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C
Below Standard

SHENANDOAH NURSING HOME

339 WESTMINISTER DRIVE · FISHERSVILLE, VA 22939

5409498665 · For profit - Corporation

84 beds81.2 residents124 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
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

SHENANDOAH NURSING HOME receives an overall staffing grade of C (Below Standard). With 3.4466 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4439 HPRD, below the recommended 0.75. It is 0.45 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 23% compared to weekdays. The facility has low agency staff usage (0.03% 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: 3.4466 HPRD — needs 0.03 more hours per resident per day.
⚠️RN staffing (0.4439 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.03%) — mostly permanent, familiar staff
Total Nurse HPRD
3.4466hrs/resident/day▼ 0.45
CMS benchmark: 3.48
RN HPRD
0.4439hrs/resident/day▼ 0.24
Recommended: 0.75
Weekend Drop-off
23%
3.6863 weekday → 2.8383 weekend
⚠ Significant weekend reduction
Agency Staff
0.03%
0.24% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1162hrs/resident/day
Direct care aides
LPN HPRD
0.8253hrs/resident/day
Licensed practical nurses
Consistency
0.4292std 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. Augusta County Average-0.78 HPRD
4.23
03.45 HPRD
vs. Virginia State Average-0.38 HPRD
3.83
03.45 HPRD
vs. National Average-0.45 HPRD
3.90
03.45 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
SHENANDOAH NURSING HOME ★
FISHERSVILLE · This facility
—
C
3.44660.4439★★★★★
AUGUSTA MEDICAL CTR SKILLED CA
FISHERSVILLE
1.3 mi
A+
6.26462.7949★★★★★
AUGUSTA NURSING & REHAB CENTER
FISHERSVILLE
1.5 mi
D
2.97180.4213★☆☆☆☆
RIVER EDGE REHABILITATION AND NURSING
WAYNESBORO
3.5 mi
D
2.72830.4037★☆☆☆☆
STAUNTON POST ACUTE & REHABILITATION
STAUNTON
6.2 mi
C
3.27360.4976★★☆☆☆
KINGS DAUGHTERS COMMUNITY HEALTH & REHAB
STAUNTON
6.7 mi
F
2.95650.1975★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
15
Total Deficiencies
$0
Fines Assessed
May 30, 2024Health
8 deficiencies cited
▼
Mar 10, 2022Health
2 deficiencies cited
▼
Apr 10, 2019Health
5 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.