Skyline Nursing & Rehabilitation
237 Franklin Pike Road Se, Floyd, VA 24091 · Floyd County · (540) 745-2016
90 certified beds, about 85 residents a day · For profit - Corporation · Medicare and Medicaid since 2000
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495348 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 4, 2025, inspectors cited 10 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 20 health citations since October 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $10,358 in the last three years; the largest was $10,358, and the latest is dated December 4, 2025.
Nurses and nurse aides worked 3.18 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.
47.6% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Avardis Health, an affiliated group of 38 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.
610/19
409/22
1012/25
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 20 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
15D
2E
1F
Potential for minimal harm
0A
0B
1C
December 4, 2025Standard inspection · 10 citations
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to ensure one (1) of 24 sampled residents were free of significant medication errors, Resident #6. This failure resulted in harm to Resident #6 requiring emergency care at the hospital.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to notify a medical provider of a change in condition for (3) three of (24) twenty-four sampled residents. Resident #5, Resident #39, and Resident #51.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, facility staff failed to provide notification to the representative of the office of the local state long-term care ombudsman of a resident transfer to a higher level of care for (1) one of (24) twenty-four sampled residents. Resident #9.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, clinical record review and facility document review, facility staff failed to process a medical provider order for (1) one of (20) twenty sampled residents, Resident #4 and the facility staff failed to follow physician orders for (1) one of (24) twenty-four sampled residents Resident #39.
- 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 observations, staff interview, clinical record review, and facility document review, the facility staff failed to provide services and/or treatment to prevent further decrease in range of motion, including the provision of equipment for limited range of motion for (1) one of (24) twenty-four sampled residents. Resident #10.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to ensure medications were available for administration for (1) one of (24) twenty-four sampled residents, Resident #4.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to follow-up on pharmacy recommendations for (3) three of (24) twenty-four sampled residents, Resident #11, Resident #12, and Resident #23.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interviews, clinical record reviews, and facility document review, the facility staff failed to ensure a complete and/or accurate clinical record for (2) two of (24) twenty-four sampled residents. Resident #6 and Resident #10.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interview, clinical record review, and facility document review, the facility staff failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.
- C Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to provide evidence of education regarding the risks, benefits and potential side effects of the COVID-19 vaccine for facility employees and failed to provide evidence of informed consent of the COVID-19 vaccine for facility employees.
September 22, 2022Standard inspection · 4 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interviews, clinical record review, and facility document review, the facility staff failed to ensure a resident's medical provider and/or responsible party (RP) was notified of a significant weight loss for one (1) of 20 sampled residents, Resident #9. For Resident #9, the facility staff failed to notify the resident's medical provider and/or responsible party (RP) of the resident's following weight changes: on 7/1/22 Resident #9's weight was documented as 121.4 pounds; on 7/5/22 Resident #9's weight was documented as 121.4 pounds; and on 8/2/22 Resident #9's weight was documented as 114.6 pounds.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide notice in writing to the resident and resident representative prior to a facility transfer or discharge for 1 of 20 residents in the survey sample, Resident #32. For Resident #32, the facility failed to provide the resident written notice to include the reason for the move prior to transfer to an acute care hospital.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide written bed hold policy information to the resident or resident representative prior to transfer for 1 of 20 residents in the survey sample, Resident #32. For Resident #32, the facility failed to provide the resident written bed hold policy information prior to transfer to an acute care hospital.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interviews, clinical record review, and facility document review, the facility staff failed to address a significant weight loss for one (1) of 20 sampled residents, Resident #9. For Resident #9, the facility staff failed to address the resident's following weight changes: on 7/1/22 Resident #9's weight was documented as 121.4 pounds; on 7/5/22 Resident #9's weight was documented as 121.4 pounds; and on 8/2/22 Resident #9's weight was documented as 114.6 pounds.
October 3, 2019Standard inspection · 6 citations
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility failed to provide food and drink that is palatable, attractive, and served at a safe and appetizing temperature.
- E Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on resident interview, staff interview, and facility document review, facility staff failed to make prompt efforts to resolve resident grievances.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview and clinical record review, and facility document review, facility staff failed to ensure an environment free of accident hazards for 6 of 21 residents in the survey sample (Residents #32, 68, 26, 62, 67 and 72)
- 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 staff interview and clinical record review, facility staff failed to review and revise the comprehensive care plan to reflect the resident's status for 1 of 21 residents in the survey sample (Resident #72). Resident #72 was admitted to the facility on [DATE]. Diagnoses included cerebral infarct, generalized muscle weakness, dysphagia, aphasia, hemiplegia and hemiparesis after infarct,congestive heart failure, and dementia without behavior disturbance. On the quarterly Minimum Data Set assessment with assessment reference date 9/11/19, the resident scored 6/15 on the brief interview for mental status and was assessed as without signs of delirium, psychosis, or behaviors affecting care. [...]
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on staff interview and clinical record review, facility staff failed to ensure that a resident who displays or is diagnosed with dementia, receives the appropriate treatment and services by monitoring targeted behaviors associated with the use of an antipsychotic medication for 1 of 21 residents in the survey sample (Resident #67).
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on staff interview and clinical record review, facility staff failed to have a stop date for an as needed psychotropic medication for 2 of 21 residents in the survey sample (Residents #7 and 69).
Fire safety inspections
12 fire safety citations on file: 1 on December 4, 2025, 11 on September 22, 2022.
Every fire safety citation12 citations
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Install corridor and hallway doors that block smoke.
- F Have properly installed electrical wiring and gas equipment.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Have a battery powered remote alarm panel in a location accessible by operating personnel.
- D Use approved construction type or materials.
- 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.
- D Have properly located and lighted "Exit" signs.
- D Provide a written emergency evacuation plan.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| December 4, 2025 | Fine | $10,358 |
| December 4, 2025 | Payment Denial | 16 days from March 4, 2026 |
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.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.18 | 3.76 | 3.86 |
| Registered nurses | 0.35 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.76 | 3.29 | 3.42 |
| Nurse aides | 1.91 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | 47.6% | 48.1% | 45.8% |
| Registered nurse turnover | 53.8% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.45 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 3.35 on weekdays and 2.76 on weekends, 18% 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 3.65 in April to June 2025 to 3.18 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 | 3.18 | 0.35 | 3.35 | 2.76 | 0.0% | 0 of 90 | 85 |
| Oct to Dec 2025 | 3.33 | 0.47 | 3.50 | 2.91 | 0.0% | 0 of 92 | 83 |
| Jul to Sep 2025 | 3.43 | 0.57 | 3.65 | 2.89 | 0.0% | 0 of 92 | 84 |
| Apr to Jun 2025 | 3.65 | 0.59 | 3.93 | 2.96 | 0.0% | 0 of 91 | 83 |
| 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 | 15.3 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 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 | 10.3 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.6 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.7 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.2 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.2 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.2 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.2 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.8 |
Owners and operators
Legal business name: 237 FRANKLIN PIKE ROAD SE OPCO LLC. CMS links this home to Avardis Health, a group of 38 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Floyd Parentco LLC | 5% or greater direct ownership interest | Organization | 100% | 05/01/2025 |
| Floyd Holdco LLC | 5% or greater indirect ownership interest | Organization | 100% | 05/01/2025 |
| Clark, Alyssa | Managing control - governing body | Individual | 05/01/2025 | |
| Hoback, Tiffany | Managing control - governing body | Individual | 05/01/2025 | |
| SNF Mgr LLC | Operational/managerial control | Organization | 05/01/2025 | |
| Clark, Alyssa | Operational/managerial control | Individual | 05/01/2025 | |
| Gallimore, Debra | Operational/managerial control | Individual | 05/01/2025 | |
| Hoback, Tiffany | Operational/managerial control | Individual | 05/01/2025 | |
| Jones, Tequilla | Operational/managerial control | Individual | 05/01/2025 | |
| March, Jared | Operational/managerial control | Individual | 05/01/2025 | |
| Schumann, Jason | Operational/managerial control | Individual | 05/01/2025 | |
| SNF Mgr LLC | Adp of the SNF | Organization | 04/18/2025 | |
| Clark, Alyssa | Adp of the SNF | Individual | 05/01/2025 | |
| Gallimore, Debra | Adp of the SNF | Individual | 05/01/2025 | |
| Hoback, Tiffany | Adp of the SNF | Individual | 05/01/2025 | |
| Jones, Tequilla | Adp of the SNF | Individual | 05/01/2025 | |
| March, Jared | Adp of the SNF | Individual | 05/01/2025 | |
| Schumann, Jason | Adp of the SNF | Individual | 05/01/2025 |
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.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on December 4, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on December 4, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on December 4, 2025: "Ensure that residents are free from significant medication errors."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on December 4, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.76 hours per resident per day, below the Virginia average of 3.29.
Other nursing homes nearby
- Heritage Hall - Laurel Meadows Laurel Fork, 16.1 mi · 5 of 5 stars · 13 citations
- Blue Ridge Therapy Connection Stuart, 19.4 mi · 4 of 5 stars · 12 citations
- Heritage Hall Blacksburg Blacksburg, 19.5 mi · 4 of 5 stars · 22 citations
- Radford Health and Rehab Center Radford, 20.4 mi · 4 of 5 stars · 27 citations
- The Wybe and Marietje Kroontje Health Care Center Blacksburg, 20.6 mi · 1 of 5 stars · 22 citations
- Stanleytown Health and Rehabilitation Center Bassett, 23.4 mi · 4 of 5 stars · 27 citations
- Rocky Mount Health & Rehab Center Rocky Mount, 23.5 mi · 3 of 5 stars · 18 citations
- Franklin Health and Rehabilitation Center Rocky Mount, 24.3 mi · 3 of 5 stars · 16 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 Skyline Nursing & Rehabilitation's Medicare star rating?
- CMS rates Skyline Nursing & Rehabilitation 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Skyline Nursing & Rehabilitation get at its last inspection?
- 10 health deficiencies at the standard inspection on December 4, 2025. The Virginia average is 14.3.
- Has Skyline Nursing & Rehabilitation been fined?
- Yes. CMS lists 1 fine totaling $10,358 in the last three years.
- Does Skyline Nursing & Rehabilitation 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 Skyline Nursing & Rehabilitation?
- CMS lists 18 owners and managers, and links the home to Avardis Health. Legal business name: 237 FRANKLIN PIKE ROAD SE OPCO LLC.
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.