The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
Nursing home report
LEE HEALTH AND REHAB CENTER
PENNINGTON GAP, VA · Medicare-certified · 110 beds
In good standing
For-profitChain member
5 of 5 overall
LEE HEALTH AND REHAB CENTER in Pennington Gap, VA has a 5 of 5 overall rating, with 5 of 5 for health inspections and 4 of 5 for quality measures, but a low 2 of 5 staffing rating. Reported nurse staffing is 3.32 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3204 hrs/resident/day
Quality measures
Last inspection: March 6, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3204.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 0.89
- Nurse aides
- 2.02
- Weekend nursing
- 2.93
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 31%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
20.6%28.4%Worsening
Residents with a fall causing major injury
4.5%5.9%Worsening
Residents with pressure ulcers (bedsores)
4.5%0.7%Improving
Residents with a urinary tract infection
0%3.6%Worsening
Residents who lost too much weight
4.5%9.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20.5%32%Worsening
Residents whose ability to walk got worse
25.5%34%Worsening
Long-stay residents on antianxiety or sleep medication
26.1%35.7%Worsening
Short-stay residents newly given an antipsychotic
1.3%3%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22.3%32%Worsening
Residents with depressive symptoms
1.6%1.5%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—95.5%—
Short-stay residents given the pneumonia vaccine
98.5%97.5%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: D
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited June 2022 — isolated incident, potential for harm.
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F-Tag 842 — 42 CFR §483.70 — S/S: D
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited January 2020 — isolated incident, potential for harm.
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F-Tag 756 — 42 CFR §483.45(c) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited January 2020 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — 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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of COMMONWEALTH CARE OF ROANOKE · 12 homes · 3.8 stars avg
- Occupancy
- 106.4 residents on an average day (97% of 110 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 24 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.