Virginia › Smyth County › Chilhowie
Valley Rehabilitation and Nursing Center
940 East Lee Highway, Chilhowie, VA 24319
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 180 beds, Valley Rehabilitation and Nursing Center serves Chilhowie in Smyth County, Virginia and has taken Medicare and Medicaid residents since 1982.
CMS gives it 4 of 5 stars overall, above the Virginia median of 3; the health inspection rating is 4, staffing 3 and quality measures 3.
Inspectors recorded 16 health deficiencies across the three most recent survey cycles (8, 3, 5 by cycle, most recent first), none at the actual-harm level. That is 8.9 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 3.1 hours per resident per day (0.6 RN), close to the Virginia median of 3.4; nursing staff turnover is 35.6%.
Compared with county, state and nation
| Measure | This facility | Smyth Co. median | Virginia median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 16 | 9 | 32 | 28.7 |
| Citations per 100 beds | 8.9 | 8.9 | 34.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 5.0 | 3.4 | 3.9 |
| RN hours per resident day | 0.6 | 1.0 | 0.5 | 0.7 |
| Nursing staff turnover | 35.6% | 35.6% | 48.3% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (3 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: 12 Dec 2025, 30 Jun 2023.
Severity mix: D ×9 E ×7
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 |
|---|---|---|---|---|---|
| 12 Dec 2025 | 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. | E | Standard survey | 19 Jan 2026 |
| 12 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 19 Jan 2026 |
| 12 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 19 Jan 2026 |
| 12 Dec 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 19 Jan 2026 |
| 12 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Jan 2026 |
| 12 Dec 2025 | F0700 | Try 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. | D | Standard survey | 19 Jan 2026 |
| 12 Dec 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 19 Jan 2026 |
| 12 Dec 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 19 Jan 2026 |
| 30 Jun 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 27 Jul 2023 |
| 30 Jun 2023 | 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 | 27 Jul 2023 |
| 30 Jun 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 27 Jul 2023 |
| 10 Jun 2021 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 5 Aug 2021 |
| 10 Jun 2021 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 5 Aug 2021 |
| 10 Jun 2021 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 5 Aug 2021 |
| 10 Jun 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 Aug 2021 |
| 10 Jun 2021 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 5 Aug 2021 |
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 35.6%, RNs 34.8%; 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 | 9.7% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.1% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.5% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.7% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.6% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 53.2% | 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: Valley Operator Llc. Chain: Lifeworks Rehab (64 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Virginia Care Holco LLC | 5% or greater direct ownership interest | 100% | 01/01/2020 |
| Isva Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2020 |
| Jkva Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2020 |
| Mlva Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/01/2020 |
| Innovative Healthcare Management LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2020 |
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 Smyth County
| 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 |
All 3 facilities in Smyth County
Questions and answers
How many deficiencies has Valley Rehabilitation and Nursing Center been cited for?
16 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 Valley Rehabilitation and Nursing Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Valley Rehabilitation and Nursing Center compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Virginia median of 3.4 and a national average of 3.9.
Who operates Valley Rehabilitation and Nursing Center?
It is part of the Lifeworks Rehab chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Virginia Care Holco LLC, Isva Holdings LLC and Jkva Holdings LLC. Individual owners and managers are not listed on this site.
When was Valley Rehabilitation and Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 12 Dec 2025; the most recent standard health survey was 12 Dec 2025.
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.