Skyline Nursing & Rehabilitation
237 Franklin Pike Road Se · Floyd, VA · 24091 · 5407452016
90 certified beds For profit - Corporation Chain: Avardis Health
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 1 · $10,358 |
Inspection citations (20 in the current record)
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Actual harm · G December 4, 2025
Ensure that residents are free from significant medication errors.
Corrected January 4, 2026 · Pharmacy Service
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Potential for harm · D December 4, 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 4, 2026 · Resident Rights
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Potential for harm · D December 4, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 4, 2026 · Resident Rights
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Potential for harm · D December 4, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 12, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected January 3, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 3, 2026 · Pharmacy Service
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Potential for harm · D December 4, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 4, 2026 · Pharmacy Service
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Potential for harm · D December 4, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2025
Provide and implement an infection prevention and control program.
Corrected January 3, 2026 · Infection Control
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No harm found · C December 4, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected January 3, 2026 · Infection Control
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Potential for harm · D September 22, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 15, 2022 · Resident Rights
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Potential for harm · D September 22, 2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 15, 2022 · Resident Rights
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Potential for harm · D September 22, 2022
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 November 15, 2022 · Resident Rights
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Potential for harm · D September 22, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected November 15, 2022 · Quality of Life and Care
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Potential for harm · E October 3, 2019
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected November 15, 2019 · Resident Rights
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Potential for harm · D October 3, 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 November 15, 2019 · Resident Assessment and Care Planning
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Potential for harm · E October 3, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 15, 2019 · Quality of Life and Care
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Potential for harm · D October 3, 2019
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected November 15, 2019 · Quality of Life and Care
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Potential for harm · D October 3, 2019
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 November 15, 2019 · Pharmacy Service
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Potential for harm · F October 3, 2019
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 15, 2019 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 4, 2025 | Fine | $10,358 |
| December 4, 2025 | Payment Denial | 16 days |
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495348 · certified since September 14, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.