1000 Litton Lane, Blacksburg, VA 24060 · Montgomery County · (540) 443-3400
60 certified beds, about 52 residents a day · Non profit - Corporation · Medicare and Medicaid since 2010
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495406 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 13, 2026, inspectors cited 15 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 22 health citations since April 2022, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $80,880 in the last three years; the largest was $80,880, and the latest is dated April 13, 2026.
Nurses and nurse aides worked 4.13 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 1.30 of those hours.
78.3% of nursing staff left within the year CMS measured (Virginia average 48.1%).
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 22 health citations on file.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to assess the resident for risk of entrapment and attempt to use appropriate alternatives prior to the installation of a side rail and failed to ensure correct installation to assess for the seven zones of entrapment when side rails were added and/or bed components were changed for 6 of 26 sampled residents (Resident #41, Resident #5, Resident #1, Resident #3, Resident #25, and Resident #57). At the time of the survey, the facility staff member responsible for the installation and maintenance of side rails did not have the knowledge to ensure appropriate safety measurements of the seven zones of entrapment risk. The facility failed to ensure side rails were assessed for entrapment risk when installed on a bed or bed components were replaced. [...]
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to revise and/or reassess the effectiveness of the interventions of the comprehensive person-centered activity care plan to meet the needs of facility residents.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to develop a comprehensive person-centered activity care plan to address the resident's activity preferences, interests, and psychosocial needs for (5) five of (26) twenty-six current sampled residents, Resident #1, Resident #2, Resident #19, Resident #25, and Resident #7.
Inspectors wroteBased on staff interview, clinical record review and facility document review, the facility staff failed to ensure completion of monthly medication regimen reviews for 5 of 26 sampled resident, Resident #9, #39, #41, #8, and #2.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to provide evidence of staff training that outlines and informs staff of the elements and goals of the facility's Quality Assurance and Performance Improvement (QAPI) program for four of four sampled staff members, Certified Nursing Assistant (CNA) #3, Registered Nurse (RN) #1, Dining Server #1, and the facility Maintenance Director.
Inspectors wroteBased on staff interview, employee record review, and facility document review, the facility staff failed to implement written policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property as evidence by failure to obtain a criminal background check on one (1) of 25 new hire employees, Dining Server #2.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to report a resident allegation of sexual abuse to the State Survey Agency for one (1) of 26 current sampled residents, Resident #48.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide written notification of the reason(s) for transfer/discharge to the resident representative for (1) one of (26) twenty-six current sampled residents, Resident #19.
Inspectors wroteBased on staff interview, clinical record review, and facility document review the facility staff failed to develop a baseline care plan within 48 hours for (1) one of (26) twenty-six current sampled residents, Resident #59.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to follow medical provider orders for 3 of 26 current sampled residents, Resident #50, #2, and #19.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to ensure two (2) of 26 current sampled residents (Resident #6 and Resident #5) received assistive devices to prevent accidents.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to obtain medical provider ordered laboratory tests for one (1) of 26 current sampled residents, Resident #5.
Inspectors wroteBased on observation, staff interview, clinical record review, facility document review, and review of the Quality Assurance and Performance Improvement (QAPI) program, the facility staff failed to identify a system failure regarding side rail use and safety.
Inspectors wroteBased on observation and clinical record review, the facility staff failed to maintain an effective infection control program to prevent the spread of communicable diseases and infections for 1 of 26 residents, Resident #46.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to provide behavioral health training for two (2) of five (5) sampled staff members (Maintenance Director and Dining Server #1).
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to develop and implement a comprehensive care plan for one of four residents in the survey sample, Resident #1.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to develop and implement a comprehensive care plan for one of four residents in the survey sample, Resident #1.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to follow a provider's order to withhold (cardiopulmonary resuscitation) for one of four residents in the survey sample, Resident #1.
Inspectors wroteBased on staff interview, clinical record review, facility document review, and in the course of a complaint investigation, the facility staff failed to inform the resident representative of medication changes for 1 of 4 closed record reviews, Resident #106. For Resident #106, the facility staff failed to notify the resident representative of medication changes including the discontinuation of Seroquel (an antipsychotic medication) and a new order for Risperdal (an antipsychotic medication).
Inspectors wroteBased on staff interview, clinical record review, and during a medication pass and pour observation, the facility staff failed to follow physician orders for 1 of 13 residents, Resident #101. The facility nursing staff administered the medication Finasteride with Resident #101's morning medications when it was ordered to be given at bedtime.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to follow up on a pharmacy recommendation for 1 of 13 Residents, Resident #37. The facility staff failed to obtain the laboratory test thyroid stimulating hormone (TSH) as recommended by the attending physician.
Inspectors wroteBased on staff interviews, facility document review, and clinical record review, the facility staff failed ensure an accurate clinical record for 1 of 4 closed records, Resident #146. For Resident #146, the facility staff failed to document the reason a prn (as needed) medication was administered or alternate methods of pain relief offered before administering the medication.
15 fire safety citations on file: 1 on April 13, 2026, 1 on October 25, 2023, 13 on April 21, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| April 13, 2026 | Fine | $80,880 |
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) | 4.13 | 3.76 | 3.86 |
| Registered nurses | 1.30 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.67 | 3.29 | 3.42 |
| Nurse aides | 2.36 | ||
| Licensed practical nurses | 0.47 | ||
| Nursing staff turnover (share who left in a year) | 78.3% | 48.1% | 45.8% |
| Registered nurse turnover | 58.8% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.91 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 4.32 on weekdays and 3.67 on weekends, 15% 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 4.22 in April to June 2025 to 4.13 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 | 4.13 | 1.30 | 4.32 | 3.67 | 0.0% | 0 of 90 | 52 |
| Oct to Dec 2025 | 4.69 | 1.43 | 5.05 | 3.77 | 0.0% | 0 of 92 | 51 |
| Jul to Sep 2025 | 4.05 | 1.40 | 4.35 | 3.29 | 0.0% | 0 of 92 | 53 |
| Apr to Jun 2025 | 4.22 | 1.47 | 4.60 | 3.24 | 0.0% | 0 of 91 | 52 |
| 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.
| 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 | 21.3 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.2 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 24.7 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.0 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.8 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.1 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.0 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for The Wybe and Marietje Kroontje Health Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (63.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
63.6% 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. 195 eligible stays.
12.5% 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. 209 eligible stays.
6.3% 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. 111 eligible stays.
60.6% 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. 71 residents counted.
1.1% 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. 89 residents counted.
5.3% 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. 89 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. 12 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: NRV NURSING CENTER INCORPORATED.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Dalton, Brad | Contracted managing employee | Individual | 10/01/2020 | |
| Allen, Katherine | Corporate director | Individual | 11/12/2015 | |
| Dalton, Brad | Corporate director | Individual | 10/01/2020 | |
| Flannagan, Korie | Corporate director | Individual | 10/01/2020 | |
| Gearhart, Heather | Corporate director | Individual | 08/30/1998 | |
| Johnson, Charles | Corporate director | Individual | 03/13/1997 | |
| Lo, Hing Har | Corporate director | Individual | 11/10/2005 | |
| McDearis, Tommy | Corporate director | Individual | 10/01/2020 | |
| McMahon, Bridget | Corporate director | Individual | 11/12/2009 | |
| Pierce, Thomas | Corporate director | Individual | 10/01/2012 | |
| Pospichal, Jason | Corporate director | Individual | 10/01/2010 | |
| Price, William | Corporate director | Individual | 09/30/1986 | |
| Shepherd, Richard | Corporate director | Individual | 10/01/2020 | |
| Spencer, Edward | Corporate director | Individual | 10/01/2013 | |
| Teaster, Pamela | Corporate director | Individual | 10/01/2020 | |
| Vosburgh, Tracy | Corporate director | Individual | 10/01/2019 | |
| Bookout, Allan | Corporate officer | Individual | 10/01/2021 | |
| Nevitt, Molly | Corporate officer | Individual | 09/01/2019 | |
| Stone, Meg | Corporate officer | Individual | 11/12/2015 |
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.
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.