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C
Below Standard

SKYLINE NURSING & REHABILITATION

237 FRANKLIN PIKE ROAD SE · FLOYD, VA 24091

5407452016 · For profit - Corporation

90 beds84.3 residents106 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

SKYLINE NURSING & REHABILITATION receives an overall staffing grade of C (Below Standard). With 3.4323 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5701 HPRD, below the recommended 0.75. It is 0.46 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.8% 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: 3.4323 HPRD — needs 0.05 more hours per resident per day.
⚠️RN staffing (0.5701 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%) — mostly permanent, familiar staff
Total Nurse HPRD
3.4323hrs/resident/day▼ 0.46
CMS benchmark: 3.48
RN HPRD
0.5701hrs/resident/day▼ 0.11
Recommended: 0.75
Weekend Drop-off
20.8%
3.6466 weekday → 2.8882 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0195hrs/resident/day
Direct care aides
LPN HPRD
0.7756hrs/resident/day
Licensed practical nurses
Consistency
0.4105std 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. Floyd County Average+0.00 HPRD
3.43
03.43 HPRD
vs. Virginia State Average-0.40 HPRD
3.83
03.43 HPRD
vs. National Average-0.46 HPRD
3.90
03.43 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
SKYLINE NURSING & REHABILITATION ★
FLOYD · This facility
—
C
3.43230.5701★★★★☆
HERITAGE HALL - LAUREL MEADOWS
LAUREL FORK
16.1 mi
C
3.11040.4784★★★★★
BLUE RIDGE THERAPY CONNECTION
STUART
19.4 mi
C
3.32170.6323★★★★★
STANLEYTOWN HEALTH AND REHABILITATION CENTER
BASSETT
23.4 mi
C
3.63690.4505★★★★★
ROCKY MOUNT HEALTH & REHAB CENTER
ROCKY MOUNT
23.5 mi
D
3.22470.3227★★☆☆☆
FRANKLIN HEALTH AND REHABILITATION CENTER
ROCKY MOUNT
24.3 mi
C
3.30150.5908★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
23
Total Deficiencies
$15,935
Fines Assessed
Sep 22, 2022Health
4 deficiencies cited
▼
Oct 3, 2019Health
6 deficiencies cited
▼
Aug 30, 2018Health
13 deficiencies cited
▼

Penalty History

Dec 4, 2025Fine
$15,935
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.