Shenandoah Valley Health and Rehab
3737 Catalpa Ave · Buena Vista, VA · 24416 · 5402617444
93 certified beds For profit - Corporation Chain: Trio Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.25 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 3.03 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $50,635 |
Inspection citations (37 in the current record)
-
Potential for harm · D January 23, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 17, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D January 23, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 17, 2025 · Pharmacy Service
-
Actual harm · G January 31, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 1, 2024 · Resident Assessment and Care Planning
-
Actual harm · G January 31, 2024 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 1, 2024 · Quality of Life and Care
-
Potential for harm · D January 31, 2024 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected April 1, 2024 · Resident Rights
-
Potential for harm · F January 31, 2024 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected April 1, 2024 · Nursing and Physician Services
-
Potential for harm · D January 31, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 1, 2024 · Pharmacy Service
-
Potential for harm · F January 31, 2024 · found via complaint
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected April 1, 2024 · Administration
-
Potential for harm · D January 31, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 1, 2024 · Resident Assessment and Care Planning
-
Potential for harm · F January 31, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 1, 2024 · Infection Control
-
Potential for harm · F January 31, 2024 · found via complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected April 1, 2024 · Administration
-
Potential for harm · F January 31, 2024 · found via complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected April 1, 2024 · Administration
-
Potential for harm · D February 23, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 23, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D February 23, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected March 23, 2023 · Pharmacy Service
-
Potential for harm · D February 23, 2023
Ensure that residents are free from significant medication errors.
Corrected March 23, 2023 · Pharmacy Service
-
Potential for harm · D February 23, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 23, 2023 · Resident Assessment and Care Planning
-
Potential for harm · F February 23, 2023
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected March 23, 2023 · Administration
-
Potential for harm · D February 23, 2023
Provide and implement an infection prevention and control program.
Corrected March 23, 2023 · Infection Control
-
Actual harm · G May 27, 2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 25, 2021 · Quality of Life and Care
-
Potential for harm · D May 27, 2021
Reasonably accommodate the needs and preferences of each resident.
Corrected June 25, 2021 · Resident Rights
-
Potential for harm · D May 27, 2021
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 June 25, 2021 · Resident Rights
-
Potential for harm · D May 27, 2021
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 25, 2021 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 27, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 25, 2021 · Resident Assessment and Care Planning
-
Potential for harm · D May 27, 2021
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 25, 2021 · Resident Assessment and Care Planning
-
Potential for harm · D May 27, 2021
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 20, 2021 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 31, 2024 | Fine | $50,635 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495168 · certified since January 27, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.