Nursing home
Guggenheimer Health and Rehab Center
1902 Grace Street, Lynchburg, VA 24504 · Map
For profit - Limited Liability company · Part of Hill Valley Healthcare (40 facilities) · 130 certified beds
Guggenheimer Health and Rehab Center is a Medicare-certified nursing home in Lynchburg, Virginia. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.28 hours per resident per day, below the Virginia average of 3.81. Its most recent inspection on Oct 2, 2024 cited 31 deficiencies.
- 1 fine totaling $76,681In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Guggenheimer Health and Rehab Center 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) | 3.28 | 3.81 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.57 | 0.69 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.83 | 2.12 | 2.34 | below avg |
| Nursing staff turnover | 62.6% | 48.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 31.0 | 14.5 | 9.5 | above 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 January 7, 2026 inspection was corrected by February 6, 2026
Penalties in CMS records: 1 fine totaling $76,681, 1 total penalty.
What inspectors found at Guggenheimer Health and Rehab Center
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
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Jan 7, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Jan 7, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights Deficiencies · Jan 7, 2026 · 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 10, 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 · Dec 10, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 10, 2024 · Full report (PDF) - Potential for harm
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 · Dec 10, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Dec 10, 2024 · Full report (PDF) - Potential for harm
Help the resident make transportation arrangements to and from radiology services.
Administration Deficiencies · Dec 10, 2024 · 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 10, 2024 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 10, 2024 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Dec 10, 2024 · Full report (PDF)
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
- 1902 Grace Street
Lynchburg, VA 24504 - CMS certification #
- 495112
- Ownership
- For profit - Limited Liability company
- Certified beds
- 130
- Avg residents/day
- 113.9
- Provider type
- Medicare and Medicaid
- First certified
- 1978-03-24
- Chain
- Hill Valley Healthcare (40 facilities)
- Setting
- Urban
Part of Hill Valley Healthcare
Hill Valley Healthcare operates 40 nursing facilities across the United States. View all Hill Valley Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Guggenheimer Health and Rehab Center using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2021
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Oct 13, 2021 to Oct 12, 2023. Violations found: Wages on federal service contracts. Back wages: $44,963 owed to 13 employees. Employer as DOL recorded it: Guggenheimer Health & Rehabilitation Center (DIAMOND HILL SNF OPERATIONS, LLC). Case 1984642.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Centra Health - Lynchburg Gen Hospital, Lynchburg. 1.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Forest Health & Rehab Center, Lynchburg. 1.7 miles away, straight line.
- Nearest home health agency office
- Centra Home Health, Lynchburg. 1.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hill City Pharmacy. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 24504 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Lynchburg Home Training Pd, Lynchburg, 2.2 miles away, straight line (CMS rating 1 of 5 stars)
Uva Lynchburg Dialysis, Lynchburg, 2.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars)
Old Forest Dialysis, Lynchburg, 3.0 miles away, straight line - Hospice
- 11 Medicare hospices tell CMS they serve ZIP code 24504.
Centra Health, Hospice Of The Hills, office in Lynchburg, 2.2 miles away, straight line (CMS family survey rating 3 of 5 stars)
Westminster At Home (Hospice), office in Lynchburg, 3.9 miles away, straight line
James River Home Health Care LLC, office in Lynchburg, 4.4 miles away, straight line - Nearest geriatric medicine practice
- Promedical Services Inc, Lynchburg. 0.7 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: very low. By hazard: hurricane relatively low, inland flooding relatively low, tornado relatively low, heat wave very 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 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| 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 |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Guggenheimer Health and Rehab Center a good nursing home?
CMS gives Guggenheimer Health and Rehab Center an overall rating of 2 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Guggenheimer Health and Rehab Center staffed?
Guggenheimer Health and Rehab Center reports 3.28 total nurse hours per resident per day, compared with the Virginia average of 3.81.
Has Guggenheimer Health and Rehab Center had inspection problems?
Its most recent CMS inspection cited 31 deficiencies.
How many beds does Guggenheimer Health and Rehab Center have?
Guggenheimer Health and Rehab Center is certified for 130 beds.