Marion, VA · Smyth County
★★★★★CMS 5/5109 bedsNon-profitMedicaid
- Nurse hours
- 5.03 /day
- Staff turnover
- 48%
- Serious cites
- 0
Francis Marion Manor runs on more nursing hours than most places, 5.03 per resident per day against a national average of 3.86, which is the kind of gap that shows up in call lights getting answered. Weekends thin out by about 15% from its own weekday staffing, so ask how that plays out on a Sunday. Nine deficiencies sit on the current record with none at the harm level, though one is abuse-related, and the last full inspection was in August 2024. Turnover is 47.9%, slightly worse than the 45.8% national figure, which matters more than the headcount on paper.
Marion, VA · Smyth County
★★★★☆CMS 4/525 bedsGovernmentMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- 20%
- Serious cites
- 0
Sw Va M H Inst Geri Trt Ctr runs on a state government license in Marion with just 25 certified beds, and the numbers suggest a well-run operation. Nurse staffing sits at 4.76 hours per resident day, roughly 23% above the national average of 3.86, and the weekend dip is only about 8% off its own weekday level, minor compared with what many homes see. Staff turnover is 19.6%, less than half the national rate of 45.8%, so the people caring for residents tend to stick around. Five deficiencies show on the current record with none at the harm or jeopardy level and none abuse-related, and the most recent inspection closed out in late December 2025.
Chilhowie, VA · Smyth County
★★★★☆CMS 4/5180 bedsFor-profitMedicaid
- Nurse hours
- 3.07 /day
- Staff turnover
- 36%
- Serious cites
- 0
Valley Rehabilitation and Nursing Center runs 180 certified beds in Chilhowie under for-profit LLC ownership, and its nurse staffing sits at 3.07 hours per resident day, roughly 20 percent under the national average of 3.86. Weekends get thinner still, about 16 percent below what the home staffs on weekdays, so the coverage gap widens exactly when families tend to visit. Turnover is the brighter spot: 35.6 percent against a national 45.8 percent means more of the same faces stay year to year. The 16 deficiencies on record include none at harm or jeopardy level but three tied to abuse, and the last inspection came in December 2025.