Waddell Nursing and Rehab Center
202 Painter St., Galax, VA 24333 · Galax City County · (276) 236-5164
135 certified beds, about 121 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1982
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495126 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 19, 2025, inspectors cited 3 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 6 health citations since June 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.49 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
27.5% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Saber Healthcare Group, an affiliated group of 126 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
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 6 health citations on file.
November 19, 2025Standard inspection · 3 citations
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to review and revise the comprehensive care plan (CCP) for 1of 24 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 the facility staff failed to administer a medication per the providers orders for 1 of 24 residents Resident #59 and failed to follow a medical provider order for notification of elevated Blood Sugars for 1 of 24 residents, Resident #21.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide necessary respiratory services in accordance with professional standards of practice for 1 of 4 closed record reviews, Resident #133. For Resident #133, the facility staff failed to ensure supplemental oxygen was available continuously via nasal cannula to the resident as ordered by a medical provider during transportation to a medical appointment on 12/20/23. Resident #133's diagnosis list indicated diagnoses that included, but were not limited to, COPD (chronic obstructive pulmonary disease), Chronic Respiratory Failure with Hypoxia, Anxiety, and Cerebral Infarction affecting Left Nondominant Side. [...]
April 19, 2023Standard inspection · 0 citations
June 24, 2021Standard inspection · 3 citations
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure 5 of 26 residents were free of significant medication errors involving insulin. Residents #3, #92, #58, #2, and #20.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to keep a controlled medication in a separately locked, permanently affixed compartment on 1 of 3 units, Unit 2.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to follow established infection control procedures during wound care observations for 2 of 26 residents. Residents #74 and #58.
Fire safety inspections
16 fire safety citations on file: 1 on November 19, 2025, 4 on April 19, 2023, 11 on June 24, 2021.
Every fire safety citation16 citations
- D Meet other general requirements.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E 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.
- E Have properly installed electrical wiring and gas equipment.
- D Inspect, test, and maintain automatic sprinkler systems.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- E Have properly installed electrical wiring and gas equipment.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.49 | 3.76 | 3.86 |
| Registered nurses | 0.39 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.06 | 3.29 | 3.42 |
| Nurse aides | 1.98 | ||
| Licensed practical nurses | 1.12 | ||
| Nursing staff turnover (share who left in a year) | 27.5% | 48.1% | 45.8% |
| Registered nurse turnover | 23.1% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.00 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 3.67 on weekdays and 3.06 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.45 in April to June 2025 to 3.49 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 | 3.49 | 0.39 | 3.67 | 3.06 | 0.4% | 0 of 90 | 121 |
| Oct to Dec 2025 | 3.42 | 0.38 | 3.57 | 3.03 | 0.4% | 0 of 92 | 123 |
| Jul to Sep 2025 | 3.41 | 0.38 | 3.59 | 2.98 | 0.4% | 0 of 92 | 123 |
| Apr to Jun 2025 | 3.45 | 0.37 | 3.61 | 3.08 | 0.3% | 0 of 91 | 121 |
| 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 | 30.8 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.6 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.5 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.0 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.7 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.9 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.9 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 22.3 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.5 | 1.8 |
Owners and operators
Legal business name: AUTUMN CORPORATION. CMS links this home to Saber Healthcare Group, a group of 126 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Shg Autumn, LLC | 5% or greater direct ownership interest | Organization | 100% | 03/01/2016 |
| Ohl Asset (VA) Galax LLC | 5% or greater security interest | Organization | 03/01/2016 | |
| Volpe, Benjamin | Corporate director | Individual | 03/01/2019 | |
| Weisberg, William | Corporate director | Individual | 03/01/2019 | |
| Nicoluzakis, Gregory | Corporate officer | Individual | 03/01/2019 | |
| Volpe, Benjamin | Corporate officer | Individual | 03/01/2019 | |
| Weisberg, William | Corporate officer | Individual | 03/01/2019 | |
| Shg Management LLC | Operational/managerial control | Organization | 09/01/2019 | |
| Adkins, Kenneth | Operational/managerial control | Individual | 05/30/2023 | |
| Edwards, Virginia | Operational/managerial control | Individual | 02/26/2024 | |
| Cibc Bank USA | Adp of the SNF | Organization | 03/31/2021 | |
| Citrin Cooperman Advisors LLC | Adp of the SNF | Organization | 03/01/2016 | |
| Ohl Asset (VA) Galax LLC | Adp of the SNF | Organization | 03/01/2016 | |
| Saber Governance LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Saber Healthcare Group LLC | Adp of the SNF | Organization | 03/01/2026 | |
| Shg Autumn, LLC | Adp of the SNF | Organization | 05/08/2026 | |
| Shg Management LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Shg Mt, LLC | Adp of the SNF | Organization | 05/08/2026 | |
| Walker & Associates PC | Adp of the SNF | Organization | 03/01/2026 | |
| Adkins, Kenneth | Adp of the SNF | Individual | 05/30/2023 | |
| Edwards, Virginia | Adp of the SNF | Individual | 02/26/2024 | |
| Nicoluzakis, Gregory | Adp of the SNF | Individual | 03/01/2019 | |
| Sturgill Fant, Vanessa | Adp of the SNF | Individual | 05/31/2017 | |
| Volpe, Benjamin | Adp of the SNF | Individual | 03/01/2019 |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on November 19, 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 2 problems in this area, most recently on June 24, 2021: "Ensure that residents are free from significant medication errors."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on November 19, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on June 24, 2021: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.06 hours per resident per day, below the Virginia average of 3.29.
Other nursing homes nearby
- Galax Health and Rehab Galax, 1.7 mi · 2 of 5 stars · 40 citations
- Grayson Health and Rehabilitation Independence, 12.7 mi · 5 of 5 stars · 31 citations
- Hillsville Health & Rehab Center Hillsville, 13.1 mi · 5 of 5 stars · 5 citations
- Lotus Village Center for Nursing and Rehabilitatio Sparta, 15.2 mi · 1 of 5 stars · 52 citations
- Surry Community Health Center by Harborview Mount Airy, 19.6 mi · 1 of 5 stars · 33 citations
- Northern Regional Hospital Mount Airy, 21.2 mi · 5 of 5 stars · 1 citation
- Central Continuing Care Mount Airy, 21.8 mi · 3 of 5 stars · 9 citations
- Wythe Cnty Community Hosp Ecu Wytheville, 22.4 mi · 5 of 5 stars · 6 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 Waddell Nursing and Rehab Center's Medicare star rating?
- CMS rates Waddell Nursing and Rehab Center 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Waddell Nursing and Rehab Center get at its last inspection?
- 3 health deficiencies at the standard inspection on November 19, 2025. The Virginia average is 14.3.
- Has Waddell Nursing and Rehab Center been fined?
- CMS lists no fines in the last three years.
- Does Waddell Nursing and Rehab 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 Waddell Nursing and Rehab Center?
- CMS lists 24 owners and managers, and links the home to Saber Healthcare Group. Legal business name: AUTUMN CORPORATION.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.