{"schema_version":"1.0.0","facility":{"id":"cms-495105","ccn":"495105","name":"Lynchburg Health & Rehabilitation Center","source_name":"LYNCHBURG HEALTH & REHABILITATION CENTER","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"VA","address":{"line1":"5615 Seminole Avenue","city":"Lynchburg","state":"VA","zip":"24502","county_name":"Lynchburg city","county_fips":"51680","county_method":"name_match","ssa_county_code":"551","urban":true},"location":{"lat":37.3683,"lon":-79.181,"method":"cms_published_coordinates"},"phone":"4342392657","certification":{"authority":"CMS","ccn":"495105","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1977-01-01","certified_beds":180,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/495105"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":180,"avg_residents_per_day":166.7},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"LYNCHBURG CARE CENTER LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":true,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":1},"health_inspection":{"value":1},"quality_measures":{"value":3},"long_stay_qm":{"value":4},"short_stay_qm":{"value":3},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.2687,"lpn_hprd":0.92427,"rn_hprd":0.39409,"licensed_hprd":1.31836,"total_nurse_hprd":3.58706,"weekend_total_nurse_hprd":3.23218,"weekend_rn_hprd":0.17907,"pt_hprd":0.05506,"nursing_turnover_pct":70.4,"rn_turnover_pct":85.7,"administrators_left":1,"case_mix_index":1.6037,"case_mix_index_ratio":1.13718,"case_mix_total_nurse_hprd":4.43596,"adjusted_total_nurse_hprd":3.12961,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2024-09-12","cycle1_deficiencies":35,"cycle1_score":184,"cycle2_date":"2021-07-01","cycle23_deficiencies":17,"cycle23_score":355,"total_weighted_score":226.75},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-768","cms_chain_id":"768","name":"LIFEWORKS REHAB"},"operator_id":"op-lynchburg-care-center-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/495105","provenance":[{"source_id":"cms_provider_info","source_record_id":"495105","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495105&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"495105","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495105&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":10,"health_count":7,"fire_count":3,"complaint_count":4,"latest_date":"2026-07-14","latest_standard_health":"2024-09-12","earliest_date":"2019-09-17","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":71,"health_count":62,"fire_count":9,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":1,"serious_count":1,"complaint_count":11,"by_severity":{"potential":70,"immediate_jeopardy":1},"by_scope_severity":{"D":51,"F":1,"E":18,"K":1},"by_concept":{"medication":5,"clinical_care":34,"infection_prevention":4,"resident_rights":11,"environment_life_safety":11,"food_nutrition":6},"type_ids":["cms-f0755","cms-f0656","cms-f0658","cms-f0684","cms-f0842","cms-f0880","cms-f0580","cms-f0584","cms-k0291","cms-k0345","cms-k0353","cms-k0761","cms-k0918","cms-k0932","cms-f0909","cms-f0558","cms-f0568","cms-f0657","cms-f0699","cms-f0808","cms-f0812","cms-f0925","cms-f0550","cms-f0557","cms-f0582","cms-f0609","cms-f0679","cms-f0686","cms-f0687","cms-f0688","cms-f0695","cms-f0698","cms-f0700","cms-f0761","cms-f0803","cms-f0806","cms-k0915","cms-f0641","cms-f0677","cms-f0800","cms-k0200","cms-k0521","cms-f0689"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":16,"organizations":15,"individuals":1,"not_available":false}},"row":{"id":"cms-495105","ccn":"495105","name":"Lynchburg Health & Rehabilitation Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"VA","city":"Lynchburg","zip":"24502","county_fips":"51680","county_name":"Lynchburg city","address":"5615 Seminole Avenue","beds":180,"residents":166.7,"ownership":"for_profit","operator_id":"op-lynchburg-care-center-llc","operator_name":"Lynchburg Care Center LLC","chain_id":"cms-chain-768","chain_name":"Lifeworks Rehab","lat":37.3683,"lon":-79.181,"overall":1,"health_rating":1,"staffing_rating":1,"qm_rating":3,"nurse_hprd":3.59,"turnover":70.4,"inspections":10,"last_inspection":"2026-07-14","deficiencies":71,"serious":1,"ij":1,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0755","cms-f0656","cms-f0658","cms-f0684","cms-f0842","cms-f0880","cms-f0580","cms-f0584","cms-k0291","cms-k0345","cms-k0353","cms-k0761","cms-k0918","cms-k0932","cms-f0909","cms-f0558","cms-f0568","cms-f0657","cms-f0699","cms-f0808","cms-f0812","cms-f0925","cms-f0550","cms-f0557","cms-f0582","cms-f0609","cms-f0679","cms-f0686","cms-f0687","cms-f0688","cms-f0695","cms-f0698","cms-f0700","cms-f0761","cms-f0803","cms-f0806","cms-k0915","cms-f0641","cms-f0677","cms-f0800","cms-k0200","cms-k0521","cms-f0689"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-lynchburg-care-center-llc","name":"Lynchburg Care Center LLC","legal_name":"LYNCHBURG CARE CENTER LLC","facility_count":1,"states":["VA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-768","name":"Lifeworks Rehab","cms_chain_id":"768","facility_count":64,"states":["DE","MD","NC","PA","VA"],"cms_reported":{"facility_count":64,"avg_overall_rating":2.2,"avg_health_inspection_rating":2,"avg_staffing_rating":1.8,"avg_qm_rating":4.1}},"ownership":[{"owner_id":"org-lynchburg-holdings-i-llc","owner_type":"organization","owner_name":"Lynchburg Holdings I LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2021-05-28"},{"owner_id":"org-ak-2003-family-trust","owner_type":"organization","owner_name":"Ak 2003 Family Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-al-2003-family-trust","owner_type":"organization","owner_name":"Al 2003 Family Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-charles-1994-family-grantor-trust","owner_type":"organization","owner_name":"Charles 1994 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-golden-2017-family-grantor-trust","owner_type":"organization","owner_name":"Golden 2017 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-golden-2017-llc","owner_type":"organization","owner_name":"Golden 2017 LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-matt-2002-family-grantor-trust","owner_type":"organization","owner_name":"Matt 2002 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-matt-2002-llc","owner_type":"organization","owner_name":"Matt 2002 LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-nathan-5604-and-family-llc","owner_type":"organization","owner_name":"Nathan 5604 & Family LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-nathan-5604-family-grantor-trust","owner_type":"organization","owner_name":"Nathan 5604 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-nathan-5604-llc","owner_type":"organization","owner_name":"Nathan 5604 LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-sas-1998-family-trust","owner_type":"organization","owner_name":"Sas 1998 Family Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-saul-2012-family-grantor-trust","owner_type":"organization","owner_name":"Saul 2012 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-silverstone-east-llc","owner_type":"organization","owner_name":"Silverstone East LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-rybst-central-manager-llc","owner_type":"organization","owner_name":"Rybst Central Manager LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-05-28"},{"owner_type":"individual","owner_name":"Kennedy Flynn","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2023-09-13","owner_name_raw":"FLYNN, KENNEDY"}],"inspections":[{"id":"cms-495105-20260714-health","ccn":"495105","date":"2026-07-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-13","cmp":1}]},{"id":"cms-495105-20251113-health","ccn":"495105","date":"2025-11-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-12","cmp":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-12","cmp":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-12","cmp":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-12","cmp":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-12","cmp":1}]},{"id":"cms-495105-20250409-health","ccn":"495105","date":"2025-04-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-15","cmp":1},{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-15","cmp":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-15","cmp":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-15","cmp":1}]},{"id":"cms-495105-20240912-fire","ccn":"495105","date":"2024-09-12","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0291","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-05","std":1,"tv":"New"},{"t":"cms-k0345","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-05","std":1,"tv":"New"},{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-05","std":1,"tv":"New"},{"t":"cms-k0761","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-05","std":1,"tv":"New"},{"t":"cms-k0918","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-05","std":1,"tv":"New"},{"t":"cms-k0932","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-05","std":1,"tv":"New"}]},{"id":"cms-495105-20240912-health","ccn":"495105","date":"2024-09-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":29,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0557","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0558","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0568","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0582","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0679","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0684","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0687","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0699","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0700","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0803","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0806","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0808","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0909","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-28","std":1},{"t":"cms-f0925","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-28","std":1}]},{"id":"cms-495105-20240416-health","ccn":"495105","date":"2024-04-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0842","ss":"E","sl":2,"cs":"past_noncompliance","cd":"2024-03-07","cmp":1}]},{"id":"cms-495105-20210701-fire","ccn":"495105","date":"2021-07-01","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0915","ss":"D","sl":2,"cs":"corrected","cd":"2021-07-29","std":1,"tv":"New"}]},{"id":"cms-495105-20210701-health","ccn":"495105","date":"2021-07-01","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":12,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"K","sl":4,"cs":"corrected","cd":"2021-10-19","std":1},{"t":"cms-f0580","ss":"E","sl":2,"cs":"corrected","cd":"2021-10-19","std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2021-08-06","std":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2021-10-19","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2021-09-21","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2021-10-19","std":1},{"t":"cms-f0755","ss":"E","sl":2,"cs":"corrected","cd":"2021-10-19","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2021-09-21","std":1},{"t":"cms-f0800","ss":"D","sl":2,"cs":"corrected","cd":"2021-10-19","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2021-09-21","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2021-08-06","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2021-09-21","std":1}]},{"id":"cms-495105-20190917-fire","ccn":"495105","date":"2019-09-17","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0200","ss":"E","sl":2,"cs":"corrected","cd":"2019-10-28","std":1,"tv":"New"},{"t":"cms-k0521","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-28","std":1,"tv":"New"}]},{"id":"cms-495105-20190917-health","ccn":"495105","date":"2019-09-17","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":10,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2019-11-01","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2019-11-01","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2019-11-01","std":1},{"t":"cms-f0684","ss":"E","sl":2,"cs":"corrected","cd":"2019-11-01","std":1},{"t":"cms-f0686","ss":"E","sl":2,"cs":"corrected","cd":"2019-11-01","std":1},{"t":"cms-f0688","ss":"E","sl":2,"cs":"corrected","cd":"2019-11-01","std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2019-11-01","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2019-11-01","std":1},{"t":"cms-f0700","ss":"D","sl":2,"cs":"corrected","cd":"2019-11-01","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2019-11-01","std":1}]}],"deficiency_types":{"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0658":{"code":"F-0658","title":"Ensure services provided by the nursing facility meet professional standards of quality.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0584":{"code":"F-0584","title":"Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0291":{"code":"K-0291","title":"Install emergency lighting that can last at least 1 1/2 hours.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0932":{"code":"K-0932","title":"Meet other general requirements.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0909":{"code":"F-0909","title":"Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0568":{"code":"F-0568","title":"Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0699":{"code":"F-0699","title":"Provide care or services that was trauma informed and/or culturally competent.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0808":{"code":"F-0808","title":"Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0925":{"code":"F-0925","title":"Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0557":{"code":"F-0557","title":"Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0582":{"code":"F-0582","title":"Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0679":{"code":"F-0679","title":"Provide activities to meet all resident's needs.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0687":{"code":"F-0687","title":"Provide appropriate foot care.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0688":{"code":"F-0688","title":"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.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0698":{"code":"F-0698","title":"Provide safe, appropriate dialysis care/services for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0700":{"code":"F-0700","title":"Try different approaches before using a bed rail.  If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0803":{"code":"F-0803","title":"Ensure 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.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0806":{"code":"F-0806","title":"Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-k0915":{"code":"K-0915","title":"Have proper power supply for life support equipment.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0800":{"code":"F-0800","title":"Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-k0200":{"code":"K-0200","title":"Meet other general requirements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0521":{"code":"K-0521","title":"Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495105&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495105&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495105&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495105&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495105&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495105&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"VA","overall_rating":3.1,"health_inspection_rating":2.8,"qm_rating":4,"staffing_rating":2.5,"avg_residents_per_day":98.5,"cycle1_health_deficiencies":14,"cycle1_fire_deficiencies":2.8,"nurse_aide_hprd":2.14,"lpn_hprd":1.03,"rn_hprd":0.70763,"licensed_hprd":1.74,"total_nurse_hprd":3.87523,"weekend_total_nurse_hprd":3.353,"weekend_rn_hprd":0.48,"pt_hprd":0.09,"nursing_turnover_pct":47.5,"rn_turnover_pct":46.5,"administrators_left":0.6,"case_mix_index":1.461,"fines":0.5,"fine_amount":23455,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"VA","name":"Virginia"},"county":{"fips":"51680","name":"Lynchburg city"},"zip":"24502","city":"Lynchburg"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-495087","ccn":"495087","name":"Salem Health & Rehabilitation","address":"1945 Roanoke Blvd","city":"Salem","state":"VA","zip":"24153","beds":240,"overall":3,"inspections":9,"last_inspection":"2026-05-06","deficiencies":57,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495093","ccn":"495093","name":"Harrisonburg Hlth & Rehab Cntr","address":"1225 Reservoir Street","city":"Harrisonburg","state":"VA","zip":"22801","beds":180,"overall":1,"inspections":14,"last_inspection":"2026-07-15","deficiencies":89,"serious":5,"ij":3,"open":2,"fines_total":192533,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495097","ccn":"495097","name":"Parham Health Care & Rehab Center","address":"2400 E Parham Road","city":"Richmond","state":"VA","zip":"23228","beds":180,"overall":1,"inspections":12,"last_inspection":"2026-03-19","deficiencies":139,"serious":10,"ij":4,"open":0,"fines_total":194276,"sff":"SFF Candidate","abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495099","ccn":"495099","name":"Fairfax Rehabilitation and Nursing Center","address":"10701 Main Street","city":"Fairfax","state":"VA","zip":"22030","beds":200,"overall":3,"inspections":12,"last_inspection":"2026-02-04","deficiencies":79,"serious":1,"ij":0,"open":0,"fines_total":23112,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495107","ccn":"495107","name":"Piney Forest Health and Rehabilitation Center","address":"450 Piney Forest Rd","city":"Danville","state":"VA","zip":"24540","beds":120,"overall":3,"inspections":6,"last_inspection":"2025-01-30","deficiencies":41,"serious":0,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495108","ccn":"495108","name":"Chesapeake Health and Rehabilitation Center","address":"688 Kingsborough Square","city":"Chesapeake","state":"VA","zip":"23320","beds":180,"overall":1,"inspections":10,"last_inspection":"2026-08-20","deficiencies":82,"serious":5,"ij":1,"open":2,"fines_total":77303,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495115","ccn":"495115","name":"Colonial Heights Rehabilitation and Nursing Center","address":"831 Ellerslie Ave","city":"Colonial Heights","state":"VA","zip":"23834","beds":196,"overall":1,"inspections":11,"last_inspection":"2026-08-06","deficiencies":109,"serious":4,"ij":0,"open":0,"fines_total":127514,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495121","ccn":"495121","name":"Cherrydale Health & Rehabilitation Center","address":"3710 Lee Highway","city":"Arlington","state":"VA","zip":"22207","beds":210,"overall":2,"inspections":9,"last_inspection":"2025-11-13","deficiencies":89,"serious":3,"ij":1,"open":0,"fines_total":18066,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":63,"same_site_review":[],"nearby":[{"id":"cms-495411","ccn":"495411","name":"Liberty Ridge Health & Rehab","address":"189 Monica Blvd","city":"Lynchburg","state":"VA","zip":"24502","beds":90,"overall":4,"inspections":6,"last_inspection":"2024-06-05","deficiencies":22,"serious":2,"ij":0,"open":0,"fines_total":10033,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.8},{"id":"cms-495302","ccn":"495302","name":"Forest Health & Rehab Center","address":"2406 Atherholt Road","city":"Lynchburg","state":"VA","zip":"24501","beds":89,"overall":4,"inspections":8,"last_inspection":"2025-09-13","deficiencies":51,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.8},{"id":"cms-495077","ccn":"495077","name":"Tate Springs Health & Rehab","address":"2200 Landover Place","city":"Lynchburg","state":"VA","zip":"24501","beds":118,"overall":4,"inspections":7,"last_inspection":"2024-09-04","deficiencies":34,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.9},{"id":"cms-495151","ccn":"495151","name":"Seven Hills Rehabilitation and Nursing","address":"2081 Langhorne Road","city":"Lynchburg","state":"VA","zip":"24501","beds":120,"overall":1,"inspections":11,"last_inspection":"2026-06-17","deficiencies":91,"serious":6,"ij":4,"open":0,"fines_total":108801,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5},{"id":"cms-495112","ccn":"495112","name":"Guggenheimer Health and Rehab Center","address":"1902 Grace Street","city":"Lynchburg","state":"VA","zip":"24504","beds":130,"overall":1,"inspections":9,"last_inspection":"2026-01-07","deficiencies":78,"serious":1,"ij":0,"open":0,"fines_total":76681,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.2},{"id":"cms-495381","ccn":"495381","name":"Summit Health and Rehab Center","address":"1300 Enterprise Drive","city":"Lynchburg","state":"VA","zip":"24502","beds":120,"overall":3,"inspections":8,"last_inspection":"2025-12-09","deficiencies":57,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.5},{"id":"cms-495120","ccn":"495120","name":"Westminster-Canterbury of Lynchburg Inc","address":"501 Ves Rd","city":"Lynchburg","state":"VA","zip":"24503","beds":80,"overall":5,"inspections":6,"last_inspection":"2026-03-19","deficiencies":18,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":9.3}]}}