Grayson Health and Rehabilitation
400 South Independence Avenue · Independence, VA · 24348 · 2767730303
120 certified beds For profit - Corporation Chain: Avardis Health
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Total nurse staffing below 3.0 hours per resident-day
2.66 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.66 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 2.37 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (31 in the current record)
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Potential for harm · D November 20, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 16, 2025 · Resident Rights
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Potential for harm · D August 1, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 3, 2024 · Quality of Life and Care
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Potential for harm · D August 1, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected September 3, 2024 · Pharmacy Service
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Potential for harm · D December 14, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 8, 2024 · Quality of Life and Care
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Potential for harm · D December 14, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 8, 2024 · Quality of Life and Care
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Potential for harm · E December 14, 2023
Observe each nurse aide's job performance and give regular training.
Corrected March 8, 2024 · Nursing and Physician Services
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Potential for harm · D December 14, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 8, 2024 · Pharmacy Service
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Potential for harm · D December 14, 2023
Ensure that residents are free from significant medication errors.
Corrected March 8, 2024 · Pharmacy Service
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Potential for harm · D December 14, 2023
Ensure 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.
Corrected March 8, 2024 · Pharmacy Service
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Potential for harm · D April 7, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 17, 2022 · Resident Rights
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Potential for harm · D April 7, 2022
Assess the resident when there is a significant change in condition
Corrected May 18, 2022 · Resident Assessment and Care Planning
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Potential for harm · D April 7, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 18, 2022 · Resident Assessment and Care Planning
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Potential for harm · D April 7, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 18, 2022 · Quality of Life and Care
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Potential for harm · D April 7, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 18, 2022 · Quality of Life and Care
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Potential for harm · D April 7, 2022
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 18, 2022 · Pharmacy Service
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Potential for harm · D April 7, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected May 18, 2022 · Pharmacy Service
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Potential for harm · D April 7, 2022
Ensure staff are vaccinated for COVID-19
Corrected May 18, 2022 · Infection Control
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Potential for harm · D January 31, 2019
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected March 13, 2019 · Resident Rights
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Potential for harm · D January 31, 2019
Ensure each resident receives an accurate assessment.
Corrected March 13, 2019 · Resident Assessment and Care Planning
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Potential for harm · D January 31, 2019
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected March 13, 2019 · Resident Assessment and Care Planning
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Potential for harm · D January 31, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 13, 2019 · Resident Assessment and Care Planning
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Potential for harm · D January 31, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 13, 2019 · Resident Assessment and Care Planning
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Potential for harm · D January 31, 2019
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 13, 2019 · Resident Assessment and Care Planning
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Potential for harm · D January 31, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 13, 2019 · Quality of Life and Care
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Potential for harm · D January 31, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 13, 2019 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495331 · certified since August 4, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.