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Nursing homes in Smyth County, Virginia
Smyth County, Virginia, has 3 Medicare-certified nursing homes with 314 certified beds.
0% of them are rated 1 or 2 stars overall, a smaller share than the state (42%). Inspectors recorded 30 health deficiencies over three cycles, 9.6 per 100 beds against 34.2 statewide.
No fines are listed for facilities in the county in the period covered.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Smyth County | Virginia | US |
|---|---|---|---|
| Facilities | 3 | 289 | 14690 |
| Rated 1–2 stars overall | 0% | 42% | 41% |
| Median overall rating | 4 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 9.6 | 34.2 | 26.8 |
| Median nurse hours per resident day | 5.0 | 3.4 | 3.7 |
| Fines listed | $0 | $6.6M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Francis Marion Manor Health & Rehabilitation | Marion | 109 | 5 | 4 | 5 | 9 | 8.3 | — | 14 Aug 2024 |
| Sw Va M H Inst Geri Trt Ctr | Marion | 25 | 4 | 4 | 1 | 5 | 20.0 | — | 30 Dec 2025 |
| Valley Rehabilitation and Nursing Center | Chilhowie | 180 | 4 | 4 | 3 | 16 | 8.9 | — | 12 Dec 2025 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | 2 |
| F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | 2 |
| F0578 | 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. | 2 |
| F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | 2 |
| F0760 | Ensure that residents are free from significant medication errors. | 2 |
Ownership
| Type | Facilities |
|---|---|
| Non profit | 1 |
| Government | 1 |
| For profit | 1 |
Chains present: Ahava Healthcare (1), Lifeworks Rehab (1).
Questions and answers
How many nursing homes are in Smyth County, Virginia?
3 Medicare-certified nursing homes with 314 certified beds.
Which nursing homes in Smyth County have the highest CMS ratings?
Francis Marion Manor Health & Rehabilitation (5 stars), Sw Va M H Inst Geri Trt Ctr (4 stars), Valley Rehabilitation and Nursing Center (4 stars)
How do Smyth County nursing homes compare with Virginia?
0% are rated 1–2 stars overall against 42% statewide; citations run at 9.6 per 100 beds against 34.2 statewide.