The home failed to properly watch nurse aides' work and provide regular training. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: E
Nursing home report
Grayson Health and Rehabilitation
INDEPENDENCE, VA · Medicare-certified · 120 beds
In good standing
For-profitChain member
5 of 5 overall
Grayson Health and Rehabilitation has an overall 5 out of 5 stars, with strong health inspection and quality ratings, but a low 2 out of 5 staffing rating and reported nurse staffing below the federal benchmark (2.66 vs. 4.1 hours per resident per day). It had no fines in the last 24 months, and recent inspection citations involved staff training, timely notification, and providing care according to orders and resident preferences.
Facility ratings
Health inspections
Staffing
2.6598 hrs/resident/day
Quality measures
Last inspection: November 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6598.
Staffing detail
- Registered nurses
- 0.62
- Licensed practical nurses
- 0.66
- Nurse aides
- 1.38
- Weekend nursing
- 2.37
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 31%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.1%Steady
Residents with a fall causing major injury
3.3%Improving
Residents with pressure ulcers (bedsores)
5.8%Improving
Residents with a urinary tract infection
0.8%Steady
Residents who lost too much weight
5.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.1%Steady
Residents whose ability to walk got worse
15.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
45.4%Worsening
Short-stay residents newly given an antipsychotic
1.8%Improving
Residents with a long-term catheter
0.5%Improving
Residents with new or worsening incontinence
27.1%Improving
Residents with depressive symptoms
6.5%Improving
Long-stay residents given the seasonal flu vaccine
95.4%Steady
Long-stay residents given the pneumonia vaccine
92.2%Improving
Short-stay residents given the seasonal flu vaccine
64.1%Steady
Short-stay residents given the pneumonia vaccine
51.5%Worsening
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2024 — isolated incident, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: D
The nursing home failed to ensure residents were free from significant medication errors. Cited August 2024 — isolated incident, potential for harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: D
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of AVARDIS HEALTH · 38 homes · 2 stars avg
- Occupancy
- 107.9 residents on an average day (90% of 120 beds)
- Medicare history
- Certified for 27 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.