| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K· | L· |
| Actual harm | G6 | H· | I· |
| Potential harm | D27 | E16 | F5 |
| Minimal | A· | B· | C1 |
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 | |
|---|---|---|---|---|---|---|
| Jul 28, 2026 | Health | Health Complaint | 12 | Immediate jeopardy | 12 | Open → |
| May 7, 2026 | Health | Health Complaint | 7 | Actual harm | 6 | Open → |
| Nov 21, 2024 | Health | Health Complaint | 10 | Immediate jeopardy | — | Open → |
| Jan 19, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jan 19, 2024 | Health | Health Complaint, Health Standard | 10 | Potential harm | — | Open → |
| Aug 3, 2022 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Aug 3, 2022 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Apr 8, 2021 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Apr 8, 2021 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 7, 2026 | Civil money penalty (fine) | $191,957 | — | 495325|Fine|140455 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K· | L· |
| Actual harm | G6 | H· | I· |
| Potential harm | D27 | E16 | F5 |
| Minimal | A· | B· | C1 |
“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.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.37 (case-mix index 1.37).
CMS legal business name of the certified provider. Operates this facility only.
38 facilities in 4 states. CMS chain ID 843.
Chain average overall rating (CMS): 2.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Mill Mountain Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| Nu C II Irrevocable Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| Nu C Irrevocable Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| SNF Care Centers LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| SW Roanoke Parentco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| Vaop Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| Zenith Holdco II LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| Zenith Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Mill Mountain Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| Nu C II Irrevocable Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| Nu C Irrevocable Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| SNF Care Centers LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| SW Roanoke Parentco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| Vaop Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| Zenith Holdco II LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| Zenith Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2025 |
| Alyssa Clark | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Tiffany Hoback | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| SNF Mgr LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2025 |
| Karen Brandt | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 5, 2025 |
| Alyssa Clark | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2025 |
| Holly Forren | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2025 |
| Tiffany Hoback | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2025 |
| Tequilla Jones | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2025 |
| Michael Saval | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 17, 2026 |
| SNF Mgr LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 19, 2026 |
| Karen Brandt | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 5, 2025 |
| Alyssa Clark | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2025 |
| Holly Forren | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2025 |
| Tiffany Hoback | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2025 |
| Tequilla Jones | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2025 |
| Michael Saval | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Jamestown Health and Rehabilitation 1811 Jamestown Road, Williamsburg, VA 23185 CCN 495190 | 90 | Apr 25, 2024 | 371 harm1 open | — | |
| Ghent Health and Rehabilitation 3900 Llewellyn Ave, Norfolk, VA 23504 CCN 495273Abuse icon | 222 | Feb 26, 2026 | 772 harm | — | |
| Woodstock Valley Health and Rehabilitation 803 South Main St, Woodstock, VA 22664 CCN 495315Abuse icon | 88 | Sep 26, 2025 | 1203 IJ2 harm | $145k | |
| Grayson Health and Rehabilitation 400 South Independence Avenue, Independence, VA 24348 CCN 495331 | 120 | Nov 20, 2025 | 39 | — | |
| Augusta Nursing and Rehabilitation 83 Crossroad Lane, Fishersville, VA 22939 CCN 495336 | 112 | May 7, 2026 | 826 IJ1 harm | $398k | |
| Newport News Nursing & Rehab 12997 Nettles Drive, Newport News, VA 23602 CCN 495340SFF CandidateAbuse icon | 102 | Apr 30, 2026 | 733 IJ5 harm1 open | $97k | |
| Kings Daughters Community Health & Rehab 1410 North Augusta Street, Staunton, VA 24401 CCN 495344Abuse icon | 117 | May 15, 2026 | 855 IJ7 harm6 open | $62k | |
| Windsor Grove Health and Rehabilitation 23352 Courthouse Highway, Windsor, VA 23487 CCN 495347 | 114 | May 1, 2025 | 81 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| South Roanoke Nursing and Rehabilitation 3823 Franklin Rd, SW, Roanoke, VA 24014 CCN 495002 | 1.4 km | 98 | Apr 24, 2025 | 59 | — | |
| Friendship Health and Rehab Center - South 5647 Starkey Road, Roanoke, VA 24018 CCN 495421 | 3.1 km | 120 | Jun 18, 2025 | 361 IJ | $8,281 | |
| Old Southwest Health and Rehabilitation 324 King George Ave SW, Roanoke, VA 24016 CCN 495156 | 4.3 km | 130 | Jul 16, 2024 | 1533 harm | $136k | |
| Raleigh Court Health and Rehabilitation Center 1527 Grandin Road Southwest, Roanoke, VA 24015 CCN 495209 | 4.6 km | 120 | Aug 15, 2024 | 481 harm | — | |
| Brandon Oaks Nursing and Rehabilitation Center 3837 Brandon Avenue SW, Roanoke, VA 24018 CCN 495373 | 6.4 km | 62 | Aug 13, 2026 | 341 open | — | |
| Our Lady of the Valley 650 North Jefferson Street, Roanoke, VA 24016 CCN 495357 | 6.4 km | 70 | Aug 25, 2023 | 35 | $16k | |
| Davis and Mcdaniel Veterans Care Center 4550 Shenandoah Ave N W, Roanoke, VA 24017 CCN 495274 | 7.7 km | 180 | Jan 8, 2026 | 20 | — | |
| Salem Health & Rehabilitation 1945 Roanoke Blvd, Salem, VA 24153 CCN 495087 | 7.9 km | 240 | May 6, 2026 | 57 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 495325 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 495325 | 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