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C
Below Standard

GUGGENHEIMER HEALTH AND REHAB CENTER

1902 GRACE STREET · LYNCHBURG, VA 24504

4349475103 · For profit - Limited Liability company

130 beds113.9 residents241 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

GUGGENHEIMER HEALTH AND REHAB CENTER receives an overall staffing grade of C (Below Standard). With 3.29 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5728 HPRD, below the recommended 0.75. It is 0.61 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.25% compared to weekdays. The facility relies heavily on temporary agency staff (17.38% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.29 HPRD — needs 0.19 more hours per resident per day.
⚠️RN staffing (0.5728 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️17.38% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.29hrs/resident/day▼ 0.61
CMS benchmark: 3.48
RN HPRD
0.5728hrs/resident/day▼ 0.11
Recommended: 0.75
Weekend Drop-off
16.25%
3.4484 weekday → 2.8882 weekend
Agency Staff
17.38%
42.99% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8287hrs/resident/day
Direct care aides
LPN HPRD
0.8821hrs/resident/day
Licensed practical nurses
Consistency
0.3233std 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. Lynchburg City County Average-0.39 HPRD
3.68
03.29 HPRD
vs. Virginia State Average-0.54 HPRD
3.83
03.29 HPRD
vs. National Average-0.61 HPRD
3.90
03.29 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
GUGGENHEIMER HEALTH AND REHAB CENTER ★
LYNCHBURG · This facility
—
C
3.290.5728★★☆☆☆
FOREST HEALTH & REHAB CENTER
LYNCHBURG
1.7 mi
C
3.55470.4112★★★★☆
TATE SPRINGS HEALTH & REHAB
LYNCHBURG
2 mi
C
3.06390.6638★★★★☆
SEVEN HILLS REHABILITATION AND NURSING
LYNCHBURG
2.3 mi
D
3.16160.3883★☆☆☆☆
LYNCHBURG HEALTH & REHABILITATION CENTER
LYNCHBURG
3.2 mi
C
3.41010.5619★☆☆☆☆
WESTMINSTER-CANTERBURY OF LYNCHBURG INC
LYNCHBURG
4.3 mi
A+
5.90771.0218★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
51
Total Deficiencies
$76,681
Fines Assessed
Dec 10, 2024Health
13 deficiencies cited
▼
Oct 2, 2024Health
28 deficiencies cited· Includes actual harm
▼
Oct 11, 2023Health
3 deficiencies cited
▼
Oct 13, 2021Health
3 deficiencies cited
▼
Jan 16, 2019Health
4 deficiencies cited
▼

Penalty History

Oct 2, 2024Fine
$76,681
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.