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D
Poor

Grayson Health and Rehabilitation

400 SOUTH INDEPENDENCE AVENUE · INDEPENDENCE, VA 24348

2767730303 · For profit - Corporation

120 beds109.2 residents102 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
B
Good
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Grayson Health and Rehabilitation receives an overall staffing grade of D (Poor). With 2.6943 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6009 HPRD, below the recommended 0.75. It is 1.20 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.08% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.6943 HPRD — needs 0.79 more hours per resident per day.
⚠️RN staffing (0.6009 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
2.6943hrs/resident/day▼ 1.20
CMS benchmark: 3.48
RN HPRD
0.6009hrs/resident/day▼ 0.08
Recommended: 0.75
Weekend Drop-off
16.08%
2.8225 weekday → 2.3687 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4492hrs/resident/day
Direct care aides
LPN HPRD
0.6441hrs/resident/day
Licensed practical nurses
Consistency
0.2659std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Grayson County Average+0.00 HPRD
2.69
02.69 HPRD
vs. Virginia State Average-1.13 HPRD
3.83
02.69 HPRD
vs. National Average-1.20 HPRD
3.90
02.69 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Grayson Health and Rehabilitation ★
INDEPENDENCE · This facility
—
D
2.69430.6009★★★★★
Waddell Nursing And Rehab Center
GALAX
12.6 mi
D
3.4150.3808★★★★★
GALAX HEALTH AND REHAB
GALAX
14 mi
D
3.32090.333★☆☆☆☆
WYTHE CNTY COMMUNITY HOSP ECU
WYTHEVILLE
23.3 mi
A+
11.4148.252★★★★☆
HILLSVILLE HEALTH & REHAB CENTER
HILLSVILLE
25.3 mi
C
3.32010.8524★★★★★
VALLEY REHABILITATION AND NURSING CENTER
CHILHOWIE
31.7 mi
C
3.14920.5857★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
31
Total Deficiencies
$0
Fines Assessed
Nov 20, 2025Health
1 deficiency cited
▼
Aug 1, 2024Health
2 deficiencies cited
▼
Dec 14, 2023Health
6 deficiencies cited
▼
Apr 7, 2022Health
8 deficiencies cited
▼
Jan 31, 2019Health
14 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.