Grayson Health and Rehabilitation
Nursing Home · Independence, VA
CMS certification number495331
Contact & location
400 South Independence AvenueIndependence, VA 24348
Grayson County
- Phone
- (276) 773-0303
- ZIP code
- 24348 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 112.9 (94% occupied)
- Ownership
- For profit - Corporation
- Legal name
- 400 South Independence Avenue Opco LLC
- Chain
- Avardis Health (38 facilities, avg 2.0★)
- Medicare certified since
- August 4, 1998
- Participates in
- Medicare and Medicaid
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.72 (state 3.76 · U.S. 3.86)
- Registered nurses (RN)
- 0.57 (state 0.69 · U.S. 0.69)
- Licensed practical nurses
- 0.62 (state 1.00 · U.S. 0.86)
- Nurse aides
- 1.53 (state 2.07 · U.S. 2.32)
- Weekend total
- 2.37 (state 3.29 · U.S. 3.42)
- Nursing staff turnover
- 45.2 (state 48.1 · U.S. 45.8)%
- RN turnover
- 33.3 (state 48.2 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- December 14, 2023
- Health deficiencies (last cycle)
- 7.0 (state 14.5 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 31 health · 8 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-11-20 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-16 |
| 2024-08-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-08-01 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2023-12-14 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2023-12-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2023-12-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2023-12-14 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2023-12-14 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2023-12-14 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2022-04-07 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-05-17 |
| 2022-04-07 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-05-18 |
| 2022-04-07 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-05-18 |
| 2022-04-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-05-18 |
| 2022-04-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-05-18 |
| 2022-04-07 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-05-18 |
| 2022-04-07 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-05-18 |
| 2022-04-07 | Ensure staff are vaccinated for COVID-19 F0888 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-05-18 |
| 2019-01-31 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-03-13 |
| 2019-01-31 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-03-13 |
| 2019-01-31 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. F0646 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-03-13 |
| 2019-01-31 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-03-13 |
| 2019-01-31 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-03-13 |
| 2019-01-31 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-03-13 |
| 2019-01-31 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-03-13 |
| 2019-01-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-03-13 |
| 2019-01-31 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-03-13 |
| 2019-01-31 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-03-13 |
| 2019-01-31 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-03-13 |
| 2019-01-31 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-03-13 |
| 2019-01-31 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-03-13 |
| 2019-01-31 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-03-13 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Independence Parentco LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Grayson Holdco LLC (organization) | 5%+ Indirect Ownership Interest | |
| Vaop Holdco LLC (organization) | 5%+ Indirect Ownership Interest | |
| Clark, Alyssa (individual) | Administrator · NOT APPLICABLE | |
| Hoback, Tiffany (individual) | Administrator · NOT APPLICABLE | |
| Jones, Tequilla (individual) | Administrator · NOT APPLICABLE | |
| Riggins, Bridget (individual) | Administrator · NOT APPLICABLE | |
| SNF MGR LLC (organization) | Administrator · NOT APPLICABLE | |
| Sturgill Fant, Vanessa (individual) | Administrator · NOT APPLICABLE | |
| Sword, Robert (individual) | Administrator · NOT APPLICABLE | |
| Clark, Alyssa (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Hoback, Tiffany (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Clark, Alyssa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hoback, Tiffany (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Jones, Tequilla (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Riggins, Bridget (individual) | Operational/managerial Control · NOT APPLICABLE | |
| SNF MGR LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Sturgill Fant, Vanessa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sword, Robert (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Grayson Health and Rehabilitation?
Grayson Health and Rehabilitation has a 5-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Virginia.
How many beds does Grayson Health and Rehabilitation have?
It has 120 certified beds and cares for about 113 residents per day.
Has Grayson Health and Rehabilitation been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns Grayson Health and Rehabilitation?
It is part of Avardis Health and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Grayson Health and Rehabilitation?
(276) 773-0303. The facility is located at 400 South Independence Avenue, Independence, VA 24348.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.