndividual03/20/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on January 12, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 11 problems in this area, most recently on January 12, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on January 12, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on January 12, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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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 Lynn Care Center's Medicare star rating?
CMS rates Lynn Care Center 2 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Lynn Care Center get at its last inspection?
19 health deficiencies at the standard inspection on January 12, 2026. The Virginia average is 14.3.
Has Lynn Care Center been fined?
Yes. CMS lists 1 fine totaling $38,110 in the last three years.
Does Lynn Care 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 Lynn Care Center?
CMS lists 5 owners and managers, and links the home to Hill Valley Healthcare. Legal business name: SHENANDOAH OPERATIONS HOLDINGS LLC.

Sources

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