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Valley Rehabilitation and Nursing Center

All states › Virginia › Chilhowie › Valley Rehabilitation and Nursing Center

940 East Lee Highway Chilhowie, VA 24319 · Smyth County

(276) 646-8911

Accepts Medicare Accepts Medicaid 180 certified beds For profit

CMS certification number 495133 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Valley Rehabilitation and Nursing Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Valley Rehabilitation and Nursing Center as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Virginia average of 3.1. Inspectors issued 16 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 4 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 3.52 hours per resident per day at Valley Rehabilitation and Nursing Center, about the same as the Virginia median of 3.57 (US median: 3.72). About 0.71 of those hours are from registered nurses. On weekends it falls to 2.95 hours, 16% below its all-week average. Ask how weekends are staffed. 49.2% of nursing staff left within a year (Virginia median 47.7%).

Nursing care per resident per day 3.52 hours
Below the Virginia median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.71 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.95 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 49.2% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 30% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds180
Residents per day 160 About 89% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceNovember 1982
Part of a chainLifeworks Rehab
Legal business nameVALLEY OPERATOR LLC

Paying for care at Valley Rehabilitation and Nursing Center: Medicare and Medicaid

Valley Rehabilitation and Nursing Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Virginia's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on December 12, 2025 and found 8 deficiencies. In total, inspectors issued 16 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 16 citations at Valley Rehabilitation and Nursing Center across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 16 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (4) and resident assessment and care planning (4). The most serious was cited under the CMS rule to "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" (tag F0584, level E, December 12, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.

December 12, 2025 · 8 citations

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jan 19, 2026)

EEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jan 19, 2026)

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jan 19, 2026)

EProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Jan 19, 2026)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jan 19, 2026)

DTry 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0700 · Deficient, Provider has date of correction (Jan 19, 2026)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (Jan 19, 2026)

DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Jan 19, 2026)

June 30, 2023 · 3 citations

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (Jul 27, 2023)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jul 27, 2023)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Jul 27, 2023)

June 10, 2021 · 5 citations

EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Aug 5, 2021)

ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Aug 5, 2021)

ERespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Aug 5, 2021)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Aug 5, 2021)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Aug 5, 2021)

Questions to ask on a tour of Valley Rehabilitation and Nursing Center

  1. CMS cited the home under its abuse and neglect rules on June 10, 2021. How are staff trained, and how are concerns reported?
  2. Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
  3. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 3/5 3/5
August 2026 4/5 4/5 3/5 3/5
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Location

Hospitals near Valley Rehabilitation and Nursing Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

SW Va M H Inst Geri TRT Center Marion · 9.4 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 25 beds · Medicaid
Francis Marion Manor Health & Rehabilitation Marion · 9.9 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 109 beds · Medicaid
Abingdon Health & Rehab Center Abingdon · 13.8 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 120 beds · Medicaid
Deer Meadows Rehabilitation and Nursing Abingdon · 16.7 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 119 beds · Medicaid
Clinch Valley Medical Center Richlands · 21.3 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 24 beds · Medicaid

More nursing homes near Valley Rehabilitation and Nursing Center ›   All nursing homes in Chilhowie ›

Compare Valley Rehabilitation and Nursing Center with the 3 closest homes side by side ›

Other Lifeworks Rehab nursing homes in Virginia

Affiliation comes from CMS's affiliated-entity data, October 2026. All 64 Lifeworks Rehab nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/virginia/chilhowie/valley-rehabilitation-and-nursing-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.