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C
Below Standard

VALLEY REHABILITATION AND NURSING CENTER

940 EAST LEE HIGHWAY · CHILHOWIE, VA 24319

2766468911 · For profit - Corporation

180 beds160.2 residents176 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

VALLEY REHABILITATION AND NURSING CENTER receives an overall staffing grade of C (Below Standard). With 3.1492 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5857 HPRD, below the recommended 0.75. It is 0.75 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.31% compared to weekdays. The facility uses a moderate level of agency staff (9.42% of hours), suggesting some reliance on temporary workers.

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: 3.1492 HPRD — needs 0.33 more hours per resident per day.
⚠️RN staffing (0.5857 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.1492hrs/resident/day▼ 0.75
CMS benchmark: 3.48
RN HPRD
0.5857hrs/resident/day▼ 0.10
Recommended: 0.75
Weekend Drop-off
19.31%
3.331 weekday → 2.6878 weekend
Agency Staff
9.42%
0.64% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6999hrs/resident/day
Direct care aides
LPN HPRD
0.838hrs/resident/day
Licensed practical nurses
Consistency
0.4445std 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. Smyth County Average-0.83 HPRD
3.98
03.15 HPRD
vs. Virginia State Average-0.68 HPRD
3.83
03.15 HPRD
vs. National Average-0.75 HPRD
3.90
03.15 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
VALLEY REHABILITATION AND NURSING CENTER ★
CHILHOWIE · This facility
—
C
3.14920.5857★★★★☆
DEER MEADOWS REHABILITATION AND NURSING
ABINGDON
16.7 mi
F
3.1620.2385★☆☆☆☆
CLINCH VALLEY MEDICAL CENTER
RICHLANDS
21.4 mi
A+
7.7765.4312★★★★★
HERITAGE HALL TAZEWELL
TAZEWELL
24.5 mi
D
3.07280.2932★★☆☆☆
Grayson Health and Rehabilitation
INDEPENDENCE
31.6 mi
D
2.69430.6009★★★★★
NHC HEALTHCARE, BRISTOL
BRISTOL
33.2 mi
B
3.90260.5521★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
23
Total Deficiencies
$0
Fines Assessed
Jun 30, 2023Health
3 deficiencies cited
▼
Jun 10, 2021Health
5 deficiencies cited
▼
Apr 16, 2019Health
15 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.