nursing home in Independence, VA
Grayson Health and Rehabilitation
400 South Independence Avenue, Independence, VA 24348 · (276) 773-0303
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Grayson Health and Rehabilitation at a glance
Grayson Health and Rehabilitation is a 120-bed for-profit nursing home in Independence, Virginia (Grayson County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Virginia average of 3.
Residents receive about 2.7 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 14, 2023) found 7 health citations. The Virginia average is 14.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 45.2% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avardis Health
- Medicare-certified since
- August 4, 1998
- Resident/family council
- None
- County
- Grayson County
- CMS Certification Number
- 495331
Ratings
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 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) | 2 / 5 | 2.4 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.9 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.72 hrs | 3.76 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.57 hrs | 0.69 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.53 hrs | 2.07 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.37 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 45.2% | 48.1% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 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) | 7 | 14 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 34 | 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 | 120 | 113 | 107 | |
| Average residents per day | 113 | 99 | 86 | |
| Occupancy | 94.1% | 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) | 3.1% | 3.6% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 6.1% | 4.7% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 20.6% | 14.2% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 11.4% | 14.9% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 12.2% | 15.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 6.9% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 5.1% | 18.7% | 12.8% | Better |
| 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) | 46.2% | 20.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 25.2% | 21.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95.4% | 94% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 92.3% | 90.9% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.6% | 1.3% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 64.1% | 73.6% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 48.3% | 73.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 31 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 20, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected December 16, 2025 |
| August 1, 2024 Complaint | 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 September 3, 2024 |
| August 1, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected September 3, 2024 |
| December 14, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected October 9, 2024 |
| December 14, 2023 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 | D Potential harm, isolated | Corrected October 9, 2024 |
| December 14, 2023 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | E Potential harm, pattern | Corrected March 8, 2024 |
| December 14, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 8, 2024 |
| December 14, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 8, 2024 |
| December 14, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected March 8, 2024 |
| December 14, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected March 8, 2024 |
| December 14, 2023 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 March 8, 2024 |
| April 7, 2022 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected June 10, 2022 |
| April 7, 2022 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected June 10, 2022 |
| April 7, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected June 10, 2022 |
| April 7, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected June 10, 2022 |
| April 7, 2022 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | D Potential harm, isolated | Corrected June 10, 2022 |
| April 7, 2022 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 June 10, 2022 |
| April 7, 2022 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 18, 2022 |
| April 7, 2022 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected May 17, 2022 |
| April 7, 2022 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected May 18, 2022 |
| April 7, 2022 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 May 18, 2022 |
| April 7, 2022 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 May 18, 2022 |
| April 7, 2022 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected May 18, 2022 |
| April 7, 2022 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected May 18, 2022 |
| April 7, 2022 Standard | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · Tag F0888 | D Potential harm, isolated | Corrected May 18, 2022 |
| January 31, 2019 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 March 13, 2019 |
| January 31, 2019 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 March 13, 2019 |
| January 31, 2019 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 13, 2019 |
| January 31, 2019 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 March 13, 2019 |
| January 31, 2019 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 13, 2019 |
| January 31, 2019 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 | D Potential harm, isolated | Corrected March 13, 2019 |
| January 31, 2019 Standard | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Tag F0646 | D Potential harm, isolated | Corrected March 13, 2019 |
| January 31, 2019 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected March 13, 2019 |
| January 31, 2019 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected March 13, 2019 |
| January 31, 2019 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 March 13, 2019 |
| January 31, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 13, 2019 |
| January 31, 2019 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 13, 2019 |
| January 31, 2019 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected March 13, 2019 |
| January 31, 2019 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected March 13, 2019 |
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 |
|---|---|---|---|
| INDEPENDENCE PARENTCO LLC Organization | 5% or greater direct ownership interest | 100% | 05/01/2025 |
| GRAYSON HOLDCO LLC Organization | 5% or greater indirect ownership interest | 100% | 05/01/2025 |
| CLARK, ALYSSA Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| HOBACK, TIFFANY Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| JONES, TEQUILLA Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| RIGGINS, BRIDGET Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| SNF MGR LLC Organization | adp of the snf | NOT APPLICABLE | 04/20/2025 |
| STURGILL FANT, VANESSA Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| SWORD, ROBERT Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| CLARK, ALYSSA Individual | managing control - governing body | NOT APPLICABLE | 05/01/2025 |
| HOBACK, TIFFANY Individual | managing control - governing body | NOT APPLICABLE | 05/01/2025 |
| CLARK, ALYSSA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| HOBACK, TIFFANY Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| JONES, TEQUILLA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| RIGGINS, BRIDGET Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| SNF MGR LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| STURGILL FANT, VANESSA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| SWORD, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
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Frequently asked questions
What is Grayson Health and Rehabilitation's rating?
Grayson Health and Rehabilitation has 5 out of 5 stars on the CMS overall star rating. The average for Virginia nursing homes is 3 stars.
How many inspection citations did Grayson Health and Rehabilitation receive?
Its most recent standard health inspection found 7 citations, compared with a Virginia average of 14.4. Every citation is listed on this page with its severity.
Does Grayson Health and Rehabilitation 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 Grayson Health and Rehabilitation?
It is for profit - corporation and part of Avardis Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Grayson Health and Rehabilitation and how do I contact it?
Grayson Health and Rehabilitation is at 400 South Independence Avenue, Independence, VA 24348. Phone: (276) 773-0303.
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.