ElderGrade
B

72/100

Above average

Grayson Health And Rehabilitation

400 South Independence Avenue, Independence, VA 24348

CMS 5/5 stars (276) 773-0303
Certified beds
120
Occupancy
94%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Last inspection was more than 2 years ago

    Ratings here are based on older survey data than at most facilities.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.96 total nurse hours per resident per day (national median 3.77)
  • 0.57 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 45% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.72 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.57 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.37 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 45.20%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 31 citations

Last standard health inspection: December 14, 2023 (2 years ago).

D Nov 20, 2025 F0580 From a complaint

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

No actual harm, potential for more than minimal harm

D Aug 1, 2024 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Aug 1, 2024 F0760 From a complaint

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

E Dec 14, 2023 F0730

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

No actual harm, potential for more than minimal harm

D Dec 14, 2023 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Dec 14, 2023 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Dec 14, 2023 F0755

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

D Dec 14, 2023 F0760

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of AVARDIS HEALTH, which operates 38 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CLARK, ALYSSA Individual MANAGING CONTROL - GOVERNING BODY
HOBACK, TIFFANY Individual MANAGING CONTROL - GOVERNING BODY
SNF MGR LLC Organization OPERATIONAL/MANAGERIAL CONTROL
CLARK, ALYSSA Individual OPERATIONAL/MANAGERIAL CONTROL
HOBACK, TIFFANY Individual OPERATIONAL/MANAGERIAL CONTROL
JONES, TEQUILLA Individual OPERATIONAL/MANAGERIAL CONTROL
RIGGINS, BRIDGET Individual OPERATIONAL/MANAGERIAL CONTROL
STURGILL FANT, VANESSA Individual OPERATIONAL/MANAGERIAL CONTROL
SWORD, ROBERT Individual OPERATIONAL/MANAGERIAL CONTROL
SNF MGR LLC Organization ADP OF THE SNF
CLARK, ALYSSA Individual ADP OF THE SNF
HOBACK, TIFFANY Individual ADP OF THE SNF

What families say

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Common questions about Grayson Health And Rehabilitation

What is the ElderGrade for Grayson Health And Rehabilitation? +

Grayson Health And Rehabilitation holds an ElderGrade of B (72 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Grayson Health And Rehabilitation? +

Residents receive an average of 2.72 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Grayson Health And Rehabilitation been cited for harming residents? +

No. None of the 31 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Grayson Health And Rehabilitation accept Medicaid? +

Yes, Grayson Health And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.