ElderGrade
A

99/100

Excellent

Sw Va M H Inst Geri Trt Ctr

340 Bagley Circle, Marion, VA 24354

CMS 5/5 stars #1 of 3 in Smyth County (276) 783-1209
Certified beds
25
Occupancy
82%
Ownership
Government
Accepts
Medicaid

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

29/30

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

  • 6.35 total nurse hours per resident per day (national median 3.77)
  • 1.98 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

15/15

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

  • 20% 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 4.76 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.98 hrs
National average 0.69 hrs Better than average

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

Weekend nurse hours 4.36 hrs
National average 3.42 hrs Better than average

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

Nursing staff turnover 19.60%
National average 45.80% Better than average

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

Recent inspection findings

Last standard health inspection: December 30, 2025 (7 months ago).

F Dec 30, 2025 F0578

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

No actual harm, potential for more than minimal harm

F Dec 30, 2025 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

F Aug 31, 2023 F0756

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

No actual harm, potential for more than minimal harm

D Aug 31, 2023 F0758

Pharmacy Service Deficiencies

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 m...

No actual harm, potential for more than minimal harm

E Feb 26, 2021 F0759

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

No actual harm, potential for more than minimal harm

What families say

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Common questions about Sw Va M H Inst Geri Trt Ctr

What is the ElderGrade for Sw Va M H Inst Geri Trt Ctr? +

Sw Va M H Inst Geri Trt Ctr holds an ElderGrade of A (99 out of 100), which we describe as "excellent". 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 Sw Va M H Inst Geri Trt Ctr? +

Residents receive an average of 4.76 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Sw Va M H Inst Geri Trt Ctr been cited for harming residents? +

No. None of the 5 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Sw Va M H Inst Geri Trt Ctr accept Medicaid? +

Yes, Sw Va M H Inst Geri Trt Ctr 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.