The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
GUGGENHEIMER HEALTH AND REHAB CENTER
LYNCHBURG, VA · Medicare-certified · 130 beds
Needs attention
For-profitChain member
2 of 5 overall
Guggenheimer Health and Rehab Center in Lynchburg, VA has an overall 2-star rating, with low health inspection and staffing ratings (both 1 star) despite a 5-star quality measure score. It also has a recent federal penalty, $76,681 in fines over the last 24 months, and reported nurse staffing of 3.33 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.3315 hrs/resident/day
Quality measures
Last inspection: January 7, 2026Penalties, last 24 months: $76,681recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3315.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 0.79
- Nurse aides
- 1.92
- Weekend nursing
- 3.01
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 74%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.6%Worsening
Residents with a fall causing major injury
5.8%Improving
Residents with pressure ulcers (bedsores)
5.7%Steady
Residents with a urinary tract infection
2%Steady
Residents who lost too much weight
7.4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
4.8%Improving
Residents whose ability to walk got worse
4.6%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
22.7%Worsening
Short-stay residents newly given an antipsychotic
1.4%Worsening
Residents with a long-term catheter
0.2%Steady
Residents with new or worsening incontinence
23%Worsening
Residents with depressive symptoms
10.1%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
84.2%Worsening
Short-stay residents given the seasonal flu vaccine
61.7%Steady
Short-stay residents given the pneumonia vaccine
44.5%Worsening
What the inspectors found
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $76,681 was recorded.
- INSPECTION
Health inspection found 28 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $76,681 in total fines.
- $76,681
Federal fine
Oct 2, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of HILL VALLEY HEALTHCARE · 44 homes · 2 stars avg
- Occupancy
- 117.6 residents on an average day (90% of 130 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 years
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.