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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D22 | E4 | F2 |
| Minimal | A· | B1 | C· |
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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Apr 24, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Apr 24, 2024 | Health | Health Standard | 15 | Actual harm | — | Open → |
| Nov 17, 2021 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Nov 17, 2021 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Apr 4, 2019 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Apr 4, 2019 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 24, 2024 | Civil money penalty (fine) | $10,033 | — | 495034|Fine|8233 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D22 | E4 | F2 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 24, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 7, 2024 | |
| Apr 24, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 28, 2024 | |
| Apr 24, 2024 | K-0341 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
5 facilities in 3 states. CMS chain ID 653.
Chain average overall rating (CMS): 4.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Patrick Baroco | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2023 |
| Vassar Bryd | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 9, 2024 |
| Felicia Bush | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 17, 2006 |
| Adam Day | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 2, 2025 |
| Adam Feldbauer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 6, 2023 |
| Noelle Guill | Individual |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Heritage Hall Lexington 205 Houston Street, East Lexington, VA 24450 CCN 495321 | 1.7 km | 60 | Aug 28, 2025 | 242 harm2 open | — | |
| Shenandoah Valley Health and Rehab 3737 Catalpa Ave, Buena Vista, VA 24416 CCN 495168 | 10.2 km | 93 | Jan 23, 2025 | 423 harm | $51k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 495034 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 495034 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected May 28, 2024 |
| Apr 24, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 28, 2024 |
| Apr 24, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 28, 2024 |
| Apr 24, 2024 | K-0932 | Meet other general requirements. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 28, 2024 |
| Apr 24, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 23, 2024 |
| Apr 24, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 7, 2024 |
| Apr 24, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2024 |
| Apr 24, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 23, 2024 |
| Apr 24, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2024 |
| Apr 24, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2024 |
| Apr 24, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 7, 2024 |
| Apr 24, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 23, 2024 |
| Apr 24, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 23, 2024 |
| Apr 24, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 23, 2024 |
| Apr 24, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jul 23, 2024 |
| Apr 24, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 7, 2024 |
| Apr 24, 2024 | F-0887 | 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. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 7, 2024 |
| Nov 17, 2021 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 9, 2021 |
| Nov 17, 2021 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 20, 2021 |
| Nov 17, 2021 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 20, 2021 |
| Nov 17, 2021 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 20, 2021 |
| Nov 17, 2021 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | B · Minimal Pattern | Corrected Dec 20, 2021 |
| Apr 4, 2019 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 21, 2019 |
| Apr 4, 2019 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 10, 2019 |
| Apr 4, 2019 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 10, 2019 |
| Apr 4, 2019 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 10, 2019 |
| Apr 4, 2019 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 10, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.21 (case-mix index 1.17).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Dec 16, 2025 |
| Warren Swanson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 6, 2026 |
| Elizabeth Branner | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 18, 2023 |
| George Brooke | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 16, 2024 |
| Tyson Cooper | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 21, 2026 |
| Richard Crane | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 21, 2026 |
| Alicia Devine | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 21, 2026 |
| Thomas Gosse | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 15, 2025 |
| James Grizzle | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 21, 2020 |
| Randolph Hare | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 20, 2022 |
| Michele Hentz | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 16, 2024 |
| Dianne Herrick | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 16, 2024 |
| Robert Huch | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 21, 2020 |
| Mark Keeley | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 18, 2023 |
| Wendy Lovell | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 21, 2026 |
| Valerie Moliterno | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 15, 2025 |
| Lorriann Olan | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 21, 2026 |
| Colin Reid | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 15, 2025 |
| Bennett Ross | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 19, 2022 |
| Natasha Walsh | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 23, 2019 |
| Harry Warner | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 16, 2024 |
| Elizabeth Branner | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 21, 2026 |
| Adam Day | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 2, 2025 |
| Randolph Hare | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 15, 2025 |
| Robert Huch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 21, 2026 |
| Bennett Ross | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 21, 2026 |
| Warren Swanson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 6, 2026 |
| Patrick Baroco | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2023 |
| Vassar Bryd | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 9, 2024 |
| Felicia Bush | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 17, 2006 |
| Adam Day | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 2, 2025 |
| Adam Feldbauer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 6, 2023 |
| Warren Swanson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 6, 2026 |