Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Francis Marion Manor Health & Rehabilitation during CMS and state inspections, most recent first.
The facility inaccurately reported staffing data by including contracted Hospice staff in their PBJ report, leading to a one-star staff rating and no RN coverage for a quarter. The error was confirmed by RN #3 after consulting PBJ guidelines, which state that Hospice staff hours should not be reported. This issue was discussed with the facility's leadership.
The facility failed to conduct required VSP background checks for two new hires, an Occupational Therapist and a dietary department employee, as per their policy. The Occupational Therapist's previous employment at a hospital within the same company led to an oversight, while the dietary employee, a contract worker, also lacked the necessary check. These deficiencies were identified during a surveyor's review of employee records.
The facility failed to maintain RN coverage for 8 consecutive hours a day, 7 days a week, during the third quarter of 2023, missing coverage on six specific dates. Despite the absence, staff and social workers reported no issues or complaints regarding resident care, and the deficiency was attributed to a staff member on medical leave.
Facility staff failed to ensure accurate clinical records for two residents, leading to deficiencies in medication administration and documentation. One resident's Digoxin order was not followed correctly due to overlooked software instructions, while another resident's DDNR form was incomplete, lacking necessary certifications. These issues were identified during staff interviews and clinical record reviews.
Inaccurate PBJ Reporting Due to Inclusion of Hospice Staff
Penalty
Summary
The facility staff failed to ensure the accuracy of the payroll-based journal (PBJ) report by including Hospice staff not employed by the facility. During a survey, it was discovered that the facility had triggered a one-star staff rating and reported no Registered Nurse (RN) coverage for the third quarter of 2023. Upon review, the surveyor noted that Hospice personnel, who were contracted and not paid by the facility, were incorrectly included in the PBJ report. RN #3, responsible for these reports, confirmed the error after consulting the guidelines for completing PBJ reports, which explicitly state that hours for services provided by Hospice staff should not be reported. This issue was discussed with the Administrator/Chief Executive Officer and Director of Nursing (DON) during a meeting, but no further information was provided to the survey team before the exit conference.
Failure to Conduct Required Background Checks for New Hires
Penalty
Summary
The facility staff failed to adhere to their policy regarding the screening of new hires, specifically in obtaining criminal background checks through the Virginia State Police (VSP) criminal records exchange. This deficiency was identified during a review of employee records by the surveyor, which revealed that 2 out of 15 employee files lacked the required VSP background checks. The facility's policy, titled 'Background Checks-Human Resources,' mandates that a full criminal background check be conducted through the Central Criminal Records Exchange for candidates employed in Virginia. However, this procedure was not followed for two employees. The first employee, an Occupational Therapist, was hired on 07/29/24, but their record did not include a VSP background check. HR personnel explained that this employee had previously worked at a hospital within the same company, and the hospital staff were unaware of the requirement for a VSP background check. The second employee, working in the dietary department and hired on 09/14/23, was a contract employee whose VSP background check was also not completed. These issues were discussed with the Administrator/CEO and Director of Nursing during an end-of-day meeting, but no further information was provided to the survey team before the exit conference.
Facility Lacked RN Coverage for Required Hours
Penalty
Summary
The facility failed to ensure Registered Nurse (RN) coverage for 8 consecutive hours a day, 7 days a week, during the third quarter of 2023. Specifically, there was no RN coverage on six specific dates: April 30, May 14, May 27, May 28, June 11, and June 25. The facility's census on these dates ranged from 35 to 40 residents. This deficiency was identified through staff interviews and a review of facility documents, including the payroll-based journal (PBJ) reports, which confirmed the absence of RN coverage on the specified dates. During the survey conducted on August 12, 2024, the facility had one RN, two Licensed Practical Nurses (LPNs), and three Certified Nursing Assistants (CNAs) on duty, with a census of 25 residents. Interviews with the Administrator/CEO, Director of Nursing (DON), and other staff members revealed that the lack of RN coverage was due to a staff member being on medical leave. Despite the absence of an RN on the specified dates, no staff, including LPNs and CNAs, reported any issues or concerns regarding resident care. Additionally, the Social Worker did not receive any complaints from families or residents about RN coverage, and no staffing issues were observed during the survey.
Deficiencies in Medication Administration and Documentation
Penalty
Summary
The facility staff failed to ensure a complete and accurate clinical record for two residents, leading to deficiencies in medication administration and documentation. For one resident, the staff did not accurately document the administration instructions for Digoxin, a medication prescribed for atrial fibrillation and chronic heart failure. The order specified that Digoxin should be given one hour before or two hours after eating, but this instruction was not followed due to a pre-populated comment in the software that was overlooked by the nurse entering the order. Interviews with the Director of Nursing, Medical Director, and a Registered Nurse revealed that the medication was administered at a time that did not align with the specified instructions, and the oversight was attributed to the software's automatic entry of meal-related instructions. For another resident, the facility staff failed to accurately complete a Virginia Department of Health Durable Do Not Resuscitate (DDNR) form. The form, which was signed and dated, lacked necessary checkmarks in sections that required the physician to certify the patient's wishes regarding life-prolonging procedures. This incomplete documentation was identified during a review of the resident's clinical record and discussed with the facility's administrator and director of nursing. No further information was provided to the survey team before the exit conference.
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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 16 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 Marion
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sw Va M H Inst Geri Trt Ctr | 1.3 mi | ★★★★★ | 3 | 0 |
| Valley Rehabilitation And Nursing Center | 9.9 mi | ★★★★★ | 9 | 0 |
| Mountain Laurel Rehabilitation And Nursing | 13.3 mi | ★★★★★ | 0 | 0 |
| Heritage Hall Tazewell | 18.9 mi | ★★★★★ | 0 | 0 |
| Clinch Valley Medical Center | 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 July 2026) and official state health department websites.