Guggenheimer Health and Rehab CenterCMS ratings, inspections and fines
- Address
- 1902 Grace Street, Lynchburg, VA 24504
- CCN
- 495112
- Ownership type
- For-profit, limited liability company
- Certified beds
- 130
- Residents per day
- 120
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Guggenheimer Health and Rehab Center an overall rating of 1 of 5 stars. The last standard survey was on 2 Oct 2024. The latest survey cycle has 31 health citations. The median for nursing homes in Virginia is 11. CMS lists 1 fine of $76,681 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Lynchburg city median | Virginia median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 8 homes in the county, 289 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Virginia median |
|---|---|---|---|
| Cycle 1 (latest) | 2 Oct 2024 | 31 | 11 |
| Cycle 2 | 13 Oct 2021 | 16 | 10 |
| Cycle 3 | No date | 7 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 31 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Jan 2026 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint investigation | 6 Feb 2026 |
| 7 Jan 2026 | F0584 | 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. | D | Complaint investigation | 6 Feb 2026 |
| 7 Jan 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 6 Feb 2026 |
| 2 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 2 Jan 2025 |
| 2 Oct 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 16 Nov 2024 |
| 2 Oct 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 16 Nov 2024 |
| 2 Oct 2024 | F0584 | 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. | D | Standard survey | 16 Nov 2024 |
| 2 Oct 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 16 Nov 2024 |
| 2 Oct 2024 | 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 | 16 Nov 2024 |
| 2 Oct 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 2 Jan 2025 |
| 2 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 2 Jan 2025 |
| 2 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 2 Jan 2025 |
| 2 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 2 Jan 2025 |
| 2 Oct 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 16 Nov 2024 |
| 2 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 16 Nov 2024 |
| 2 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 16 Nov 2024 |
| 2 Oct 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 2 Jan 2025 |
| 2 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 2 Jan 2025 |
| 2 Oct 2024 | 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. | E | Standard survey | 2 Jan 2025 |
| 2 Oct 2024 | F0778 | Help the resident make transportation arrangements to and from radiology services. | D | Standard survey | 2 Jan 2025 |
| 2 Oct 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 16 Nov 2024 |
| 2 Oct 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 2 Jan 2025 |
| 2 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Nov 2024 |
| 2 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 2 Jan 2025 |
| 2 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 2 Jan 2025 |
| 2 Oct 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 16 Nov 2024 |
| 2 Oct 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 16 Nov 2024 |
| 2 Oct 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard survey | 16 Nov 2024 |
| 2 Oct 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 16 Nov 2024 |
| 2 Oct 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 2 Oct 2024 |
| 2 Oct 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 16 Nov 2024 |
Survey cycle 2: 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Dec 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 2 Jan 2025 |
| 10 Dec 2024 | 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 | Complaint investigation | 2 Jan 2025 |
| 10 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 2 Jan 2025 |
| 10 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 2 Jan 2025 |
| 10 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 2 Jan 2025 |
| 10 Dec 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 2 Jan 2025 |
| 10 Dec 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 2 Jan 2025 |
| 10 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 2 Jan 2025 |
| 10 Dec 2024 | 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. | E | Complaint investigation | 2 Jan 2025 |
| 10 Dec 2024 | F0778 | Help the resident make transportation arrangements to and from radiology services. | D | Complaint investigation | 2 Jan 2025 |
| 10 Dec 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 2 Jan 2025 |
| 10 Dec 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 2 Jan 2025 |
| 10 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 2 Jan 2025 |
| 13 Oct 2021 | 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 | 21 Nov 2021 |
| 13 Oct 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 21 Nov 2021 |
| 13 Oct 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Nov 2021 |
Survey cycle 3: 7 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 6 Nov 2023 |
| 11 Oct 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 | Complaint investigation | 6 Nov 2023 |
| 11 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 6 Nov 2023 |
| 16 Jan 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard survey | 10 Feb 2019 |
| 16 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 | 10 Feb 2019 |
| 16 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 | 10 Feb 2019 |
| 16 Jan 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Feb 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 2 Oct 2024 | Fine | $76,681 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Virginia median | Virginia average (CMS) |
|---|---|---|---|
| All nurse staff | 3.38 | 3.40 | 3.76 |
| Registered nurses (RN) | 0.62 | 0.50 | 0.69 |
| Licensed practical nurses (LPN) | 0.73 | 1.00 | |
| Nurse aides | 2.03 | 2.07 | |
| All nurse staff, weekends | 3.07 | 3.00 | 3.29 |
- Nurse staff turnover in a year
- 65.6%
- Nurse staff turnover, Virginia median
- 48.3%
- RN turnover in a year
- 74.1%
- Administrators who left in a year
- 3
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.2% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.4% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.7% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.2% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.3% | 13.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Diamond Hill SNF Operations LLC
- Chain
- Hill Valley Healthcare (43 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Diamond Hill SNF Holdings LLC | 5% or greater direct ownership interest | 100% | 1 Nov 2021 |
| Timberlake Operations Holdings LLC | 5% or greater indirect ownership interest | 100% | 1 Nov 2021 |
| HVH Timberlake Management LLC | Operational/managerial control | 1 Nov 2021 |
The site shows organisations only. It does not show the names of persons.
Other homes in Lynchburg city
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Forest Health & Rehab Center | Lynchburg | 4 of 5 | 6 | $0 | 15 Jun 2022 | |
| Tate Springs Health & Rehab | Lynchburg | 4 of 5 | 3 | $0 | 19 Apr 2023 | |
| Seven Hills Rehabilitation and NursingSpecial Focus candidate | Lynchburg | 1 of 5 | 39 | $89,006 | 2 Aug 2023 | |
| Lynchburg Health & Rehabilitation Center | Lynchburg | 1 of 5 | 34 | $0 | 12 Sep 2024 | |
| Westminster-Canterbury of Lynchburg Inc | Lynchburg | 5 of 5 | 2 | $0 | 19 Mar 2026 | |
| Liberty Ridge Health & Rehab | Lynchburg | 4 of 5 | 9 | $10,033 | 5 Jun 2024 | |
| Summit Health and Rehab Center | Lynchburg | 3 of 5 | 15 | $0 | 1 May 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Virginia Department of Health: file a complaintThe complaint page of the State Survey Agency for Virginia, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Guggenheimer Health and Rehab Center (CCN 495112). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/guggenheimer-health-and-rehab-center-lynchburg-va-495112/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Guggenheimer Health and Rehab Center last inspected?
- The latest inspection with a citation in the CMS record was on 7 Jan 2026. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 13 Oct 2021.
- Who operates Guggenheimer Health and Rehab Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Hill Valley Healthcare. The CMS ownership file names HVH Timberlake Management LLC for operational or managerial control. This site does not show the names of persons.
- Is Guggenheimer Health and Rehab Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Virginia as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.