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HILL VALLEY HEALTHCARE

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

43

States

6

Beds

5,452

Avg score

65.7

Avg turnover

54%

Federal fines

$1,759,192

Flags across this group

7 of the group's homes carry a CMS abuse icon. 5 homes are in or a candidate for the Special Focus Facility programme.

All 43 homes

C

59.5/100

New Martinsville Health & Rehab

New Martinsville, WV · Wetzel County

CMS 1/5100 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
46%
Serious cites
0

New Martinsville Health & Rehab runs a 100-bed for-profit operation, and the staffing numbers are where the trouble starts. At 3.30 nurse hours per resident per day, it sits about 15 percent under the national average of 3.86, and weekends drop roughly another 16 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit and residents need eyes on them. Turnover of 45.7 percent roughly matches the national rate, meaning the revolving door isn't unusual, just constant. The inspection record is heavier: 54 deficiencies, three at harm or jeopardy level and four tied to abuse, plus a $49,442 fine. A 2/5 inspection rating and 1/5 staffing rating reflect what those numbers show.

C

59/100

Glenville Health & Rehab

Glenville, WV · Gilmer County

CMS 1/565 bedsFor-profitMedicaid
Nurse hours
3.06 /day
Staff turnover
54%
Serious cites
0

Glenville Health & Rehab runs on 3.06 nurse hours per resident day, about 21% under the national average, and weekend staffing drops roughly 13% below what the home itself provides on weekdays. That thin coverage shows up against a 54.1% annual turnover rate, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The inspection record is the harder part: 51 deficiencies, including three tied to abuse and one serious enough to put a resident in harm's way, plus a $39,390 fine. The most recent inspection was April 2026, so the record is current, not stale. It's a for-profit LLC with 65 beds, and the numbers say the same thing across staffing, quality, and oversight.

C

57/100

Shalom Gardens Health & Rehabilitation

Richmond, VA · Henrico County

CMS 1/5101 bedsFor-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
66%
Serious cites
0

Shalom Gardens runs 101 beds in Henrico County under corporate ownership, and the staffing numbers are the first thing worth knowing. At 3.72 nurse hours per resident day, it sits just under the national average, but weekends drop roughly 14% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. A 65.8% annual turnover rate means most of the people caring for your relative are new, still learning the building, or already halfway out the door. The inspection record is heavier than that: 49 deficiencies, three involving harm or jeopardy, five tied to abuse, and a 2-out-of-5 health inspection rating. One fine on record, $12,177.

C

57/100

Cortland Acres Health And Rehabilitation

Thomas, WV · Tucker County

CMS 1/594 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
60%
Serious cites
0

Cortland Acres runs 94 certified beds in Thomas under corporate ownership, and the staffing picture is the first thing to know: a one-star staffing rating, with 59.8% of staff turning over annually against a national average of 45.8%. That churn shows up in the inspection record too, 31 deficiencies on file, two serious enough to reach harm or jeopardy level, and a single fine of $32,057. The last inspection was March 12, 2025, so the record is current rather than stale. Quality measures rate better at three stars, which suggests some clinical care is tracking adequately, but the low staffing and inspection scores are the numbers a family should weigh hardest when deciding whether this home can reliably deliver day-to-day care.

C

55/100

Oakhurst Health & Rehabilitation

Fork Union, VA · Fluvanna County

CMS 1/560 bedsFor-profitMedicaid
Nurse hours
2.99 /day
Staff turnover
82%
Serious cites
0

Oakhurst runs on about 3 hours of nursing care per resident per day, roughly a quarter below the national average, and it gets thinner on weekends. That shows up in the staffing star rating, which sits at the lowest tier. The bigger red flag is turnover: more than eight in ten staff left over the past year, against a national rate nearer 46%. Inspections produced 60 deficiencies, including nine tied to abuse and four serious enough to put residents in harm's way. State regulators fined the home once, for $18,590. The last inspection was in February 2024. If you're considering this one, ask how they're keeping consistent caregivers on the floor.

D

54/100

Guggenheimer Health And Rehab Center

Lynchburg, VA · Lynchburg City County

CMS 1/5130 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
66%
Serious cites
0

Guggenheimer Health and Rehab Center runs 130 beds in Lynchburg under for-profit LLC ownership, and the numbers split sharply depending on where you look. The quality measure score is strong, but nurse staffing sits at 3.38 hours per resident day against a national average of 3.86, and weekends drop about 9% below the home's own weekday level. Turnover tells the harder story: 65.6% of staff leave annually, well above the 45.8% national figure. Inspections back that up, a 1-out-of-5 health inspection rating and 54 deficiencies on the current record, one serious enough to involve harm or jeopardy, plus a $76,681 fine. The most recent inspection was October 2024. Strong clinical metrics on paper don't offset thin, unstable staffing.

D

54/100

Forest Hill Health & Rehabilitation

Richmond, VA · Richmond City County

CMS 1/5174 bedsFor-profitMedicaid
Nurse hours
3.04 /day
Staff turnover
70%
Serious cites
0

Forest Hill runs on 3.04 nurse hours per resident per day, about a fifth less than the national average of 3.86, and weekends drop roughly 9 percent below its own weekday staffing. Turnover sits at 69.6 percent against a national 45.8 percent, meaning most of the aides and nurses who know your family member may not be there in a year. The current record carries 95 deficiencies, including 3 at the harm or jeopardy level and 9 tied to abuse, with one fine of $80,132 and an inspection from February 2025. Resident outcome measures look strong here, but the staffing and inspection numbers are where the risk lives.

D

54/100

Spokane Health & Rehabilitation

Spokane, WA · Spokane County

CMS 1/5125 bedsFor-profitMedicaid
Nurse hours
3.55 /day
Staff turnover
64%
Serious cites
0

Special Focus Facility

Spokane Health & Rehabilitation runs 125 certified beds under for-profit LLC ownership, and the staffing numbers tell a story. At 3.55 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. Annual turnover of 64.4% against a national 45.8% means the aides and nurses caring for your family member are, more often than not, new to the building. The inspection record is the harder truth. Ninety-eight deficiencies, including six at the harm or jeopardy level and eight tied to abuse, with three fines totaling $137,457. CMS has placed this home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes.

D

54/100

Woodard Creek Health & Rehabilitation

Olympia, WA · Thurston County

CMS 1/5152 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
72%
Serious cites
0

Special Focus Facility

Woodard Creek runs 152 beds under for-profit LLC ownership, and its nurse staffing sits barely above the national average, 3.89 hours per resident day against 3.86, while weekends drop roughly 12% below its own weekday levels. The bigger issue is who stays: annual turnover hits 71.8%, well above the 45.8% national figure, and CMS gives staffing just 2 of 5 stars. Its inspection record shows 77 deficiencies, including one at harm or jeopardy level and 13 tied to abuse, with a $12,735 fine and a June 2025 inspection. Quality measures rate 4 of 5 stars, but that's the outlier here, not the pattern.

D

54/100

Mountain View Care Center

Ripley, WV · Jackson County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
3.03 /day
Staff turnover
51%
Serious cites
0

Special Focus Facility

Mountain View Care Center is a 120-bed for-profit home in Ripley, and the staffing numbers are the first thing I'd want you to see. At 3.03 nurse hours per resident day, it runs about 21% below the national average, and weekends drop roughly another 15% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Staff turnover sits at 50.5%, above the 45.8% national figure, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor inspections. That record includes 59 deficiencies, one at the harm level and two tied to abuse, plus a $34,496 fine. The most recent inspection was February 2025.

D

54/100

Bluestone Health And Rehabilitation

Bluefield, WV · Mercer County

CMS 1/560 bedsFor-profitMedicaid
Nurse hours
2.98 /day
Staff turnover
35%
Serious cites
0

Abuse icon on record

Bluestone Health and Rehabilitation is a 60-bed for-profit home in Bluefield, and the numbers here deserve your full attention before you tour. Nurse staffing sits at 2.98 hours per resident per day, roughly a quarter below the national average, and weekends run about 12 percent thinner than weekdays, so the coverage gap widens exactly when families tend to visit. The inspection record is the harder problem: 77 deficiencies on file, including four at the harm or jeopardy level and four tied to abuse, with two fines totaling $76,979. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems.

D

52/100

The Mckendree Post Acute & Rehabilitation

Hermitage, TN · Davidson County

CMS 1/5180 bedsNon-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
58%
Serious cites
0

Abuse icon on record

The Mckendree Post Acute & Rehabilitation is a 180-bed nonprofit home in Hermitage that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor inspections. The numbers explain why: 37 deficiencies on the current record, including four at the harm or jeopardy level and five tied to abuse, plus a single fine of $252,242. Staffing sits at 3.50 nurse hours per resident day, about 9% under the national average, and weekends run roughly 12% thinner than weekdays. Annual turnover is 58% against a national 45.8%. Its last inspection was October 2023. If you're considering this home, ask what's changed since then.

D

52/100

Rosedale Health & Rehabilitation

Richmond, VA · Henrico County

CMS 1/5128 bedsFor-profitMedicaid
Nurse hours
3.10 /day
Staff turnover
66%
Serious cites
0

Rosedale runs on thin nursing coverage: 3.10 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below its own weekday level. Turnover compounds it, nearly two-thirds of staff leave each year against a national rate of about 46%, so the people at the bedside keep changing. The inspection record is where the real weight sits: 101 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a $73,788 fine. The last full inspection was September 2023, so that record is getting old, which isn't the same as getting better.