Elder Care Record

Virginia › Warren County › Front Royal

Lynn Care Center

1000 Shenandoah Avenue, Front Royal, VA 22630

CCN 495316 · For-profit, limited liability company · 120 certified beds · chain Hill Valley Healthcare

CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Lynn Care Center, in Front Royal, Virginia, is certified for 120 beds under for-profit, limited liability company ownership and belongs to the Hill Valley Healthcare chain.

CMS gives it 2 of 5 stars overall, below the Virginia median of 3; the health inspection rating is 1, staffing 3 and quality measures 5.

Inspectors recorded 54 health deficiencies across the three most recent survey cycles (19, 23, 12 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 45.0 per 100 beds, more than the state median of 34.5.

CMS lists 1 penalty in the period covered: fines totalling $38K.

Reported nurse staffing is 4.1 hours per resident per day (0.7 RN), close to the Virginia median of 3.4; nursing staff turnover is 56.6%.

CMS flags that the facility carries the CMS abuse icon.

54health deficiencies, 3 survey cycles4 at actual harm or worse
$38Kfines listed by CMS1 penalty in period
4.1nurse hours per resident per daystate median 3.4
91%occupancy (residents ÷ beds)109 residents a day

Compared with county, state and nation

MeasureThis facilityWarren Co. medianVirginia medianUS average
Overall star rating2533.0
Health citations, 3 cycles54543228.7
Citations per 100 beds45.045.034.526.8
Total nurse hours per resident day4.14.13.43.9
RN hours per resident day0.70.70.50.7
Nursing staff turnover56.6%56.6%48.3%45.8%
Fines listed$38,110$38,110$0—

County and state figures are medians across facilities (2 in the county, 289 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)19
Cycle 223
Cycle 312

Dark bar: this facility. Grey bar: Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Jan 2026, 6 Jan 2023.

Severity mix: K ×2 G ×2 D ×44 E ×5 C ×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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
12 Jan 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint investigation10 Feb 2026
12 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint investigation10 Feb 2026
12 Jan 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint investigation10 Feb 2026
12 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey10 Mar 2026
12 Jan 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey10 Feb 2026
12 Jan 2026F0584Honor 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.DStandard survey10 Feb 2026
12 Jan 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey10 Feb 2026
12 Jan 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey10 Feb 2026
12 Jan 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey10 Feb 2026
12 Jan 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey10 Feb 2026
12 Jan 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey10 Feb 2026
12 Jan 2026F0730Observe each nurse aide's job performance and give regular training.DStandard survey10 Feb 2026
12 Jan 2026F0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.DStandard survey10 Feb 2026
12 Jan 2026F0880Provide and implement an infection prevention and control program.DStandard survey10 Feb 2026
12 Jan 2026F0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DStandard survey10 Feb 2026
12 Jan 2026F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.DStandard survey10 Feb 2026
12 Jan 2026F0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.DStandard survey10 Feb 2026
12 Jan 2026F0946Provide training in compliance and ethics.DStandard survey10 Feb 2026
12 Jan 2026F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.DStandard survey10 Feb 2026
7 Feb 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation25 Mar 2025
7 Feb 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation25 Mar 2025
7 Feb 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation25 Mar 2025
16 Jul 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation18 Oct 2024
16 Jul 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation18 Oct 2024
16 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation21 Jun 2024
6 Jan 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey3 Jan 2023
6 Jan 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey20 Feb 2023
6 Jan 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey20 Feb 2023
6 Jan 2023F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey20 Feb 2023
6 Jan 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey20 Feb 2023
6 Jan 2023F0637Assess the resident when there is a significant change in conditionDStandard survey20 Feb 2023
6 Jan 2023F0641Ensure each resident receives an accurate assessment.DStandard survey20 Feb 2023
6 Jan 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey20 Feb 2023
6 Jan 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey20 Feb 2023
6 Jan 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey20 Feb 2023
6 Jan 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey20 Feb 2023
6 Jan 2023F0687Provide appropriate foot care.DStandard survey20 Feb 2023
6 Jan 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey20 Feb 2023
6 Jan 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey20 Feb 2023
6 Jan 2023F0700Try 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.DStandard survey20 Feb 2023
6 Jan 2023F0730Observe each nurse aide's job performance and give regular training.DStandard survey20 Feb 2023
6 Jan 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey20 Feb 2023
6 Jan 2023F0811Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.DStandard survey20 Feb 2023
6 Jan 2023F0908Keep all essential equipment working safely.DStandard survey20 Feb 2023
6 Jan 2023F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard survey20 Feb 2023
31 Aug 2021F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey5 Oct 2021
31 Aug 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey15 Nov 2021
31 Aug 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey15 Nov 2021
31 Aug 2021F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey15 Nov 2021
31 Aug 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey15 Nov 2021
31 Aug 2021F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey5 Oct 2021
31 Aug 2021F0761Ensure 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.DStandard survey15 Nov 2021
31 Aug 2021F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey5 Oct 2021
31 Aug 2021F0732Post nurse staffing information every day.CStandard survey5 Oct 2021

Penalties

DateTypeAmountDetail
12 Jan 2026Fine$38,110

Staffing

Total nursing4.11 h
Nurse aides2.31 h
LPN1.09 h
RN0.7 h
Weekend total3.45 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Virginia average. Turnover: nursing staff 56.6%, RNs 56.7%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityVirginia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.9%13.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.7%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.4%3.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.1%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.3%14.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.8%4.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.8%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, limited liability company. Legal business name: Shenandoah Operations Holdings Llc. Chain: Hill Valley Healthcare (43 facilities).

OrganisationRole in the CMS recordInterestSince
Shenandoah SNF Operations Holdings LLC5% or greater direct ownership interest100%02/01/2022
Shenandoah Operators Manager LLCOperational/managerial controlNOT APPLICABLE02/01/2022

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Warren County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Heritage Hall Front RoyalFront Royal60552610.0—15 May 2024

All 2 facilities in Warren County

Questions and answers

How many deficiencies has Lynn Care Center been cited for?

54 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Virginia median is 32 per facility.

Has Lynn Care Center been fined?

Yes. CMS lists fines totalling $38K in the period covered.

How does staffing at Lynn Care Center compare?

Reported total nurse staffing is 4.1 hours per resident per day against a Virginia median of 3.4 and a national average of 3.9.

Who operates Lynn Care Center?

It is part of the Hill Valley Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Shenandoah SNF Operations Holdings LLC and Shenandoah Operators Manager LLC. Individual owners and managers are not listed on this site.

When was Lynn Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 12 Jan 2026; the most recent standard health survey was 12 Jan 2026.

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.