Piney Forest Health and Rehabilitation Center

450 Piney Forest Rd · Danville, VA · 24540 · 4347991565

120 certified beds For profit - Corporation Chain: Lifeworks Rehab

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 73 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.

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Red flags

RN staffing in the bottom 10% nationally

0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.97 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

65% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 59
Serious harm & abuse 20% 100
Staffing 20% 43
Federal penalties 15% 100
Trend 10% 81
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day2.973.48 min · 4.1 strong
RN hours / resident-day0.290.55–0.75
Weekend hours / resident-day2.68≈ weekday level
Nursing turnover / year65%median 45%
Fines (3-yr window)none

Inspection citations (29 in the current record)

  • Potential for harm · D January 30, 2025

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected January 10, 2025 · Resident Rights

  • Potential for harm · D January 30, 2025

    Ensure each resident receives an accurate assessment.

    Corrected February 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 30, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 25, 2025 · Quality of Life and Care

  • Potential for harm · E January 30, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 25, 2025 · Nutrition and Dietary

  • Potential for harm · D January 30, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected February 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E January 30, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 25, 2025 · Infection Control

  • Potential for harm · D June 16, 2023 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected August 7, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D April 15, 2022

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected May 17, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 15, 2022

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 17, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 15, 2022

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected May 17, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D April 15, 2022

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 17, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D April 15, 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 17, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D April 15, 2022

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 17, 2022 · Quality of Life and Care

  • Potential for harm · D April 15, 2022

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 17, 2022 · Quality of Life and Care

  • Potential for harm · D April 15, 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 17, 2022 · Pharmacy Service

  • Potential for harm · D April 15, 2022

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected May 17, 2022 · Pharmacy Service

  • Potential for harm · D April 15, 2022

    Implement 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.

    Corrected May 17, 2022 · Pharmacy Service

  • Potential for harm · D April 15, 2022

    Ensure that residents are free from significant medication errors.

    Corrected May 17, 2022 · Pharmacy Service

  • Potential for harm · D April 15, 2022

    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 May 17, 2022 · Pharmacy Service

  • Potential for harm · E April 15, 2022

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Corrected May 17, 2022 · Nutrition and Dietary

  • Potential for harm · D April 15, 2022

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 17, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D April 15, 2022

    Provide and implement an infection prevention and control program.

    Corrected May 17, 2022 · Infection Control

  • Potential for harm · D April 15, 2022

    Perform COVID19 testing on residents and staff.

    Corrected May 17, 2022 · Infection Control

  • Potential for harm · D February 7, 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 18, 2019 · Resident Rights

  • Potential for harm · E February 7, 2019

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected March 18, 2019 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495107 · certified since January 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.