Overall Score
CMS Five-Star Quality RatingAbove averageCMS Five-Star overall rating
- Much below average
- Below average
- Average
- Above average
- Much above average
Where it ranks
- VirginiaAbove 59% of peers285 rated homes · average 3.0★
- United StatesAbove 61% of peers14,574 rated homes · average 3.0★
How the rating is built
- Health inspectionsStarting point3★+0.2 vs VA avg
- StaffingCan add or remove a star5★+2.5 vs VA avg
- Quality measuresCan add or remove a star3★−0.9 vs VA avg
CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.
- Standard inspection overdueThe most recent standard health inspection is older than CMS expects, so the health inspection rating may not reflect current conditions.
Ratings & measures
Tap a row to see what it meansHealth inspection ratingCMS stars from the last three on-site inspection cycles3★Above only 44% of peersVA avg2.8★U.S. avg2.8★
What is health inspection rating?
Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.
Why it matters
It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.
Staffing ratingCMS stars from payroll-reported hours and turnover5★Above 88% of peersVA avg2.5★U.S. avg2.9★
What is staffing rating?
Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.
Why it matters
More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.
Quality measures ratingCMS stars from clinical outcomes and resident assessments3★Above only 12% of peersVA avg3.9★U.S. avg3.6★
What is quality measures rating?
Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.
Why it matters
It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.
Total nurse hoursPer resident per day, all nursing staff8.31hrsTop 1%VA avg3.82Benchmark4.10
What is total nurse hours?
All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.
Why it matters
Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.
RN hoursPer resident per day, registered nurses only4.32hrsTop 1%VA avg0.69Benchmark0.75
What is rn hours?
Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.
Why it matters
RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.
Nursing staff turnoverShare of nursing staff who left within a year · lower is better19%Top 1%VA avg48%RN turnover0%
What is nursing staff turnover?
The share of nursing staff who left within the past year, from the same payroll data.
Why it matters
High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.
Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$0Above only 32% of peersVA avg$16,279Fines · denials0 · 0
What is fines in the last three years?
Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.
Why it matters
Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.
Inspection history
Last three inspection cycles36citations
3inspection dates
0actual harm (G–I)
0immediate jeopardy (J–L)
Apr 29, 2021most recent
Citations by monthJun 2017 – Apr 2021
- No actual harm (D–F)
- Actual harm (G–I)
- Immediate jeopardy (J–L)
- $Fine or payment denial
Click to filter the findings below
Showing
Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.
Apr 29, 2021Cycle 1worst F · no actual harm
- F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and CareD · isolatedCorrected Jun 18, 2021
- F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Pharmacy ServiceD · isolatedCorrected Jun 18, 2021
- Provide appropriate treatment and care according to orders, residentâs preferences and goals.Quality of Life and CareD · isolatedCorrected Jun 18, 2021
- F880Provide and implement an infection prevention and control program.Infection ControlD · isolatedCorrected Jun 18, 2021
- F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Jun 18, 2021
- F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Nutrition and DietaryD · isolatedCorrected Jun 18, 2021
- F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy ServiceD · isolatedCorrected Jun 18, 2021
- F641Ensure each resident receives an accurate assessment.Resident Assessment and Care PlanningD · isolatedCorrected Jun 18, 2021
Sep 6, 2018Cycle 2worst D · no actual harm
- F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy ServiceD · isolatedCorrected Oct 5, 2018
- Ensure each residentâs drug regimen must be free from unnecessary drugs.Pharmacy ServiceD · isolatedCorrected Oct 5, 2018
- F583Keep residents' personal and medical records private and confidential.Resident RightsD · isolatedCorrected Oct 5, 2018
- F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningD · isolatedCorrected Oct 5, 2018
- F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Quality of Life and CareD · isolatedCorrected Oct 5, 2018
- F760Ensure that residents are free from significant medication errors.Pharmacy ServiceD · isolatedCorrected Oct 5, 2018
- F880Provide and implement an infection prevention and control program.Infection ControlD · isolatedCorrected Oct 5, 2018
Jun 8, 2017Cycle 3worst F · no actual harm
- F441Have a program that investigates, controls and keeps infection from spreading.EnvironmentalD · isolatedCorrected Jul 21, 2017
- F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.AdministrationD · isolatedCorrected Jul 21, 2017
- F514Keep accurate, complete and organized clinical records on each resident that meet professional standards.AdministrationD · isolatedCorrected Jul 21, 2017
- Conduct initial and periodic assessments of each resident's functional capacity.Resident Assessment and Care PlanningE · patternCorrected Jul 21, 2017
- F520Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.AdministrationF · widespreadCorrected Jul 21, 2017
- F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident RightsD · isolatedCorrected Jul 21, 2017
- F164Keep residents' personal and medical records private and confidential.Resident RightsD · isolatedCorrected Jul 21, 2017
- F167Allow residents to easily view the results of the nursing home's most recent inspection.Resident RightsC · widespreadCorrected Jul 21, 2017
- F241Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.Resident RightsD · isolatedCorrected Jul 21, 2017
- F279Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care PlanningD · isolatedCorrected Jul 21, 2017
- F280Allow residents the right to participate in the planning or revision of care and treatment.Resident Assessment and Care PlanningD · isolatedCorrected Jul 21, 2017
- F658Ensure services provided by the nursing facility meet professional standards of quality.Quality of Life and CareD · isolatedCorrected Jul 21, 2017
- F309Provide necessary care and services to maintain or improve the highest well being of each resident .Quality of Life and CareD · isolatedCorrected Jul 21, 2017
- F371Store, cook, and serve food in a safe and clean way.Nutrition and DietaryF · widespreadCorrected Jul 21, 2017
- F814Dispose of garbage and refuse properly.EnvironmentalF · widespreadCorrected Jul 21, 2017
- F425Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.Pharmacy ServiceE · patternCorrected Jul 21, 2017
- Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.AdministrationD · isolatedCorrected Jul 21, 2017
- Post nurse staffing information/data on a daily basis.Nursing and Physician ServicesC · widespreadCorrected Jul 21, 2017
- Develop policies and procedures for influenza and pneumococcal immunizations.Quality of Life and CareC · widespreadCorrected Jul 21, 2017
- Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.Pharmacy ServiceE · patternCorrected Jul 21, 2017
- F431Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.Pharmacy ServiceD · isolatedCorrected Jul 21, 2017
Staffing
From quarterly payroll reportsHours per resident per day
- All nursing staffRNs, LPNs and aides combined8.31hrs
- Registered nursesRN hours only4.32hrs
- Licensed practical nursesLPN hours0.76hrs
- Nurse aidesCNA hours3.24hrs
- Weekend nursingAll staff on Saturdays and Sundays7.06hrs
- Virginia average
- Research benchmark (4.10 total, 0.75 RN)
Turnover & capacity
- Nursing staff turnoverShare who left within a year · lower is better19%Top 1%VA avg 48%
- RN turnoverRegistered nurses only0%Not ranked by CMS
- Administrators who leftIn the past year—
- Occupancy44 certified beds · ~7 residents a day17%Lowest tier among peersVA avg 87%
Fines & penalties
Roughly the past three yearsEnforcement summary
- $0In fines
- 0Fines
- 0Payment denials
- $16,279VA avg in fines
Above only 32% of peersFewer fines than 32% of rated homes in Virginia
Actions on record
No fines or payment denialsNothing on record in the current reporting window. Virginia facilities average 0.5 penalties.
Ownership
As filed with CMSStructure
- Ownership type
- Non profit - Corporation
- Chain
- Independent
- Certification
- Medicare and Medicaid
- Location type
- Rural
- Ownership change
- None in the last 12 months
People and entities on file
Direct owners (5%+)
- Wellmont Health System
Indirect owners (5%+)
- Ballad Health
Operational or managerial control
- Brian Newberry
- Shannon Showalter
Corporate directors
- Julie Bennett
- Buford Deaton
- Marvin Eichorn
- Shane Hilton
- Alan Levine
- Gregory Wilgocki
Corporate officers
- Julie Bennett
- Buford Deaton
- Marvin Eichorn
- Shane Hilton
- Alan Levine
Person Organization
Sources & notes
Public data, updated quarterlyData sources
- CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
- CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
- CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.
Notes
- CMS Certification Number 495374 · 100 15TH ST NW, NORTON, VA, 24273.
- Percentiles compare this facility with every rated nursing home in Virginia and Wise County. Turnover and fines are inverted so a high percentile is always good.
- This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.
