Average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Virginia Gay Nursing & Rehab, Llc during CMS and state inspections, most recent first.
Inaccurate PBJ Staffing Submission: The facility failed to submit accurate staffing data to CMS for the reviewed quarter. The PBJ report showed no RN hours and multiple dates without 24-hour nursing coverage, while time cards showed adequate RN and nursing coverage. The Administrator stated she could not determine why the hours were not registering and reported she had not had training in this area.
QAPI committee meetings did not consistently include the required members or designees, and infection control information was not reliably presented. Meeting minutes showed the Administrator and Medical Director were absent from some meetings without designees, and the DON/IP did not provide documented infection control tracking even though a COVID outbreak had occurred. Interviews confirmed that when the minutes stated no new concerns, infection control tracking and the outbreak were not discussed.
A facility failed to document informed consent for psychotropic medications for three residents. One resident with severe dementia was receiving an antipsychotic, one resident with moderate cognitive impairment and multiple diagnoses was receiving PRN lorazepam, and one cognitively intact resident was receiving sertraline for anxiety. The records lacked documentation that the residents or their representatives were informed of the risks and benefits, treatment alternatives, or other options, and the DON confirmed the missing consent documentation while the Administrator stated there was no policy or procedure for psychotropic medication consents.
Failure to notify the State Ombudsman of a resident hospital transfer. A resident with AFib, cardiomyopathy, and CHF was hospitalized for cellulitis requiring IV meds and then returned to the facility. The Administrator confirmed the facility had no Ombudsman notification records for the month, had not submitted the required notifications for several months, and stated there was no policy for Ombudsman notifications.
A facility failed to maintain food holding temperatures at or above 135°F, as required. A resident reported receiving cold food, and observations confirmed that food temperatures dropped below the required level during meal service. Staff acknowledged the issue, and the Dietary Manager emphasized the need for proper temperature checks and reheating procedures.
Inaccurate PBJ Staffing Submission
Penalty
Summary
The facility failed to submit accurate direct care staffing information to CMS based on payroll and other verifiable and auditable data for 1 of 1 quarter reviewed. The PBJ Staffing Data Report for FY Quarter 2, 2026 showed the facility triggered a one-star staff rating, no RN hours, and a failure to have licensed nursing coverage for 24 hours per day. RN hours were flagged on 2/11/2026, 2/12/2026, 2/17/2026, and 2/18/2026, and 24-hour nursing coverage was flagged on 1/15/2026, 1/27/2026, 1/28/2026, 1/29/2026, 2/3/2026, 2/4/2026, 2/5/2026, 2/10/2026, 2/11/2026, 2/18/2026, and 3/25/2026. The facility census was 31 residents. Time cards dated 1/15/2026 through 3/25/2026 showed the facility maintained adequate RN coverage and 24-hour nursing coverage, which did not match the PBJ report. The Administrator stated in email correspondence that she was not sure why the hours did not register on the PBJ report, acknowledged one date where the facility was short a few minutes for 8 hours of RN coverage, and stated she could not determine what happened on the other flagged days. She also stated she had not known there was a way to look up the errors until a couple of months earlier and that there were still errors in the data being submitted, describing the process as a work in progress and noting she had not had training in this area.
QAPI Committee Lacked Required Attendance and Infection Control Reporting
Penalty
Summary
The facility failed to ensure the Quality Assurance and Performance Improvement (QAPI) committee had the required members or designees attend quarterly meetings and failed to ensure the Infection Preventionist provided relevant infection control information to the committee. Facility records showed QAPI meetings were held, but the Medical Director and Administrator were absent from some meetings without documented designees attending in their place. The facility QAPI plan stated the committee should meet at least quarterly and include the Director of Nursing Services, the Medical Director or designee, the Nursing Home Administrator, and the Infection Preventionist, and that if any member could not attend, a supervisor or delegate would present their data. Meeting minutes documented that the DON/Infection Preventionist attended, but infection control information was not consistently reported. One set of minutes stated no new infection control concerns were identified for the quarter, and there was no infection control tracking information documented. Another set of minutes also lacked documentation that infection control tracking was discussed. During interviews, the DON/IP stated there had been a COVID outbreak in January and confirmed that if the minutes said no new concerns were reported, then infection control tracking or the COVID outbreak was not discussed. The Administrator stated she did not know whether the Medical Director had a designee for QAPI meetings and assumed there was no infection prevention tracking report when the minutes documented no new information.
Failure to Document Informed Consent for Psychotropic Medications
Penalty
Summary
The facility failed to obtain consent and provide information about the risks and benefits of psychotropic medications for 3 of 5 residents reviewed. Resident #1 had severe cognitive impairment with a BIMS score of 1 and a diagnosis of non-Alzheimer's dementia, and was receiving Rexulti 0.5 mg daily for unspecified dementia with anxiety. The clinical record did not contain documentation that the resident or the resident's representative was informed of the medication's risks and benefits, treatment alternatives, or other options to support an informed choice. Resident #3 had moderate cognitive impairment with a BIMS score of 9 and diagnoses including non-Alzheimer's dementia, traumatic brain injury, seizure disorder, and depression. The resident had an active order for Ativan oral concentrate 2 mg/mL, 0.25 mL every 2 hours as needed for anxiety/restlessness, but the record lacked documentation of informed consent for the psychotropic medication. Resident #7 had intact cognition with a BIMS score of 15 and was receiving sertraline 50 mg daily for anxiety, yet the record also lacked documentation that the resident was informed of the risks and benefits, treatment alternatives, or other options. During interviews, the DON stated consent for psychotropic medication use should be obtained on admission and with any new psychotropic medication orders, and confirmed the three residents lacked documentation of consent; the Administrator stated the facility had no policy or procedure for obtaining psychotropic medication consents.
Failure to Notify Ombudsman of Resident Hospital Transfer
Penalty
Summary
The facility failed to notify the State Ombudsman office of resident hospital transfers for 1 of 1 resident reviewed for transfers. Resident #9, who was admitted with diagnoses including unspecified atrial fibrillation, cardiomyopathy, and chronic congestive heart failure, had a hospital stay on 4/18/26 for cellulitis requiring IV medications and returned to the facility on 4/19/26 after treatment for a skin infection. Facility records showed that the Administrator confirmed there were no Ombudsman notification records for April 2026, and she stated that she was responsible for notifying the Ombudsman of resident admissions, discharges, hospitalizations, and deaths at the end of each month. During interview, she acknowledged that she had never completed this task because she was new to the role, had forgotten about it, and admitted the facility had not submitted the required Ombudsman notifications since January 2026. She also confirmed the facility should have notified the Ombudsman of Resident #9's hospitalization. When asked for the facility's notification policy, the Administrator stated that the facility did not have a policy regarding Ombudsman notifications.
Failure to Maintain Proper Food Temperatures
Penalty
Summary
The facility failed to maintain appropriate food holding temperatures at or above 135 degrees Fahrenheit, as required by professional standards. This deficiency was identified during an observation and staff interviews. A resident with intact cognition reported that the food served in her room was often cold. During a meal service observation, the pre-meal temperatures of potatoes and ground barbecue pork were initially recorded at 184 degrees and 211 degrees, respectively. However, after being placed on the steam table, the temperature of the loaded potato dropped to 124.7 degrees when checked on a test tray, and further checks revealed the potato at 126 degrees and the pork at 130 degrees, both below the required 135 degrees. Staff A acknowledged that the food did not maintain the correct temperature and confirmed that the steam table wells were set on setting #3. The Dietary Manager stated that staff are expected to take food temperatures before meals to ensure they are served at the correct temperature, and if not, the food should be reheated to above 165 degrees before serving. The facility's Serving Line Food Temperature Record Policy, revised in April 2023, mandates that hot food items be held at 135 degrees or above, and if not, they should be reheated in the oven or microwave to reach the proper temperature.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 114 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Vinton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Vinton Lutheran Home | 1.1 mi | ★★★★★ | 3 | 0 |
| Laporte City Specialty Care | 12.7 mi | ★★★★★ | 3 | 0 |
| Keystone Nursing Care Center Inc | 15.1 mi | ★★★★★ | 0 | 0 |
| Hiawatha Care Center | 18.7 mi | ★★★★★ | 6 | 0 |
| Northbrook Healthcare And Rehabilitation Center | 20.3 mi | ★★★★★ | 9 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Virginia Gay Nursing & Rehab, Llc.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.