nursing home in Chilhowie, VA
Valley Rehabilitation and Nursing Center
940 East Lee Highway, Chilhowie, VA 24319 · (276) 646-8911
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Valley Rehabilitation and Nursing Center at a glance
Valley Rehabilitation and Nursing Center is a 180-bed for-profit nursing home in Chilhowie, Virginia (Smyth County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Virginia average of 3.
Residents receive about 3.1 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (December 12, 2025) found 8 health citations. The Virginia average is 14.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 35.6% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 180
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Lifeworks Rehab
- Medicare-certified since
- November 11, 1982
- Resident/family council
- Resident
- County
- Smyth County
- CMS Certification Number
- 495133
Ratings
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.4 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.9 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.6 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.07 hrs | 3.76 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.61 hrs | 0.69 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.64 hrs | 2.07 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.59 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 35.6% | 48.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 34.8% | 48.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 14 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 39 | 122.3 | 80.6 | Better |
Penalties
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $23,688 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 180 | 113 | 107 | |
| Average residents per day | 155 | 99 | 86 | |
| Occupancy | 85.9% | 87.9% | 80.9% |
Long-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.5% | 3.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.6% | 4.7% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 53.2% | 14.2% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.1% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 9.7% | 14.9% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 5.7% | 15.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 6.2% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 15.2% | 18.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 36.1% | 20.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 24.9% | 21.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 99.3% | 94% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.8% | 90.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.5% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 91.5% | 73.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 84.5% | 73.7% | 82% | Average |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 22 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 12, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected March 27, 2026 |
| December 12, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected January 19, 2026 |
| December 12, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected January 19, 2026 |
| December 12, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected January 19, 2026 |
| December 12, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected January 19, 2026 |
| December 12, 2025 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected January 19, 2026 |
| December 12, 2025 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected January 19, 2026 |
| December 12, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected January 19, 2026 |
| December 12, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected January 19, 2026 |
| June 30, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected November 29, 2023 |
| June 30, 2023 Fire safety | 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. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected November 29, 2023 |
| June 30, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected August 21, 2023 |
| June 30, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected September 29, 2023 |
| June 30, 2023 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected September 29, 2023 |
| June 30, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected August 21, 2023 |
| June 30, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected August 21, 2023 |
| June 30, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 21, 2023 |
| June 30, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected August 21, 2023 |
| June 30, 2023 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | D Potential harm, isolated | Corrected August 21, 2023 |
| June 30, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected July 27, 2023 |
| June 30, 2023 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected July 27, 2023 |
| June 30, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected July 27, 2023 |
| June 10, 2021 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 5, 2021 |
| June 10, 2021 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected August 5, 2021 |
| June 10, 2021 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected September 22, 2021 |
| June 10, 2021 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected August 5, 2021 |
| June 10, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 5, 2021 |
| June 10, 2021 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected August 5, 2021 |
| June 10, 2021 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | E Potential harm, pattern | Corrected August 5, 2021 |
| June 10, 2021 Fire safety | 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. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected August 5, 2021 |
| June 10, 2021 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected August 5, 2021 |
| June 10, 2021 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected August 5, 2021 |
| June 10, 2021 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected August 5, 2021 |
| June 10, 2021 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected August 5, 2021 |
| June 10, 2021 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected August 5, 2021 |
| June 10, 2021 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected August 5, 2021 |
| June 10, 2021 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 5, 2021 |
| June 10, 2021 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected August 5, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| VIRGINIA CARE HOLCO LLC Organization | 5% or greater direct ownership interest | 100% | 01/01/2020 |
| CHARLES 1994 FAMILY GRANTOR TRUST Organization | 5% or greater indirect ownership interest | — | 01/01/2020 |
| EDWARD 1998 FAMILY GRANTOR TRUST Organization | 5% or greater indirect ownership interest | — | 01/01/2020 |
| ISVA HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 01/01/2020 |
| JKVA HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 01/01/2020 |
| MLVA HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 01/01/2020 |
| RAJCHENBACH, MOSHE Individual | 5% or greater indirect ownership interest | — | 01/17/2020 |
| SAUL 2012 FAMILY GRANTOR TRUST Organization | 5% or greater indirect ownership interest | — | 01/01/2020 |
| INNOVATIVE HEALTHCARE MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| LINDSEY, JASON Individual | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| RAJCHENBACH, MOSHE Individual | w-2 managing employee | NOT APPLICABLE | 01/17/2020 |
Other nursing homes near Valley Rehabilitation and Nursing Center
- ★★★★★4Above average
Francis Marion Manor Health & Rehabilitation
100 Francis Marion Lane, Marion, VA 24354 · 9.9 mi
Non-profit · 109 beds · Part of Ahava Healthcare
★★★★★5Much above averageAbingdon Health & Rehab Center
15051 Harmony Hills Lane, Abingdon, VA 24211 · 13.8 mi
For-profit · 120 beds · Part of Commonwealth Care of Roanoke
★★★★★5Much above averageDeer Meadows Rehabilitation and Nursing
600 Walden Road, Abingdon, VA 24210 · 16.7 mi
For-profit · 119 beds · Part of Eastern Healthcare Group
★★★★★1Much below averageClinch Valley Medical Center
6801 Gov George C Perry Hwy, Richlands, VA 24641 · 21.3 mi
For-profit · 24 beds · Part of Lifepoint Health
- CMS high performer
★★★★★5Much above averageMountain City Care & Rehabilitation Center
919 Medical Park Drive, Mountain City, TN 37683 · 23.1 mi
For-profit · 120 beds · Part of Signature Healthcare
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Valley Rehabilitation and Nursing Center's rating?
Valley Rehabilitation and Nursing Center has 4 out of 5 stars on the CMS overall star rating. The average for Virginia nursing homes is 3 stars.
How many inspection citations did Valley Rehabilitation and Nursing Center receive?
Its most recent standard health inspection found 8 citations, compared with a Virginia average of 14.4. Every citation is listed on this page with its severity.
Does Valley Rehabilitation and Nursing Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Valley Rehabilitation and Nursing Center?
It is for profit - limited liability company and part of Lifeworks Rehab. The ownership section on this page lists the owners and managers reported to CMS.
Where is Valley Rehabilitation and Nursing Center and how do I contact it?
Valley Rehabilitation and Nursing Center is at 940 East Lee Highway, Chilhowie, VA 24319. Phone: (276) 646-8911.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.