Virginia › Grayson County › Independence
Grayson Health and Rehabilitation
400 South Independence Avenue, Independence, VA 24348
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 120 beds, Grayson Health and Rehabilitation serves Independence in Grayson County, Virginia and has taken Medicare and Medicaid residents since 1998.
CMS gives it 5 of 5 stars overall, above the Virginia median of 3; the health inspection rating is 4, staffing 2 and quality measures 5.
Inspectors recorded 31 health deficiencies across the three most recent survey cycles (7, 10, 14 by cycle, most recent first), none at the actual-harm level. That is 25.8 per 100 beds, fewer than the state median of 34.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 2.7 hours per resident per day (0.6 RN), close to the Virginia median of 3.4; nursing staff turnover is 45.2%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Grayson Co. median | Virginia median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 31 | 31 | 32 | 28.7 |
| Citations per 100 beds | 25.8 | 25.8 | 34.5 | 26.8 |
| Total nurse hours per resident day | 2.7 | 2.7 | 3.4 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 45.2% | 45.2% | 48.3% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (1 in the county, 289 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Dec 2023, 7 Apr 2022.
Severity mix: D ×30 E ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Nov 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 16 Dec 2025 |
| 1 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Sep 2024 |
| 1 Aug 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 3 Sep 2024 |
| 14 Dec 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 8 Mar 2024 |
| 14 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 8 Mar 2024 |
| 14 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 8 Mar 2024 |
| 14 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 8 Mar 2024 |
| 14 Dec 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 8 Mar 2024 |
| 14 Dec 2023 | F0761 | 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. | D | Standard survey | 8 Mar 2024 |
| 7 Apr 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 17 May 2022 |
| 7 Apr 2022 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 18 May 2022 |
| 7 Apr 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 18 May 2022 |
| 7 Apr 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 18 May 2022 |
| 7 Apr 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 18 May 2022 |
| 7 Apr 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 18 May 2022 |
| 7 Apr 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 18 May 2022 |
| 7 Apr 2022 | F0888 | Ensure staff are vaccinated for COVID-19 | D | Standard survey | 18 May 2022 |
| 31 Jan 2019 | 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. | D | Standard survey | 13 Mar 2019 |
| 31 Jan 2019 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 13 Mar 2019 |
| 31 Jan 2019 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard survey | 13 Mar 2019 |
| 31 Jan 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 13 Mar 2019 |
| 31 Jan 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 13 Mar 2019 |
| 31 Jan 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 13 Mar 2019 |
| 31 Jan 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 13 Mar 2019 |
| 31 Jan 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 13 Mar 2019 |
| 31 Jan 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 13 Mar 2019 |
| 31 Jan 2019 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 13 Mar 2019 |
| 31 Jan 2019 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 13 Mar 2019 |
| 31 Jan 2019 | F0758 | 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. | D | Standard survey | 13 Mar 2019 |
| 31 Jan 2019 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 13 Mar 2019 |
| 31 Jan 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 13 Mar 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Virginia average. Turnover: nursing staff 45.2%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.4% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.2% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.1% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.6% | 13.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: 400 South Independence Avenue Opco Llc. Chain: Avardis Health (38 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Independence Parentco LLC | 5% or greater direct ownership interest | 100% | 05/01/2025 |
| Grayson Holdco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/01/2025 |
| Vaop Holdco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/01/2025 |
| SNF Mgr LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| SNF Mgr LLC | Adp of the snf | NOT APPLICABLE | 04/20/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Grayson Health and Rehabilitation been cited for?
31 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Virginia median is 32 per facility.
Has Grayson Health and Rehabilitation been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Grayson Health and Rehabilitation compare?
Reported total nurse staffing is 2.7 hours per resident per day against a Virginia median of 3.4 and a national average of 3.9.
Who operates Grayson Health and Rehabilitation?
It is part of the Avardis Health chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Independence Parentco LLC, Grayson Holdco LLC and Vaop Holdco LLC. Individual owners and managers are not listed on this site.
When was Grayson Health and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 20 Nov 2025; the most recent standard health survey was 14 Dec 2023.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.