ElderGrade
D

40/100

Below average

Guggenheimer Health And Rehab Center

1902 Grace Street, Lynchburg, VA 24504

CMS 1/5 stars #7 of 8 in Lynchburg City County (434) 947-5100
Certified beds
130
Occupancy
92%
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.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $76,681 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Nursing staff turnover of 66%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

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

Inspection 16/30 Staffing 10/30 Stability 0/15 Outcomes 12/15 Enforcement 2/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

16/30

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

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -10 for 47 total citations against a national median of 17

Staffing

10/30

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

  • 3.19 total nurse hours per resident per day (national median 3.77)
  • 0.62 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

0/15

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

  • 66% of nursing staff left in the last year
  • -2 for 3 administrator departures

Resident outcomes

12/15

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

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

Enforcement history

2/10

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

  • $76,681 in federal fines across 1 action(s)

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 3.38 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.62 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.07 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 65.60%
National average 45.80% Below average

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

Recent inspection findings

All 54 citations

Last standard health inspection: October 2, 2024 (1 year ago).

E Jan 7, 2026 F0925 From a complaint

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

No actual harm, potential for more than minimal harm

D Jan 7, 2026 F0559 From a complaint

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

No actual harm, potential for more than minimal harm

D Jan 7, 2026 F0584 From a complaint

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Dec 10, 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

E Dec 10, 2024 F0761 From a complaint

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

D Dec 10, 2024 F0550 From a complaint

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

D Dec 10, 2024 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D Dec 10, 2024 F0658 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of HILL VALLEY HEALTHCARE, which operates 43 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
MARTIN, KRISTI Individual W-2 MANAGING EMPLOYEE
IDELS, SHIMON Individual CORPORATE OFFICER
HVH TIMBERLAKE MANAGEMENT LLC Organization OPERATIONAL/MANAGERIAL CONTROL
DIAMOND HILL SNF HOLDINGS LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
TIMBERLAKE OPERATIONS HOLDINGS LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Guggenheimer Health And Rehab Center

What is the ElderGrade for Guggenheimer Health And Rehab Center? +

Guggenheimer Health And Rehab Center holds an ElderGrade of D (40 out of 100), which we describe as "below 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 Guggenheimer Health And Rehab Center? +

Residents receive an average of 3.38 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Guggenheimer Health And Rehab Center been cited for harming residents? +

Yes. 1 of the 54 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Guggenheimer Health And Rehab Center accept Medicaid? +

Yes, Guggenheimer Health And Rehab Center 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.