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Skyview Springs Rehab and Nursing Center

30 Montvue Drive, Luray, VA 22835 · Page County · (540) 743-4571

120 certified beds, about 111 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495255 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 2, 2023, inspectors cited 13 health deficiencies (the Virginia average is 14.3, the national average 9.2).

Of 49 health citations since November 2019, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

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

Nurses and nurse aides worked 2.78 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.

35.6% 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 49 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
33D
9E
3F
Potential for minimal harm
0A
0B
3C
November 2, 2023Standard inspection · 13 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to develop and/or implement the comprehensive care plan for eight of 34 residents in the survey sample; Residents #94, #11, #29, #97, #106, #23, #35, and #46.
  2. E
    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, pattern · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide dialysis care and services for one of 34 residents in the survey sample, Resident #29.
  3. 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) December 15, 2023
    Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to protect the dignity of 1 of 34 residents in the survey sample; Resident #65.
  4. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to evidence periodic review of Advance Directives for three of 34 residents in the survey sample; Residents #78, #33 and #41.
  5. 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) December 15, 2023
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to notify the physician of a possible need to alter treatment for one of 34 residents in the survey sample, Resident #35.
  6. 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) December 15, 2023
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to ensure a PASARR (Preadmission Screening and Resident Review) was completed for one of 34 residents in the survey sample; Resident #24.
  7. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to follow professional standards of practice for one of 34 residents in the survey sample; Resident #94.
  8. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, it was determined the facility staff failed to implement interventions for the prevention of a decrease in range of motion for one of 34 residents in the survey sample, Resident #46.
  9. 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) December 15, 2023
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide respiratory services per the physician orders for two of 34 residents in the survey sample, Residents #46 and #97.
  10. 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) December 15, 2023
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined the facility staff failed to implement bed rail requirements for one out of 34 residents in the survey sample, Resident # 106.
  11. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to provide pharmacy services for one of 34 residents in the survey sample, Resident #35.
  12. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to ensure a medication error rate of less than 5% for one of 34 residents in the survey sample; Resident #94. The facility had two medication errors out of 35 opportunities, resulting in a medication error rate of 5.71%.
  13. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide complete and accurate documentation for two of 34 residents in the survey sample, Residents #11 and #106.
February 8, 2022Standard inspection · 19 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) March 18, 2022
    Inspectors wrote4. The facility staff failed to implement the comprehensive care plan for bathing for Resident #52. Resident #52 was admitted to the facility on [DATE]. On the most recent MDS (minimum data set), a quarterly assessment, with an ARD (assessment reference date) of 12/30/2021, the resident scored an 8 of 15 on the BIMS (brief interview for mental status), indicating the resident is severely cognitively impaired for making daily decisions. In Section G - Functional Status, the resident was coded as not having had a shower or bath during the lookback period. The comprehensive care plan dated 11/29/2021 documented, in part, Focus: The resident has an ADL self-care performance deficit r/t (related to) Dementia, Limited Mobility .BATHING/SHOWERING - Provide sponge bath when a full bath or shower cannot be tolerated. [...]
  2. E
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 18, 2022
    Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to implement a complete pain management program by documenting the location of the resident's pain and implementing non-pharmacological interventions prior to the administration of prn (as needed) pain medications for two of 51 residents in the survey sample, Residents # 25 and # 88.
  3. E
    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, pattern · Corrected (the home has a date of correction) March 18, 2022
    Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, it was determined that the facility staff failed to provide food at a palatable temperature during lunch service on 2/7/2022, with the potential to affect 53 of 54 residents on the North unit receiving a meal tray.
  4. D
    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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2022
    Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to act upon a reported grievance for missing personal items for one of 51 residents in the survey sample, Resident #21. The facility staff failed to promptly respond to a known grievance for missing clothing items for Resident #21.
  5. 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) March 18, 2022
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to implement facility initiated transfer requirements for 3 of 51 residents in the survey sample, Residents #96, #81 and #54. The facility staff failed to evidence a physician note regarding facility initiated hospital transfers for Residents #96 and #81 and failed to evidence required information provided to hospital staff for facility initiated transfers for Residents #81 and #54.
  6. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2022
    Inspectors wroteBased on staff interview, resident interview, facility document review and clinical record review, it was determined the facility staff failed to provide an accurate assessment for one of 51 residents, Resident #32. The facility staff failed to complete an accurate MDS (minimum data set), an annual assessment, for Resident #32.
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2022
    Inspectors wroteBased on family interview, facility document review, and clinical record review, it was determined the facility staff failed to provide ADL (activities of daily living) care for one of 51 residents in the survey sample, Resident #52. Resident #52, a dependent resident, was not provided baths.
  8. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2022
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to implement the physician ordered interventions for the prevention of pressure injuries for one of 51 residents in the survey sample, Resident # 11. The facility staff failed to place a donut pillow on the resident's left ankle.
  9. 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) March 18, 2022
    Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, it was determined that the facility staff failed to implement interventions to prevent an accident for two of 51 residents in the survey sample, Residents # 10 and #32.
  10. 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) March 18, 2022
    Inspectors wroteBased on observation, clinical record review, staff interview and facility document review it was determined that the facility staff failed to provide respiratory services as ordered, and in a sanitary manner, for three of 51 residents in the survey sample, Residents #74, #28, and #41.
  11. 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) March 18, 2022
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to complete an assessment for the use of side rails and/or failed to have consent, after discussion of the risks and benefits for the use of the bed rails, for three of 51 residents in the survey sample, Residents #11, #40 and #28.
  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) March 18, 2022
    Inspectors wroteBased on staff interview, facility document review and employee record review, it was determined that the facility staff failed to evidence documentation for one of four CNA (certified nursing assistant) employee records reviewed, CNA #3. For CNA #3, the facility staff failed to evidence documentation of an annual performance review.
  13. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2022
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to ensure a complete and accurate clinical record for 1 of 51 residents in the survey sample, Resident #83. The facility staff failed to ensure that the PASRR (Pre-admission Screening and Resident Review) level 2 screening was available on the clinical record.
  14. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2022
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to administer the pneumococcal immunization for one of five resident immunization record reviews, Resident 91. Resident #91's RR (resident representative) provided consent for the pneumococcal immunization on 12/29/21. The facility staff failed to evidence the immunization was administered to the resident.
  15. D
    Ensure staff are vaccinated for COVID-19
    F888 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2022
    Inspectors wroteBased on staff interview and facility document review, it was determined that the facility staff failed to track all employees' COVID-19 vaccination status, and failed to implement the facility policy for employee vaccination tracking for 6 of 100 employees sampled, OSM (other staff member) #10, #11, #12, #13, #14, and #15. The facility staff failed to implement their policy for COVID-19 employee vaccination status tracking, and failed to track COVID-19 vaccination status for OSM #10, #11, #12, #13, #14, and #15, all employees of [name of Hospice Company].
  16. D
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    F909 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2022
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined the facility staff failed to have an annual inspection of three resident beds of 52 beds in the survey sample, Resident #11, #40, and #28.
  17. 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) March 18, 2022
    Inspectors wroteBased on staff interview, facility document review, and employee record review, it was determined the facility staff failed to ensure one of four CNA (certified nursing assistants) had required training, CNA #2. The facility failed to provide CNA #2 training in dementia care.
  18. C
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) March 18, 2022
    Inspectors wroteBased on observation, staff interview, and facility document review, it was determined the facility staff failed to make available the results of the most recent survey. The facility staff failed to include the results of the abbreviated survey ending 12/29/2021 in the survey results notebook in the lobby.
  19. 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) March 18, 2022
    Inspectors wroteBased on observation, staff interview and facility document review, it was determined the facility staff failed to post the daily nursing staff posting on 2/6/2022.
November 18, 2019Standard inspection · 17 citations
  1. 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 · Corrected (the home has a date of correction) January 8, 2020 · disputed by the home (informal dispute resolution)
    Inspectors wrote4. Resident #48 was admitted to the facility on [DATE] with diagnoses that included but were not limited to: Alzheimer's (1), schizophrenia (2) and depressive disorder (3). The most recent MDS (minimum data set) assessment, a quarterly assessment, with an ARD (assessment reference date) of 9/23/19, coded the resident as scoring a 15 out of 15 on the BIMS (brief interview for mental status) score, indicating the resident was cognitively intact. The resident was coded as independent for bed mobility, transfer, walking in room and corridor, locomotion on and off the unit, dressing, eating, toilet use and personal hygiene. The annual MDS (minimum data set) assessment with ARD (assessment reference date) of 3/23/19 coded the resident's current tobacco use, as yes. The care plan dated 2/6/19, documented in part, Focus: Smoking: Non-compliant with smoking policy. The Goal: [...]
  2. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 20, 2020
    Inspectors wroteBased on staff interview and facility document review it was determined that the facility staff failed to ensure RN (Registered Nurse) coverage for at least 8 hours a day, every day. A review of the staffing schedules and postings revealed several dates where there was no RN on duty.
  3. F
    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, widespread · Corrected (the home has a date of correction) January 8, 2020
    Inspectors wroteBased on observation, staff interview, and facility document review, it was determined that the facility staff failed to prepare and serve food in a sanitary manner.
  4. F
    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, widespread · Corrected (the home has a date of correction) January 8, 2020
    Inspectors wroteBased on staff interview, facility document review, and employee record review, it was determined that the facility staff failed to meet the training requirements for eight of 15 CNA (Certified Nursing Assistant) employee records reviewed, (CNA #4, CNA #5, CNA #6, CNA #7, CNA #8, CNA #9, CNA #2 and CNA #100.
  5. E
    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, pattern · Corrected (the home has a date of correction) January 8, 2020
    Inspectors wroteBased on resident interview, facility staff interview, and facility document review, it was determined that the facility staff failed to assist residents to exercise their right to vote. The facility staff failed to offer residents who could vote the opportunity to do so for the November 2019 election.
  6. E
    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, pattern · Corrected (the home has a date of correction) January 8, 2020
    Inspectors wroteBased on observation and facility staff interview, the facility staff failed to maintain a comfortable home-like environment in two of two common areas on the north wing, and in the main dining room. On 11/13/19, observations revealed temperatures in the north wing common areas were 61 degrees, and the temperature in the main dining room was 64 degrees.
  7. E
    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, pattern · Corrected (the home has a date of correction) January 8, 2020
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to evidence documentation that the care plan goals were sent to the hospital upon transfer for 5 of 60 Residents in the survey sample, Residents #56, #19, #81, #82, and #105
  8. E
    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, pattern · Corrected (the home has a date of correction) January 8, 2020
    Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, it was determined the facility staff failed to ensure professional standards of quality for as needed pain medications for two of 60 residents in the survey sample, Resident #81 and #87. The facility staff failed to clarify two PRN (as needed) pain medication orders for Resident #81 to determine when each medication should be administered based on pain level parameters. The facility staff failed to clarify two PRN (as needed) pain medication orders for Resident #87 to determine when to administer each medication based on pain level parameters.
  9. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 8, 2020
    Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, it was determined the facility staff failed to assess a resident to administer their medications independently for one of 60 residents in the survey sample, Resident #87. Resident # 87 was observed administering her nebulizer treatments without supervision from a nurse on two occasions; review of the clinical record failed to evidence a self-administration of medication assessment for the resident.
  10. D
    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 · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 8, 2020
    Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, facility staff failed to ensure two of 60 residents in the survey sample, Residents #72, and #82, were free from abuse. On 9/24/19, Resident #304 hit Resident #72 on the face with his open hand, causing a red area on Resident #72's face and pushed Resident #72, hitting his knee on the doorframe causing an abrasion. On 7/12/19, Resident #53 hit Resident #82 with her cane causing a bruises to her fifth digit of the right hand. The Findings Included: 1. Resident #72 was admitted to the facility on [DATE]. His diagnoses included diabetes, delusional disorders, and intellectual disability. Resident #72's most recent Minimum Data Set (MDS) assessment was a quarterly assessment with an Assessment Reference Date (ARD) of 10/15/2019. [...]
  11. 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) January 8, 2020
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to notify the ombudsman of a transfer to the hospital and evidence a notice was given to the resident and/or responsible party with the reason for the transfer for one of 60 residents in the survey sample, Resident #19.
  12. 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) January 8, 2020
    Inspectors wroteBased on observation, resident interview, staff interview, and facility document review, it was determined that the facility staff failed to accurately code the MDS (Minimum Data Set) assessment for smoking status for 2 of 60 residents in the survey sample; Residents #32 and #45. The facility staff coded the Resident #32 as not being a current tobacco user on the most recent comprehensive assessment dated [DATE] and the resident was observed smoking. The facility staff coded the Resident #45 as not being a current tobacco user on the most recent comprehensive assessment dated [DATE], when the resident stated during interview that (Resident #45) does go outside to smoke about twice a day with another resident.
  13. 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) January 8, 2020
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to implement the comprehensive care plan for one Resident, Resident #25, in a sample of 60 Residents. The facility staff failed to implement the interventions for Resident #25's urinary catheter care plan. The Findings Included: Resident #25 was admitted to the facility on [DATE]. His diagnoses included anxiety disorder, depression, and urinary retention. Resident #25's most recent Minimum Data Set (MDS) assessment was a Significant Change Assessment with an Assessment Reference Date (ARD) of 09/04/2019. The Brief Interview for Mental Status (BIMS) scored Resident #25 at a 15, indicating no impairment. Resident #25 was coded as requiring extensive assistance of two or more people for all Activities of Daily Living (ADLs). [...]
  14. 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) January 8, 2020
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to review and/or revise the comprehensive care plan to address a fall for one of 60 residents in the survey sample; Resident #19.
  15. 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) January 20, 2020
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to ensure respiratory care consistent with professional standards of practices for one of 60 residents in the survey sample, Resident # 86. The facility staff failed to ensure a full E-cylinder of oxygen for Resident #60 was properly stored and secured.
  16. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 8, 2020
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to ensure a complete and accurate medical record for one of 59 residents, Resident #48. The physician's progress notes failed to document discussion regarding alternative to smoking.
  17. 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) January 8, 2020
    Inspectors wroteBased on observation, staff interview and facility document review it was determined that the facility staff failed to ensure a continuous, accurate posting of the facility staffing. Observation of the staff posting upon entrance to the facility on [DATE] 11:40 AM, revealed the staff posting for Friday, 11/8/19. There was no evidence of a current posting was observed.

Fire safety inspections

21 fire safety citations on file: 3 on November 2, 2023, 8 on February 8, 2022, 10 on November 18, 2019.

Every fire safety citation21 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 · November 2, 2023 · Corrected (the home has a date of correction)
  2. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · November 2, 2023 · Corrected (the home has a date of correction)
  3. D
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · November 2, 2023 · Corrected (the home has a date of correction)
  4. D
    Have proper power supply for life support equipment.
    K 915 · February 8, 2022 · Corrected (the home has a date of correction)
  5. D
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · February 8, 2022 · Corrected (the home has a date of correction)
  6. C
    Address patient/client population and determine types of services needed.
    E 7 · February 8, 2022 · Corrected (the home has a date of correction)
  7. C
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · February 8, 2022 · Corrected (the home has a date of correction)
  8. C
    Provide a means of sharing information on occupancy/needs.
    E 34 · February 8, 2022 · Corrected (the home has a date of correction)
  9. C
    Establish emergency prep training and testing.
    E 36 · February 8, 2022 · Corrected (the home has a date of correction)
  10. C
    Establish staff and initial training requirements.
    E 37 · February 8, 2022 · Corrected (the home has a date of correction)
  11. C
    Implement emergency and standby power systems.
    E 41 · February 8, 2022 · Corrected (the home has a date of correction)
  12. D
    Use approved construction type or materials.
    K 161 · November 18, 2019 · Corrected (the home has a date of correction)
  13. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · November 18, 2019 · Corrected (the home has a date of correction)
  14. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · November 18, 2019 · Corrected (the home has a date of correction)
  15. D
    Have exits that are accessible at all times.
    K 271 · November 18, 2019 · Corrected (the home has a date of correction)
  16. D
    Have properly located and lighted "Exit" signs.
    K 293 · November 18, 2019 · Corrected (the home has a date of correction)
  17. D
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · November 18, 2019 · Corrected (the home has a date of correction)
  18. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 18, 2019 · Corrected (the home has a date of correction)
  19. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · November 18, 2019 · Corrected (the home has a date of correction)
  20. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · November 18, 2019 · Corrected (the home has a date of correction)
  21. D
    Have restrictions on the use of highly flammable decorations.
    K 753 · November 18, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)2.783.763.86
Registered nurses0.350.690.69
All nursing staff on weekends2.423.293.42
Nurse aides1.43
Licensed practical nurses1.00
Nursing staff turnover (share who left in a year)35.6%48.1%45.8%
Registered nurse turnover33.3%48.2%42.9%
Administrators who left1

CMS expects 3.89 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 2.92 on weekdays and 2.42 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.52 in April to June 2025 to 2.78 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.780.352.922.42 15.9%0 of 90111
Oct to Dec 20252.730.282.852.45 14.1%0 of 92111
Jul to Sep 20252.590.302.742.22 1.0%0 of 92112
Apr to Jun 20252.520.312.662.17 0.0%0 of 91115
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Virginia, Jan to Mar 20263.580.563.763.125.7%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Virginia

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

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Skyview Springs Rehab and Nursing Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeVirginiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.214.813.9
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
1.01.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.53.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.51.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.815.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.94.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.914.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.322.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.011.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.51.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Skyview Springs Rehab and Nursing Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (39.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

39.3% this home

Worse 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. 79 eligible stays.

Potentially preventable readmissions

10.2% 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. 101 eligible stays.

Infections that led to a hospital stay

7.5% this home

No different from the national rate

US median of homes 7.1% · Virginia: 2 better, 8 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 66 eligible stays.

Self-care and mobility at discharge

33.3% this home

Median of homes: Virginia60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 63 residents counted.

Falls with major injury

1.4% 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. 72 residents counted.

New or worsened pressure ulcers

3.0% 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. 72 residents counted.

Medication list given at discharge

100.0% this home

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. 39 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

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

NameRoleTypeShareSince
Skyview Springs Holdings LLC5% or greater direct ownership interestOrganization100%03/31/2021
Copper VA Trust5% or greater indirect ownership interestOrganization03/31/2021
Gold VA Trust5% or greater indirect ownership interestOrganization03/31/2021
Hvh Luray Operations Holdings LLC5% or greater indirect ownership interestOrganization03/31/2021
Luray Operations Holdings LLC5% or greater indirect ownership interestOrganization03/31/2021
Silver VA Trust5% or greater indirect ownership interestOrganization03/31/2021
VA Noble Parentco LLC5% or greater indirect ownership interestOrganization03/31/2021
Miller, EvaW-2 managing employeeIndividual06/01/2021
Idels, ShimonCorporate officerIndividual12/01/2022

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. When is the care plan meeting, and can family attend it?Inspectors cited 12 problems in this area, most recently on November 2, 2023: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on November 2, 2023: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 11 problems in this area, most recently on November 2, 2023: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 6 problems in this area, most recently on February 8, 2022: "Observe each nurse aide's job performance and give regular training."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.42 hours per resident per day, below the Virginia average of 3.29.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Skyview Springs Rehab and Nursing Center's Medicare star rating?
CMS rates Skyview Springs Rehab and Nursing Center 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Skyview Springs Rehab and Nursing Center get at its last inspection?
13 health deficiencies at the standard inspection on November 2, 2023. The Virginia average is 14.3.
Has Skyview Springs Rehab and Nursing Center been fined?
CMS lists no fines in the last three years.
Does Skyview Springs Rehab and Nursing 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 Skyview Springs Rehab and Nursing Center?
CMS lists 9 owners and managers, and links the home to Hill Valley Healthcare. Legal business name: SKYVIEW SPRINGS SNF OPERATIONS LLC.

Sources

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