Nursing home
Valley Rehabilitation and Nursing Center
940 East Lee Highway, Chilhowie, VA 24319 · Map
For profit - Corporation · Part of Lifeworks Rehab (59 facilities) · 180 certified beds
Valley Rehabilitation and Nursing Center is a Medicare-certified nursing home in Chilhowie, Virginia. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.15 hours per resident per day, below the Virginia average of 3.81. Its most recent inspection on Jun 30, 2023 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Valley Rehabilitation and Nursing 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) | 3.15 | 3.81 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.59 | 0.69 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.72 | 2.12 | 2.34 | below avg |
| Nursing staff turnover | 42.2% | 48.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 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 December 12, 2025 inspection was corrected by January 19, 2026
What inspectors found at Valley Rehabilitation and Nursing 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
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Dec 12, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Dec 12, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Dec 12, 2025 · 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 · Dec 12, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Dec 12, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Dec 12, 2025 · Full report (PDF) - Potential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Dec 12, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 12, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jun 30, 2023 - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jun 30, 2023 - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Jun 30, 2023 - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 10, 2021
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
- 940 East Lee Highway
Chilhowie, VA 24319 - CMS certification #
- 495133
- Ownership
- For profit - Corporation
- Certified beds
- 180
- Avg residents/day
- 160.2
- Provider type
- Medicare and Medicaid
- First certified
- 1982-11-11
- Chain
- Lifeworks Rehab (59 facilities)
- Setting
- Rural
Part of Lifeworks Rehab
Lifeworks Rehab operates 59 nursing facilities across the United States. View all Lifeworks Rehab facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Valley Rehabilitation and Nursing Center using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2013
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 Jun 15, 2013 to Jun 6, 2015. Violations found: Overtime. Back wages: $257 owed to 1 employee. Employer as DOL recorded it: Valley Healthcare Center (Mountain Empire Operations, LLC). Case 1762603.
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
- Smyth County Community Hospital, Marion. 10.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- SW VA M H Inst Geri TRT CTR, Marion. 9.4 miles away, straight line.
- Nearest home health agency office
- Home Nursing Services Of Southwest Va Inc, Abingdon. 14.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Glade Spring Pharmacy. 6.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 24319 as rural (rural area).
- Dialysis within 15 miles
- Fresenius Kidney Care Smyth County, Marion, 9.8 miles away, straight line (CMS rating 1 of 5 stars)
- Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 24319.
Ballad Health Hospice, office in Abingdon, 18.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Caris Healthcare, Lp (Abingdon), office in Abingdon, 18.7 miles away, straight line (CMS family survey rating 4 of 5 stars)
Medical Services Of America Home Health & Hospice, office in Richlands, 20.8 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Holston Medical Group PC, Bristol. 29.0 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 high, wildfire very 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 | 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: FEMA rates wildfire risk here very 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 | No plain statements of services found |
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Frequently asked questions
Is Valley Rehabilitation and Nursing Center a good nursing home?
CMS gives Valley Rehabilitation and Nursing Center an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Valley Rehabilitation and Nursing Center staffed?
Valley Rehabilitation and Nursing Center reports 3.15 total nurse hours per resident per day, compared with the Virginia average of 3.81.
Has Valley Rehabilitation and Nursing Center had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Valley Rehabilitation and Nursing Center have?
Valley Rehabilitation and Nursing Center is certified for 180 beds.