730 Lunenburg Highw, Keysville, VA 23947 · Charlotte County · (434) 736-8406
90 certified beds, about 48 residents a day · For profit - Corporation · Medicare and Medicaid since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495226 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 16, 2025, inspectors cited 12 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 38 health citations since March 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.16 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
29.7% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Principle Long Term Care, an affiliated group of 40 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 38 health citations on file.
Inspectors wroteBased on observation, staff interview, and facility document review, facility staff failed to prepare store and serve food in a sanitary manner in one of one facility kitchens.
Inspectors wroteBased on staff interview and facility document review it was determined that the facility staff failed to evidence a continuous Quality Assurance and Performance Improvement (QAPI) program that monitored its performance and ensured that improvements were sustained, which had the ability to affect all residents within the facility for nine of ten quarters reviewed.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to provide education and the opportunity to refuse the implementation of psychoactive medications for one of 19 residents in the survey sample, Resident #41.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, the facility staff failed to maintain a homelike environment for 1 of 19 residents in the survey sample, Resident #9.
Inspectors wroteBased on clinical record review, facility document review, and staff interview, it was determined the facility staff failed to evidence required documents were sent to the receiving facility at the time of a facility-initiated transfer for two of 19 residents in the survey sample, Residents #38 and #1.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that facility staff failed to develop and/or implement the comprehensive care plan for two of 19 residents in the survey sample, Resident #1 (R1) and R3
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, the facility staff failed to provide ADL (activities of daily living) care for 1 of 19 residents in the survey sample, Resident #9.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to implement interventions for contractures for one of 19 residents in the survey sample, Resident #3.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that facility staff failed to provide respiratory care and services for one of 19 residents in the survey sample, Resident #1 (R1). For R1, the facility staff failed to maintain the oxygen (O2) flow rate at two liters per minute according to the physician's orders.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to monitor residents for the administration of unnecessary psychoactive medications for two of 19 residents in the survey sample, Residents #41 and #17.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to maintain a complete and accurate clinical record for two of 19 residents in the survey sample, Residents #35 and #197.
Inspectors wroteBased on observation, staff interview and facility document review, it was determined that the facility staff failed to post daily nurse staffing information prior to the start of the shift on one of three dates observed and post daily nurse staffing information in a prominent place readily accessible to residents and visitors on three of three dates observed.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to notify the physician of a change in condition in a timely manner for 1 of 19 residents, Resident #197.
Inspectors wroteBased on staff interview, resident interview, facility document review and clinical record review, it was determined the facility staff failed to provide adequate wanderguard monitoring for one of 29 residents, Residents #22; and failed to ensure safety protocols were in place per facility policy for 3 of 3 residents smoking, Residents #36, #38, and #5.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to implement bed rail requirements for 4 of 29 residents in the survey sample, Residents #21, #149, #13 and #22.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to evidence documentation of current bed/side rail inspection for 4 of 29 residents in the survey sample, Residents #43 (R43), #22 (R22), #35 (R35), and #13 (R13).
Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide evidence that all required clinical information was provided to the hospital staff for 2 out of 29 residents in the survey sample that were transferred to the hospital; Residents #29 and Resident #12.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to develop a complete baseline care plan for one of 29 residents in the survey sample, Resident #149. The facility staff failed to include Resident #149's (R149) indwelling urinary catheter on the resident's baseline care plan.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that facility staff failed to review or revise the comprehensive care plan for 2 of 29 residents in the survey sample, Residents #22 (R22) and (R29).
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that facility staff failed to provide care and services for an indwelling catheter for one of 29 residents in the survey sample, Residents #11 (R11). The facility staff failed to keep (R11's) catheter collection bag off the floor.
Inspectors wroteBased on staff interview, resident interview, facility document review and clinical record review, it was determined the facility staff failed to provide monitoring for fluid restriction for one of 29 residents, Resident #29.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to act upon pharmacy recommendations for one of 29 residents in the survey sample, Resident #25. The facility staff failed to follow up on pharmacy recommendations dated 3/30/22 and 4/29/22 for the reduction of Resident #25's (R25) antipsychotic medication, Seroquel (1).
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to ensure a resident was free of unnecessary medication for one of 29 residents in the survey sample, Resident #25. The facility staff failed to ensure there was an adequate clinical indication for Resident #25's (R25) continued use of the medication Seroquel (1) and failed to attempt a gradual dose reduction or document a clinical rational for the contraindication of a gradual dose reduction.
Inspectors wroteBased on staff interview, facility document review and employee record review, it was determined that the facility staff failed to evidence maintenance of required certification for one of one CNA (certified nursing assistant) record reviews. The facility staff failed to provide the evidence of required certification for one CNA that was employed for greater than one year, CNA #1.
Inspectors wroteBased on staff interview, facility document review and employee record review, it was determined that the facility staff failed to provide annual required training for one of one CNAs (certified nursing assistants). The facility staff failed to provide the required mandatory training for abuse, neglect, and dementia training for CNA #1.
Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review it was determined that the facility failed to protect one of 35 residents in the survey sample from resident-to-resident abuse. On 2/28/21, Resident #37 and Resident #4 argued in their room which escalated to Resident #37 pushing his wheelchair into Resident #4's table causing a laceration to Resident #4's right lower leg that required treatment in a local emergency room and closure with 9 staples, resulting in harm.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to evidence documentation of current side rail assessments and consents for four of 35 residents in the survey sample, Residents #21, #10, #2, and #32.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to evidence documentation of current bed/side rail safety assessments for four of 35 residents in the survey sample, Residents #21, #10, #2, and #32.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to evidence notification to the ombudsman of a resident discharge from the facility for two of 35 residents in the survey sample, Residents #41 and #2. The facility staff failed to evidence written notification to the ombudsman for Resident #41's and Resident #2's transfer/discharge to a sister facility on 1/28/21.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to evidence bed hold policy notification to the resident or the RR (resident representative) prior to or at the time of transfer/ discharge for two of 35 residents in the survey sample, Residents #41 and #2.
Inspectors wroteBased on staff interviews, facility document review and clinical record review, it was determined the facility staff failed to develop and / or implement the comprehensive care plan for one of thirty five residents in the survey sample, Resident #99. The facility staff failed to develop and implement a comprehensive care plan to address post-operative care for Resident #99.
Inspectors wroteBased on resident interview, clinical record review, staff interview and facility document review it was determined facility staff failed to revise the comprehensive care plan for one of 35 residents in the survey sample, Resident #33. Resident #33 returned from the emergency room on 1/8/21 with a splint (immobilizer) in place to the right leg and non-weight bearing status, which was not addressed on Resident #33's comprehensive care plan.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide respiratory care consistent with professional standards of practice for two of thirty five residents in the survey sample, Resident #47 and Resident #24. 1. The facility staff failed administered oxygen to Resident #47 without a physician order for oxygen. 2. The facility staff failed to provide respiratory services in a sanitary manner for Resident #24. The facility staff stored a nebulizer (1) mask and a yankauer suction catheter (2) uncovered on the nightstand in Resident #24's room.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to ensure the provision of dialysis services, consistent with professional standards of practice, the comprehensive person-centered care plan for one of 35 residents, Resident #7. The facility staff failed to evidence ongoing communication and collaboration with the dialysis center for Resident #7.
Inspectors wroteBased on staff interview, employee record review and facility document review, it was determined the facility staff failed to perform an annual performance review for four of 12 CNAs (certified nursing assistants), CNA #1, CNA #2, CNA #3, and CNA #4.
Inspectors wroteBased on observation and staff interview it was determined that the facility staff failed to ensure expired medications and medical supplies were not available for use in one of one medication rooms observed, (the B/A medication storage room) and in one of one medication carts observed, (300 Hall medication cart).
Inspectors wroteBased on observation and staff interview it was determined facility staff failed to serve food in a sanitary manner.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to complete an accurate MDS (minimum data set) assessment for one of 35 residents, Resident #7. Resident #7's clinical record documented the resident received dialysis services, however Section O special treatments, procedures and programs of Resident #7's MDS, a quarterly assessment with an ARD (assessment reference date) of 12/15/20, coded the resident as No for dialysis while a resident.
18 fire safety citations on file: 3 on April 16, 2025, 7 on July 28, 2022, 8 on March 12, 2021.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.16 | 3.76 | 3.86 |
| Registered nurses | 0.63 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.93 | 3.29 | 3.42 |
| Nurse aides | 1.77 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 29.7% | 48.1% | 45.8% |
| Registered nurse turnover | 37.5% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.37 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.25 on weekdays and 2.93 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.38 in April to June 2025 to 3.16 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.16 | 0.63 | 3.25 | 2.93 | 5.0% | 0 of 90 | 48 |
| Oct to Dec 2025 | 2.81 | 0.54 | 2.89 | 2.61 | 3.8% | 0 of 92 | 51 |
| Jul to Sep 2025 | 3.14 | 0.65 | 3.28 | 2.79 | 3.4% | 0 of 92 | 47 |
| Apr to Jun 2025 | 3.38 | 0.81 | 3.54 | 2.99 | 4.2% | 0 of 91 | 44 |
| 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 | 5.7 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.9 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.6 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.6 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.7 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.6 | 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 | 2.0 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Wayland Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
51.0% this home
No different from 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. 49 eligible stays.
11.1% this home
No different from the national rate
US median of homes 10.7% · Virginia: 1 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 59 eligible stays.
7.0% 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. 34 eligible stays.
63.6% 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. 22 residents counted.
0.0% this home
Median of homes: Virginia0.7% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 26 residents counted.
3.7% this home
Median of homes: Virginia2.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 26 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. 7 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: SNOWSHOE LTC GROUP, LLC. CMS links this home to Principle Long Term Care, a group of 40 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Boice, Gale | Corporate officer | Individual | 03/05/2018 | |
| Johnson, Dianne | Corporate officer | Individual | 01/01/2011 | |
| Principle Long Term Care, Inc. | Operational/managerial control | Organization | 01/01/2011 | |
| Smethurst, Brandon | Operational/managerial control | Individual | 01/15/2025 | |
| Boice, Gale | Adp of the SNF | Individual | 03/05/2018 | |
| Deal, Martin | Adp of the SNF | Individual | 06/01/2024 | |
| Hill, Raymond | Adp of the SNF | Individual | 01/01/2011 | |
| Hill, Robert | Adp of the SNF | Individual | 01/01/2011 | |
| Hill, Stephen | Adp of the SNF | Individual | 01/01/2011 | |
| Smethurst, Brandon | Adp of the SNF | Individual | 07/08/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.