# Grayson Health and Rehabilitation Grayson Health and Rehabilitation is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Independence, VA, CMS Certification Number 495331, with 120 certified beds and about 114 residents per day. CMS rates it 4/5 overall (health inspections 4/5, staffing 2/5, quality measures 4/5). ## Key facts - Status: Active CMS certification - Address: 400 South Independence Avenue, Independence, VA 24348 (Grayson County) - Ownership type: For profit - Corporation - Operator (legal business name): [400 South Independence Avenue Opco LLC](https://carefield.site/operator/op-400-south-independence-avenue-opco-llc) - CMS chain: [Avardis Health](https://carefield.site/chain/cms-chain-843) — 38 facilities - Phone: 2767730303 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/495331 ## Inspection record 8 inspections in the CMS window (latest 2025-11-20); 39 citations (31 health, 8 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2025-11-20 — [F-0580](https://carefield.site/deficiency/cms-f0580) Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2024-08-01 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2024-08-01 — [F-0760](https://carefield.site/deficiency/cms-f0760) Ensure that residents are free from significant medication errors. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2023-12-14 — [K-0291](https://carefield.site/deficiency/cms-k0291) Install emergency lighting that can last at least 1 1/2 hours. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2023-12-14 — [K-0914](https://carefield.site/deficiency/cms-k0914) Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. — scope/severity D (No actual harm, potential for more than minimal harm); Waiver granted - 2023-12-14 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2023-12-14 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2023-12-14 — [F-0730](https://carefield.site/deficiency/cms-f0730) Observe each nurse aide's job performance and give regular training. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2023-12-14 — [F-0755](https://carefield.site/deficiency/cms-f0755) Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2023-12-14 — [F-0760](https://carefield.site/deficiency/cms-f0760) Ensure that residents are free from significant medication errors. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2023-12-14 — [F-0761](https://carefield.site/deficiency/cms-f0761) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2022-04-07 — [K-0345](https://carefield.site/deficiency/cms-k0345) Have approved installation, maintenance and testing program for fire alarm systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2022-04-07 — [K-0363](https://carefield.site/deficiency/cms-k0363) Install corridor and hallway doors that block smoke. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2022-04-07 — [K-0511](https://carefield.site/deficiency/cms-k0511) Have properly installed electrical wiring and gas equipment. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2022-04-07 — [K-0711](https://carefield.site/deficiency/cms-k0711) Provide a written emergency evacuation plan. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2022-04-07 — [K-0741](https://carefield.site/deficiency/cms-k0741) Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2022-04-07 — [K-0761](https://carefield.site/deficiency/cms-k0761) To conduct inspection, testing and maintenance of fire doors by qualified individuals. — scope/severity E (No actual harm, potential for more than minimal harm); Waiver granted - 2022-04-07 — [F-0580](https://carefield.site/deficiency/cms-f0580) Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2022-04-07 — [F-0637](https://carefield.site/deficiency/cms-f0637) Assess the resident when there is a significant change in condition — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2022-04-07 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - …and 19 more on the source page. ## Penalties No fines or payment denials in the CMS penalties file (about the last three years). ## Staffing (PBJ, hours per resident per day) - Total nurse: 2.97735 (state avg 3.87523, US 3.90085) - RN: 0.56284 - Nursing staff turnover: 39.7% ## Owners and managers of record (CMS disclosures) - [Independence Parentco LLC](https://carefield.site/owner/org-independence-parentco-llc) — Direct owner, 100%, since 2025-05-01 - [Grayson Holdco LLC](https://carefield.site/owner/org-grayson-holdco-llc) — Indirect owner, 100%, since 2025-05-01 - Alyssa Clark — Operational / managerial control, since 2025-05-01 - Tiffany Hoback — Operational / managerial control, since 2025-05-01 - [SNF Mgr LLC](https://carefield.site/owner/org-snf-mgr-llc) — Operational / managerial control, since 2025-05-01 - Alyssa Clark — Operational / managerial control, since 2025-05-01 - Tiffany Hoback — Operational / managerial control, since 2025-05-01 - Tequilla Jones — Operational / managerial control, since 2025-05-01 - Bridget Riggins — Operational / managerial control, since 2025-05-01 - Vanessa Sturgill Fant — Operational / managerial control, since 2025-05-01 - Robert Sword — Operational / managerial control, since 2025-05-01 ## Nearby nursing homes - [Lotus Village Center for Nursing and Rehabilitatio](https://carefield.site/facility/cms-345261) — 12.9 km, CMS overall 1/5 ## Sources - 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=495331&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=495331&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=495331&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=495331&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=495331&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=495331&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-495331 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.