Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Clinch Valley Medical Center during CMS and state inspections, most recent first.
Failure to Document Vaccine Education: The facility did not accurately document education on flu and pneumococcal vaccines for 5 residents. Records and interviews showed some residents were cognitively intact while others were moderately impaired, several reported prior vaccines or refusals, and staff later produced paperwork showing vaccine status or refusal, but no charted evidence of risks-versus-benefits education or documentation that educational materials were accepted or declined was found at the start of the survey. Staff interviews confirmed the facility was only asking about vaccine status and was not consistently documenting education in the EHR.
Failure to wear gloves during peripheral IV access: An RN accessed a resident’s peripheral IV to flush the line and administer IV Lasix without applying gloves. The resident had UTI, HTN, and DM, was cognitively intact, and had an IV therapy care plan with routine site care. The IP acknowledged gloves should have been worn, and the facility policy stated gloves are required for vascular access procedures.
Failure to Document Vaccine Education
Penalty
Summary
The facility failed to accurately document education for influenza and pneumococcal vaccines for 5 of 5 current resident reviews. For Resident #2, the record did not contain documented evidence that education on the risks versus benefits of the flu and pneumococcal vaccines was provided. The resident had diagnoses including hip fracture, hypertension, and diabetes, and the most recent MDS showed a BIMS score of 11, indicating moderate cognitive impairment. During interview, the resident was somewhat groggy and confused and was unsure about prior pneumococcal vaccination. Paperwork later provided by the MDS Coordinator/RN indicated the resident had refused the flu vaccine on admission and had not received pneumovax, but no documentation of vaccine education was found in the paper chart or electronic record at the start of the survey. For Resident #3, the facility also lacked documentation of education regarding the flu and pneumococcal vaccines. The resident had diagnoses including CVA with left-sided weakness and a BIMS score of 11. The resident stated he usually received his influenza and COVID vaccines annually at a local pharmacy and thought he may have had a pneumococcal vaccine, while his daughter said she believed vaccine questions were asked on admission and that he generally received vaccines at his pharmacy or doctor’s office. The MDS Coordinator/RN later produced paperwork showing refusal of flu and pneumovax on admission and a faxed flu vaccination record dated 10/10/24, but no pneumococcal record and no documentation of vaccine education were located in the chart at the start of the survey. For Resident #7, Resident #9, and Resident #16, the same documentation failure was identified. Resident #7 had diagnoses including metastatic renal cell carcinoma, CHF, acute cholecystitis, and a stage III sacral ulcer, with a BIMS score of 15; he reported being up to date on influenza and COVID vaccines and believed he had received pneumococcal vaccine within the last two or three years, but the only paperwork later provided showed refusal of flu and pneumococcal vaccines due to immune therapy, with no education documentation found. Resident #9 had diagnoses including UTI, hypertension, and diabetes, with a BIMS score of 13; she reported prior flu, COVID, and pneumococcal vaccines and later paperwork showed flu vaccination before admission and prior pneumococcal doses, but no education documentation was located. Resident #16 had a BIMS score of 14 and stated she did not want any more vaccines after a prior COVID vaccine made her feel ill; she acknowledged that education about how vaccination or refusal could help or hurt had been discussed, yet no documentation of education or acceptance/refusal was found in the record at the time of interview. Staff interviews and policy review showed the facility had a policy stating vaccine information statements would be given to assist in educating patients, but the Infection Preventionist said the facility did not keep a record of educating residents about flu or pneumonia vaccines and only asked if they had been vaccinated, and the MDS Coordinator/RN stated the education tab in the electronic record was not being used as it should be.
Failure to Wear Gloves During Peripheral IV Access
Penalty
Summary
The facility staff failed to follow established infection control guidelines when accessing a peripheral IV for Resident #9. Resident #9 had diagnoses including urinary tract infection, hypertension, and diabetes, and was cognitively intact with a BIMS score of 13 out of 15 on the admission MDS assessment. The resident’s care plan included IV therapy with routine site care, and provider orders included Furosemide (Lasix) IV 40 mg and normal saline flush IV 10 mls as needed for IV-line flush. On 03/24/26 at approximately 12:00 p.m., RN #1 was observed accessing Resident #9’s peripheral IV by removing the swab cap, flushing the line with saline, slowly injecting Furosemide, flushing again, and replacing the swab cap. RN #1 did not apply gloves before completing the procedure. During an interview later that day, RN #1 stated she did not wear gloves during the IV procedure and said she would have worn them if the resident had been on contact isolation. The Infection Preventionist acknowledged that RN #1 should have applied gloves before accessing the IV, and the facility provided its Bloodborne Pathogen Exposure Control Plan stating that gloves will be worn when performing vascular access procedures.
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Illustrative
What surveyors actually found near you
We read the 17 citations issued within 25 miles in the last 12 months — 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 Richlands
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heritage Hall Tazewell | 17.6 mi | ★★★★★ | 0 | 0 |
| Heritage Hall Grundy | 19.7 mi | ★★★★★ | 0 | 0 |
| Maple Grove Nursing & Rehab Center | 20.8 mi | ★★★★★ | 1 | 0 |
| Valley Rehabilitation And Nursing Center | 21.3 mi | ★★★★★ | 9 | 0 |
| Francis Marion Manor Health & Rehabilitation | 23.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.