Nursing home · Top rated by CMS
Grayson Health and Rehabilitation
400 South Independence Avenue, Independence, VA 24348 · Map
For profit - Corporation · Part of Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care (36 facilities) · 120 certified beds
Grayson Health and Rehabilitation is a Medicare-certified nursing home in Independence, Virginia. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 2.69 hours per resident per day, below the Virginia average of 3.81. Its most recent inspection on Dec 14, 2023 cited 7 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Grayson Health and Rehabilitation compares
This facility vs. the Virginia and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Virginia avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.69 | 3.81 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.60 | 0.69 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.45 | 2.12 | 2.34 | below avg |
| Nursing staff turnover | 47.3% | 48.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 14.5 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 20, 2025 inspection was corrected by December 16, 2025
What inspectors found at Grayson Health and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Aug 1, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Aug 1, 2024 · Full report (PDF) - Potential for harm
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Dec 14, 2023 · Full report (PDF) - Potential for harm
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 · Dec 14, 2023 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Dec 14, 2023 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 14, 2023 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 14, 2023 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 14, 2023 · Full report (PDF) - Potential for harm
Ensure staff are vaccinated for COVID-19
Infection Control Deficiencies · Apr 7, 2022 - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Apr 7, 2022 - Potential for harm
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 · Apr 7, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 400 South Independence Avenue
Independence, VA 24348 - CMS certification #
- 495331
- Ownership
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 109.2
- Provider type
- Medicare and Medicaid
- First certified
- 1998-08-04
- Chain
- Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care (36 facilities)
- Setting
- Rural
Part of Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care
Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care operates 36 nursing facilities across the United States. View all Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Grayson Health and Rehabilitation using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2020, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Dec 18, 2020: unprogrammed, related to another inspection inspection, partial (health). Case closed Mar 25, 2021. No violations cited. OSHA record. OSHA recorded the employer as Grayson Facility Operations, LLC.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Alleghany Memorial Hospital, Sparta. 7.9 miles away, straight line.
- Nearest Medicare nursing home
- Lotus Village Center for Nursing and Rehabilitatio, Sparta. 8.0 miles away, straight line.
- Nearest home health agency office
- Twin County Regional Home Health, Galax. 15.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 8.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 24348 as rural (rural area).
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 24348.
Mountain Valley Hospice & Palliative Care, office in Galax, 17.0 miles away, straight line (CMS family survey rating 4 of 5 stars)
Wythe Hospice Of Swva, office in Wytheville, 23.5 miles away, straight line (CMS family survey rating 4 of 5 stars)
Gentiva Ii, office in Wytheville, 23.9 miles away, straight line (CMS family survey rating 2 of 5 stars) - Nearest geriatric medicine practice
- Wake Forest University Health Sciences, North Wilkesboro. 31.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire relatively low, tornado relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Grayson Health and Rehabilitation a good nursing home?
CMS gives Grayson Health and Rehabilitation an overall rating of 5 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Grayson Health and Rehabilitation staffed?
Grayson Health and Rehabilitation reports 2.69 total nurse hours per resident per day, compared with the Virginia average of 3.81.
Has Grayson Health and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Grayson Health and Rehabilitation have?
Grayson Health and Rehabilitation is certified for 120 beds.