Home / Virginia / Fishersville
Shenandoah Nursing Home
339 Westminister Drive, Fishersville, VA 22939 · Augusta County · (540) 949-8665
84 certified beds, about 81 residents a day · For profit - Corporation · Medicare and Medicaid since 1991
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495262 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 30, 2024, inspectors cited 8 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 15 health citations since April 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.43 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
37.0% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Saber Healthcare Group, an affiliated group of 126 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.
504/19
203/22
805/24
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
3E
0F
Potential for minimal harm
0A
0B
0C
May 30, 2024Standard inspection · 8 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and facility documentation review, the facility staff failed to store and prepare food in accordance with professional standards for food service safety in one of one kitchen.
- D Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to conduct a quarterly assessment timely for one resident (Resident #46 - R46), in a survey sample of 22 residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to develop a comprehensive care plan for one of twenty-two residents in the survey sample (Resident #30).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to review and revise the care plan for one resident (Resident #46 - R46), in a survey sample of 22 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to follow professional standards of practice to one resident (Resident #31- R31), during medication observations conducted on one of two nursing units.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide care and services in accordance with the plan of care to promote the healing of a pressure ulcer, for one resident (Resident 46- R46), in a survey sample of 22 residents.
- 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.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to ensure expired medication was not accessible for distribution in the medication room on unit two.
- D Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to provide fortified food items as required in the plan of care for one of twenty-two residents in the survey sample (Resident #26).
March 10, 2022Standard inspection · 2 citations
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to review and revise the comprehensive care plan (CCP) for one of 17 residents in the survey sample, Resident #31.
- 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.
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to ensure assistive devices were implemented for the prevention of decreased range of motion (ROM) for one of 17 residents in the survey sample, Resident #31.
April 10, 2019Standard inspection · 5 citations
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to develop a comprehensive care plan for two of 17 residents, Resident #9 and Resident #28. 1. Resident #9 did not have a care plan for the use of a compression glove to her left hand. 2. Resident #28 did not have a care plan for the use of TED (Thrombo-Embolic Deterrant) hose.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medication pass and pour observation, staff interview, and clinical record review, facility staff failed to follow physician orders for one of 17 residents in the survey sample, Resident #23. Facility staff failed to follow physician orders for administration of Calcium with Vitamin D for one of 17 residents in the survey sample, Resident #23.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased observation, resident interview, staff interview, and clinical record review the facility staff failed to ensure the CCP (comprehensive care plan) was reviewed and revised for one of 17 residents in the survey sample, Resident #40. The facility staff failed to review and revise the CCP for Resident #40 for the treatment of edema to BLE (bilateral lower extremities).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on medication pass and pour observation, staff interview, facility document review, and clinical record review, facility staff failed to follow professional standards of clinical practice for medication administration for two of 17 residents in the survey sample, Residents #21 and #23. Facility staff failed to administer medications in a timely manner during the morning medication pass and pour observation conducted 04/09/2019 for Residents #21 and #23.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased observation, resident interview, staff interview, and clinical record review, the facility staff failed to administer oxygen as ordered and per professional standards of practice for one of 17 residents in the survey sample, Resident #40 . The facility staff failed to titrate Resident #40's oxygen as ordered by the physician.
Fire safety inspections
2 fire safety citations on file: 2 on May 30, 2024.
Every fire safety citation2 citations
- D Install a fire alarm system that can be heard throughout the facility.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.43 | 3.76 | 3.86 |
| Registered nurses | 0.50 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.91 | 3.29 | 3.42 |
| Nurse aides | 2.05 | ||
| Licensed practical nurses | 0.88 | ||
| Nursing staff turnover (share who left in a year) | 37.0% | 48.1% | 45.8% |
| Registered nurse turnover | 37.5% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.99 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 3.64 on weekdays and 2.91 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.49 in April to June 2025 to 3.43 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.43 | 0.50 | 3.64 | 2.91 | 0.1% | 0 of 90 | 81 |
| Oct to Dec 2025 | 3.41 | 0.51 | 3.65 | 2.81 | 0.1% | 0 of 92 | 82 |
| Jul to Sep 2025 | 3.45 | 0.44 | 3.69 | 2.84 | 0.0% | 0 of 92 | 81 |
| Apr to Jun 2025 | 3.49 | 0.44 | 3.71 | 2.94 | 0.2% | 0 of 91 | 81 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 36.6 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 29.8 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.1 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.2 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.5 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.0 | 1.5 | 1.8 |
Owners and operators
Legal business name: AUTUMN CORPORATION. CMS links this home to Saber Healthcare Group, a group of 126 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Shg Autumn, LLC | 5% or greater direct ownership interest | Organization | 100% | 03/01/2016 |
| Wwbv Holdings LLC | 5% or greater indirect ownership interest | Organization | 100% | 09/30/2019 |
| Sholes-Colvin, Lori Davis | W-2 managing employee | Individual | 03/01/2016 | |
| Volpe, Benjamin | Corporate director | Individual | 03/01/2019 | |
| Weisberg, William | Corporate director | Individual | 03/01/2019 | |
| Nicoluzakis, Gregory | Corporate officer | Individual | 03/01/2019 | |
| Volpe, Benjamin | Corporate officer | Individual | 03/01/2019 | |
| Weisberg, William | Corporate officer | Individual | 03/01/2019 | |
| Saber Governance LLC | Operational/managerial control | Organization | 09/01/2019 | |
| Adkins, Kenneth | Operational/managerial control | Individual | 05/30/2023 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on May 30, 2024: "Assure that each resident’s assessment is updated at least once every 3 months."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on May 30, 2024: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on May 30, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on May 30, 2024: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.91 hours per resident per day, below the Virginia average of 3.29.
Other nursing homes nearby
- Augusta Nursing and Rehabilitation Fishersville, 1.1 mi · 1 of 5 stars · 81 citations
- Augusta Medical Ctr Skilled Ca Fishersville, 1.3 mi · 5 of 5 stars · 4 citations
- River Edge Rehabilitation and Nursing Waynesboro, 3.5 mi · 1 of 5 stars · 41 citations
- Summit Square Waynesboro, 4.5 mi · 4 of 5 stars · 27 citations
- Staunton Post Acute & Rehabilitation Staunton, 6.2 mi · 2 of 5 stars · 47 citations
- Kings Daughters Community Health & Rehab Staunton, 6.7 mi · 1 of 5 stars · 83 citations
- Bridgewater Home , Inc. Bridgewater, 19.3 mi · 4 of 5 stars · 26 citations
- Blue Ridge Rehabilitation and Nursing Harrisonburg, 23.4 mi · 2 of 5 stars · 58 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Shenandoah Nursing Home's Medicare star rating?
- CMS rates Shenandoah Nursing Home 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Shenandoah Nursing Home get at its last inspection?
- 8 health deficiencies at the standard inspection on May 30, 2024. The Virginia average is 14.3.
- Has Shenandoah Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Shenandoah Nursing Home 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 Shenandoah Nursing Home?
- CMS lists 10 owners and managers, and links the home to Saber Healthcare Group. Legal business name: AUTUMN CORPORATION.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.