CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4953312026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Grayson Health And Rehabilitation

400 South Independence Avenue · Independence, VA 24348 · Grayson County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds120CMS provider file
Recent citation rows39current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12023-12-1472023-12-142
Cycle 22022-04-07102022-04-076
Cycle 32019-01-31142019-01-310
02 / CITATION DETAIL

39 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-11-20 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-12-16 · complaint
2024-08-01 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-09-03 · complaint
2024-08-01 · HEALTHF0760Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2024-09-03 · complaint
2023-12-14 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-03-08
2023-12-14 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-03-08
2023-12-14 · HEALTHF0730Severity E · pattern; potential for more than minimal harm

Nursing and Physician Services Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-03-08
2023-12-14 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-03-08
2023-12-14 · HEALTHF0760Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2024-03-08
2023-12-14 · HEALTHF0761Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-03-08
2023-12-14 · FIREK0291Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Correction field: Deficient, Provider has date of correction · 2024-10-09
2023-12-14 · FIREK0914Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Correction field: Waiver has been granted · 2024-10-09
2022-04-07 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2022-05-17
2022-04-07 · HEALTHF0637Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

Correction field: Deficient, Provider has date of correction · 2022-05-18
2022-04-07 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2022-05-18
2022-04-07 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2022-05-18
2022-04-07 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2022-05-18
2022-04-07 · HEALTHF0756Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2022-05-18
2022-04-07 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2022-05-18
2022-04-07 · HEALTHF0888Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Ensure staff are vaccinated for COVID-19

Correction field: Deficient, Provider has date of correction · 2022-05-18
2022-04-07 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2022-06-10
2022-04-07 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2022-06-10
2022-04-07 · FIREK0511Severity E · pattern; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2022-06-10
2022-04-07 · FIREK0711Severity D · isolated; potential for more than minimal harm

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

Correction field: Deficient, Provider has date of correction · 2022-06-10
2022-04-07 · FIREK0741Severity D · isolated; potential for more than minimal harm

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Correction field: Deficient, Provider has date of correction · 2022-06-10
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • INDEPENDENCE PARENTCO LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 05/01/2025
  • GRAYSON HOLDCO LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 05/01/2025
  • VAOP HOLDCO LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 05/01/2025
  • CLARK, ALYSSAIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 05/01/2025
  • HOBACK, TIFFANYIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 05/01/2025
  • SNF MGR LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 05/01/2025
  • CLARK, ALYSSAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 05/01/2025
  • HOBACK, TIFFANYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 05/01/2025
  • JONES, TEQUILLAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 05/01/2025
  • RIGGINS, BRIDGETIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 05/01/2025
  • STURGILL FANT, VANESSAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 05/01/2025
  • SWORD, ROBERTIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 05/01/2025
  • SNF MGR LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 04/20/2025
  • CLARK, ALYSSAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 05/01/2025
  • HOBACK, TIFFANYIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 05/01/2025
  • JONES, TEQUILLAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 05/01/2025
  • RIGGINS, BRIDGETIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 05/01/2025
  • STURGILL FANT, VANESSAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 05/01/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours2.72per resident day
RN hours0.57per resident day
Weekend nurse hours2.37per resident day
Staff turnover45.2%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Virginia ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.