3737 Catalpa Ave, Buena Vista, VA 24416 · Buena Vista City County · (540) 261-7444
93 certified beds, about 88 residents a day · For profit - Corporation · Medicare and Medicaid since 1987
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495168 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 23, 2023, inspectors cited 6 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 37 health citations since March 2019, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $50,635 in the last three years; the largest was $50,635, and the latest is dated January 31, 2024.
Nurses and nurse aides worked 3.16 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.
60.4% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Trio Healthcare, an affiliated group of 9 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 37 health citations on file.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to follow professional standards of care regarding medication orders for one of eight residents in the survey sample (Resident #1).
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to ensure one of eight residents in the survey sample was free from significant medication errors (Resident #1).
Inspectors wroteBased on staff interviews, clinical record review, and facility documentation review, the facility staff failed to conduct timely revisions of the comprehensive care plan for two residents (Resident #1 and Resident #5) in a survey sample of 14 residents. For Resident #1 (R1) the failure to revise the care plan and implement interventions that ensured R1 received the required dialysis treatments as ordered, resulted in R1 missing 3 dialysis sessions and 3 partial treatments, which resulted in four hospitalizations. This constituted four occurrences of harm.
Inspectors wroteBased on staff interviews, clinical record review, and facility documentation, the facility staff failed to ensure a Resident who required dialysis received scheduled dialysis treatments as ordered by the physician for 1 Resident (Resident #1) in a survey sample of 3 dialysis Residents reviewed. Resident #1 (R1) was hospitalized 4 times during a 3-month period due to missed dialysis treatments, requiring hospitalization for urgent dialysis due to being symptomatic of fluid overload, this constituted harm.
Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to complete performance reviews of nurse aides and therefore failed to provide in-service education based on the outcome of the performance reviews, affecting all 40 nurse aides employed by the facility.
Inspectors wroteBased on facility documentation and staff interviews, the facility staff failed to conduct and document a facility-wide assessment to include the care required by the resident population, staff competencies necessary for the care needed for the resident population, ethnic/cultural/religious factors that may affect care provided by the facility, services provided, and health information technology resources, which have the potential to affect all 75 residents residing at the facility.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to implement infection control procedures and the Centers for Disease Control and Prevention recommendations to prevent the spread of infections within the facility which had the potential to affect residents and staff on 2 of 3 nursing units.
Inspectors wroteBased on staff interview, staff record reviews, and facility documentation review, the facility staff failed to develop a training plan based on the facility assessment, which had the potential to affect all staff employed by the facility and all residents in their care.
Inspectors wroteBased on staff interviews and employee record reviews, the facility staff failed to provide QAPI (Quality Assurance and Performance Improvement) training to 9 of 9 sampled employees reviewed for educational requirements.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to permit a resident to return to the facility after hospitalization, affecting 1 resident (Resident #1- R1) in a survey sample of 14 residents.
Inspectors wroteBased on staff interview, clinical record review and facility documentation review, the facility staff failed to provide pharmaceutical services to meet the needs of 3 residents (Resident #3- R3, Resident #8- R8 and Resident #9- R9), in a survey sample of 14 residents.
Inspectors wroteBased on staff interview, clinical record review and facility documentation review, the facility staff failed to maintain a complete and accurate medical record for one resident (Resident #1- R1) in a survey sample of 10 Residents.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to ensure the proper timeframe was in place to rescind a binding arbitration agreement for residents in the facility.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review the facility staff failed to follow professional standards of practice during medication administration for one of 19 residents in the survey sample: Resident # 33.
Inspectors wroteBased on a medication pass and pour observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure a medication error rate of less than 5 percent. The facility had two medication errors out of 28 medication opportunities, which resulted in a medication error rate of 7.14 percent.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review the facility staff failed to ensure one of 19 residents in the survey sample was free from a significant medication error: Resident # 33.
Inspectors wroteBased on resident interview, staff interview, and clinical record review, the facility staff failed to maintain a complete and accurate clinical record for one of 19 residents in the survey sample: Resident # 33.
Inspectors wroteBased on a medication pass and pour observation, staff interview, and facility document review, the facility staff failed to ensure infection control practices during the administration of medications.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, the facility staff failed to promptly assess, implement interventions, and provide immediate care for the prevention and/or treatment of pressure ulcers for one of 22 residents in the survey sample (Resident #50), resulting in harm. Resident #50 developed two pressure ulcers on the inside of both knees initially identified at an unstageable status with thick, necrotic tissue over the wounds. There was no prior assessment of impaired skin in those areas, and after treatment, were assessed as stage 4 pressure ulcers. Staff failed to follow physician orders and infection control practices during dressing changes to Resident #50's pressure ulcers. [...]
Inspectors wroteBased on observation, facility document review and staff interview, the facility staff failed to ensure a facility wide assessment was completed and documented to include infection control practices related to COVID-19 for day to day operations and during emergencies. The facility assessment failed to include care required by the resident population considering infection control practices and/or for infection control related to COVID-19 residents, that were present within that population. The facility assessment also failed to include input from the administrator, the DON (director of nursing) and the medical director.
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to provide a complete and accurate record for the documentation of dietary orders for 2 of 22 in the survey sample, Resident #365 and Resident #366; and failed to ensure a complete and accurate record for the documentation of immunization records for 3 of 22 in the survey sample, Resident #165, Resident #60, and Resident #366.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to develop policies and procedures for infection control practices for droplet precautions, and failed to follow infection control practices during dressing changes for one of 22 residents in the survey sample (Resident #50).
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to provide an appropriate adaptive light switch and ensure accessibility to a call bell for one of 22 residents in the survey sample. Resident #50, with limited range of motion and mobility was observed with his call bell out of reach. The cord for Resident #50's over-bed light was too short for resident use and was modified with a plastic bag attached to the end of the cord.
Inspectors wroteBased on clinical record review, family interview, and staff interview, the facility staff failed to ensure an advance directive was followed for one of 22 residents (Resident #60). Resident #60 had an advance directive prior to entry into the facility that appointed his wife as DPOA (durable power of attorney) to make medical decisions for the resident [in the event the resident could not]. The facility failed notify the resident's wife regarding code status of the resident, upon the resident's admission to the facility. The facility had Resident #60 sign his own DNR (do not resuscitate) after the facility had identified and assessed the resident with severe cognitive impairment.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to ensure one of 22 residents was free from neglect. Facility staff failed to promptly assess, notify the provider, and obtain treatment orders for Resident #50 regarding a newly identified pressure ulcer.
Inspectors wroteBased on staff interview, and clinical record review, the facility staff failed to develop a CCP (comprehensive care plan) for a central line and transmission based precautions secondary to MRSA, for one of 22 residents in the survey sample (Resident #217) .
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to revise the comprehensive care plan for one of 22 residents in the survey sample. Resident #50's plan of care was not revised to include use of a cushion, wedge, and pillows for positioning and prevention of skin impairments.
Inspectors wroteBased on clinical record review and staff interview, the facility staff failed to follow physician's orders for one of 22 residents in the survey sample (Resident #60) for weekly weights.
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to ensure a medication was available for administration to one of four residents in a medication pass observation. The supplement PreserVision AREDS was not available for administration to Resident #33.
Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to ensure a medication error rate of less than 5%. A medication pass observation revealed two errors out of 38 opportunities resulting in a 5.26% error rate. Resident #33 was administered a multivitamin instead of physician ordered PreserVision AREDS and was administered Senna instead of physician ordered Senna-Docusate Sodium.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to implement food preferences for two of 22 residents in the survey sample. Resident # 365 and Resident #366 were not interviewed to discuss food and/or dining preferences.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to ensure an interdisciplinary team was in attendance at care plan meetings for two of 21 residents, Resident #57 and Resident #13. The facility also failed to invite one of 21 residents, Resident #13 to his care plan meeting. 1. Resident #53's, (a resident with significant weight loss) care plan was not reviewed by an interdisciplinary team from 06/12/2018 through 02/19/2019. 2. For two consecutive quarters, Resident #13's care plan was not reviewed/revised by an interdisciplinary team. In addition, Resident #13 was not invited to participate in his quarterly care plan meetings.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to maintained acceptable parameters of nutritional status for one of 21 residents in the survey sample, Resident #53. Resident #53 had a significant weight loss of 24.49 % in six months. Facility staff were not aware of what foods on Resident #53's tray were fortified at meal times, and minimal assistance was offered during meal time observations.
Inspectors wroteBased on observation, staff interview, and facility document review the facility staff failed to ensure medications and biologicals were properly stored and labeled on one of 2 units: Unit 2. One of 2 opened vials of PPD (tuberculin skin test) solution was expired and available for administration. The refrigerator temperatures for February 2019 and [DATE] were out of range with no adjustment made.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure a homelike environment. In Resident #54's room, the drywall around the ceiling was in ill repair and the commode was not functioning properly.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to develop a comprehensive plan of care for one of 21 residents in the survey sample. Resident #13 did not have a comprehensive care plan developed regarding required supervision related to inappropriate behaviors.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to anchor the tubing for a Foley urinary catheter for one of 21 residents in the survey sample. Resident #184 did not have the Foley catheter tubing anchored to her thigh as required in her plan of care.
5 fire safety citations on file: 4 on May 27, 2021, 1 on March 14, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| January 31, 2024 | Fine | $50,635 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.16 | 3.76 | 3.86 |
| Registered nurses | 0.58 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.09 | 3.29 | 3.42 |
| Nurse aides | 1.95 | ||
| Licensed practical nurses | 0.63 | ||
| Nursing staff turnover (share who left in a year) | 60.4% | 48.1% | 45.8% |
| Registered nurse turnover | 53.3% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.56 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.18 on weekdays and 3.09 on weekends, 3% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.17 in April to June 2025 to 3.16 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 | 3.16 | 0.58 | 3.18 | 3.09 | 0.0% | 0 of 90 | 88 |
| Oct to Dec 2025 | 3.25 | 0.59 | 3.34 | 3.03 | 0.0% | 0 of 92 | 82 |
| Jul to Sep 2025 | 3.40 | 0.45 | 3.51 | 3.12 | 18.3% | 0 of 92 | 83 |
| Apr to Jun 2025 | 3.17 | 0.47 | 3.32 | 2.77 | 25.3% | 0 of 91 | 79 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 29.2 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.1 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.5 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.7 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.3 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.9 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.3 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Shenandoah Valley Health and Rehab's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (60.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
60.0% this home
Better than 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. 154 eligible stays.
11.1% 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. 166 eligible stays.
10.3% this home
Worse than 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. 87 eligible stays.
21.4% 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. 56 residents counted.
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. 71 residents counted.
1.7% 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. 70 residents counted.
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. 9 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: GL VIRGINIA SHENANDOAH LLC. CMS links this home to Trio Healthcare, a group of 9 nursing homes averaging 1.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Gl Virginia Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 12/16/2016 |
| Trio Health Care - East, LLC | 5% or greater indirect ownership interest | Organization | 05/24/2019 | |
| Trio Healthcare Investors LLC | 5% or greater indirect ownership interest | Organization | 12/06/2016 | |
| Trio Healthcare LLC | 5% or greater indirect ownership interest | Organization | 12/10/2019 | |
| Gentry, Boyd | 5% or greater indirect ownership interest | Individual | 12/16/2016 | |
| Rubenstein, David | 5% or greater indirect ownership interest | Individual | 12/16/2016 | |
| Lam, Angela | W-2 managing employee | Individual | 05/15/2023 | |
| Gentry, Boyd | Corporate officer | Individual | 12/16/2016 | |
| Rubenstein, David | Corporate officer | Individual | 12/16/2016 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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