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Grayson Health and Rehabilitation

All states › Virginia › Independence › Grayson Health and Rehabilitation

400 South Independence Avenue Independence, VA 24348 · Grayson County

(276) 773-0303

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 495331 · 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 Grayson Health and Rehabilitation 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 Grayson Health and Rehabilitation as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Virginia average of 3.1. Inspectors issued 31 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 5 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.

Staffing

Nursing staff spend about 2.98 hours per resident per day at Grayson Health and Rehabilitation, below the Virginia median of 3.57 (US median: 3.72). About 0.56 of those hours are from registered nurses. On weekends it falls to 2.51 hours, 16% below its all-week average. Ask how weekends are staffed. 39.7% of nursing staff left within a year (Virginia median 47.7%).

Nursing care per resident per day 2.98 hours
Below the Virginia median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.56 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.51 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 39.7% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 38.9% 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 beds120
Residents per day 114 About 95% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1998
Part of a chainAvardis Health
Legal business name400 SOUTH INDEPENDENCE AVENUE OPCO LLC

Paying for care at Grayson Health and Rehabilitation: Medicare and Medicaid

Grayson Health and Rehabilitation 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 14, 2023 and found 6 deficiencies, plus 1 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 31 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 31 citations at Grayson Health and Rehabilitation across 5 inspection dates, 3 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 31 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were pharmacy service (9) and quality of life and care (8). The most serious was cited under the CMS rule to "observe each nurse aide's job performance and give regular training" (tag F0730, level E, December 14, 2023).

November 20, 2025 · 1 citation · includes complaint inspection

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Dec 16, 2025)

August 1, 2024 · 2 citations · includes complaint inspection

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 · Complaint inspection · Deficient, Provider has date of correction (Sep 3, 2024)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Sep 3, 2024)

December 14, 2023 · 6 citations

EObserve each nurse aide's job performance and give regular training.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0730 · Deficient, Provider has date of correction (Mar 8, 2024)

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 (Mar 8, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Mar 8, 2024)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Mar 8, 2024)

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 (Mar 8, 2024)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Mar 8, 2024)

April 7, 2022 · 8 citations

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (May 17, 2022)

DAssess the resident when there is a significant change in condition

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Deficient, Provider has date of correction (May 18, 2022)

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 (May 18, 2022)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (May 18, 2022)

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 (May 18, 2022)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (May 18, 2022)

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 (May 18, 2022)

DEnsure staff are vaccinated for COVID-19

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0888 · Deficient, Provider has date of correction (May 18, 2022)

January 31, 2019 · 14 citations

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Mar 13, 2019)

DEnsure 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 (Mar 13, 2019)

DNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0646 · Deficient, Provider has date of correction (Mar 13, 2019)

DDevelop 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 (Mar 13, 2019)

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 (Mar 13, 2019)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Mar 13, 2019)

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 (Mar 13, 2019)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Mar 13, 2019)

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 (Mar 13, 2019)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Mar 13, 2019)

DEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Mar 13, 2019)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Mar 13, 2019)

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 (Mar 13, 2019)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Mar 13, 2019)

Questions to ask on a tour of Grayson Health and Rehabilitation

  1. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  2. Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
  3. The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
  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 2/5 4/5
August 2026 5/5 4/5 2/5 5/5
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Location

Hospitals near Grayson Health and Rehabilitation

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

Waddell Nursing and Rehab Center Galax · 12.7 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 135 beds · Medicaid
Galax Health and Rehab Galax · 14.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 120 beds · Medicaid
Mountain Laurel Rehabilitation and Nursing Rural Retreat · 20.6 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 120 beds · Medicaid
Wythe Cnty Community Hospital Ecu Wytheville · 23.3 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 8 beds · Medicaid
Holston Health & Rehabilitation Wytheville · 24.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 137 beds · Medicaid

More nursing homes near Grayson Health and Rehabilitation ›   All nursing homes in Independence ›

Compare Grayson Health and Rehabilitation with the 3 closest homes side by side ›

Other Avardis Health nursing homes in Virginia

Affiliation comes from CMS's affiliated-entity data, October 2026. All 38 Avardis Health 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/independence/grayson-health-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.