Below 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 Galax Health And Rehab during CMS and state inspections, most recent first.
Facility staff withheld CPR from a resident who was documented as a full code, following verbal instructions from her boyfriend who was not legally authorized to make such decisions. Despite clear documentation and repeated confirmation that the resident wished to remain a full code, staff did not perform CPR when the resident was found unresponsive, and no valid DNR order was in place. This failure to follow the resident's documented wishes and physician orders led to an Immediate Jeopardy citation.
Numerous missing floor tiles were observed in a shower room, with staff and residents confirming the issue had persisted for several months. A C.N.A. reported that shower chair wheels would catch on the damaged area, and loose tiles were present on the floor. The Maintenance Director acknowledged improper tile installation, and the Administrator was aware of the problem and seeking repair quotes.
The facility staff failed to allow family visitation for a resident on Hospice care, despite the resident's immediate needs for comfort and support. The facility's policy was cited as the reason, contradicting their own document on Nursing Home Resident Rights. Interviews with staff confirmed the family was not allowed to stay overnight, and the Administrator mentioned that Hospice patients should be in a private room where family could stay.
The facility staff failed to report injuries of unknown origin for two residents with severe cognitive impairment. One resident had a right hip fracture identified a week after a fall, and another had a right humerus fracture with no documented cause. The facility did not follow its policy requiring investigation and reporting of such injuries.
Facility staff failed to investigate injuries of unknown origin for two residents with severe cognitive impairment. One resident had a right hip fracture identified a week after a fall, and another had a right humerus fracture with no documented cause. The facility did not follow its policy requiring a documented investigation for such injuries.
A resident was discharged home without receiving discharge instructions or medication prescriptions, resulting in missed medications on the day of discharge. The new Social Services Director was unaware of their responsibility to assemble the discharge packet, and the LPN assumed the SSD had handled it. The facility's discharge planning policy was not followed.
The facility staff failed to follow professional standards for two residents. One resident did not receive a prescribed medication that was documented as administered, and another resident did not have complete neurological assessments following a fall. These deficiencies were identified through observations, staff interviews, and clinical record reviews.
Failure to Provide CPR to Full Code Resident Based on Unauthorized Verbal Direction
Penalty
Summary
Facility staff failed to provide basic life support, including cardiopulmonary resuscitation (CPR), to a resident who was identified as a full code according to her care plan, physician orders, and multiple documented discussions with hospice staff. The resident had a history of protein calorie malnutrition, dysphagia, gastrostomy status, abnormal weight loss, and adult failure to thrive. She was receiving hospice services and was noted to have limited English proficiency, but was able to communicate her wishes regarding code status. Multiple hospice and facility staff documented that the resident consistently expressed her desire to remain a full code, and this was reflected in her care plan and physician orders. Despite these clear directives, when the resident was found without respirations and no pulse, facility staff withheld CPR based on verbal directions from her boyfriend, who was not her legal representative. The resident's face sheet listed her as her own authorized representative, and there was no valid Do Not Resuscitate (DNR) order in place at the time of her death. Staff interviews confirmed that the boyfriend wanted the resident to be DNR, but staff were aware that the resident herself wanted to remain a full code. The facility was unable to produce a signed DNR form for the resident when requested by the surveyor, and subsequent review of documentation and interviews confirmed that the resident had not executed a DNR order. The decision to withhold CPR was made based on verbal consent from the boyfriend and was co-signed by the DON and ADON, despite knowledge that the resident was her own decision-maker and had not changed her code status. The facility's policy required CPR to be initiated for all residents except those with a documented no code order. The failure to perform CPR as required by the resident's wishes and physician orders constituted a deficiency and resulted in an Immediate Jeopardy citation.
Missing Floor Tiles in Shower Room Create Accident Hazard
Penalty
Summary
Facility staff failed to maintain a hazard-free environment in the shower room on Unit B, where numerous floor tiles were missing underneath the shower fixture used by residents. The issue was directly observed by the surveyor, who noted loose and missing tiles in the area where residents shower. A Certified Nursing Assistant (C.N.A.) confirmed that the tiles had been missing for at least four months and that the problem was worsening. The C.N.A. also reported that while no residents had been injured, the shower chair wheels would catch on the area with missing tiles, and loose tiles were present on the floor. The Maintenance Director acknowledged that the wrong type of tile had been used and that some tiles had to be reinstalled. Residents interviewed confirmed that the missing tiles had been an ongoing issue, and the Administrator indicated awareness of the problem, referencing efforts to obtain repair quotes. The facility was unable to provide further information or documentation regarding the resolution of the issue prior to the survey exit conference.
Failure to Allow Family Visitation for Hospice Resident
Penalty
Summary
The facility staff failed to allow family visitation for Resident #92 after the resident experienced a change in condition. Resident #92 had diagnoses including Alzheimer's, dementia, and muscle weakness, and had a BIMS score of 3 out of 15, indicating severe cognitive impairment. The resident's care plan noted behavior symptoms, risk for pressure ulcers, and the need for assistance with daily activities. The resident was placed on Hospice care effective 10/13/23. On 10/19/23, a Hospice nurse documented that the family was told they could not stay with the resident overnight due to facility policy, despite the resident's immediate needs for comfort and support. This was in contradiction to the facility's own document on Nursing Home Resident Rights, which stated that residents have the right to have visitors at any time as long as it does not interfere with care and privacy rights of other residents. During interviews, the interim DON and a CNA confirmed that the family was not allowed to stay overnight. The interim DON mentioned that they were informed by someone that the policy did not allow overnight stays, and before any action could be taken to move the resident, the resident had been discharged. The Administrator stated that Hospice patients should be in a private room where family could stay, and if a resident becomes a Hospice patient, the roommate should be moved to accommodate this. However, no further information was provided to the survey team before the exit conference, indicating a lack of clarity and communication regarding the facility's policies on family visitation for Hospice patients.
Failure to Report Injuries of Unknown Origin
Penalty
Summary
The facility staff failed to report injuries of unknown origin for two residents, leading to deficiencies in care. For Resident #19, who had severe cognitive impairment and a history of falls, the staff did not report a right hip fracture identified on 10/13/23. The resident was found on the floor on 10/06/23, but no injuries were noted at that time. An x-ray ordered on 10/11/23 revealed the fracture, but there was no documented investigation or Facility Reported Incident (FRI) for this injury. The Administrator confirmed that no FRI was filed and could not provide further information as they were not employed at the facility during the incident. For Resident #26, who also had severe cognitive impairment, the staff failed to report a fracture of the right humerus identified on 9/8/23. The resident complained of right shoulder and arm pain, leading to an x-ray that revealed the fracture. There was no documentation explaining how the injury occurred, and the newly employed Administrator was unaware of the incident. The facility's policy on injuries of unknown origin requires a documented investigation and reporting to appropriate agencies, which was not followed in these cases. The survey team discussed these concerns with the facility's administration, including the Administrator, Regional President of Operations, and Chief Nursing Officer. The facility's policy on reporting injuries of unknown origin was reviewed, highlighting the requirement for immediate investigation and reporting. Despite the discussions, no further information was provided to the survey team before the exit conference.
Failure to Investigate Injuries of Unknown Origin
Penalty
Summary
Facility staff failed to initiate a thorough investigation of an injury of unknown origin for two residents. For Resident #19, who had severe cognitive impairment and a history of falls, the staff did not investigate a right hip fracture identified on October 13, 2023. The resident was found on the floor on October 6, 2023, but no injuries were noted at that time. An x-ray ordered on October 11, 2023, revealed the fracture, but there was no documented investigation into the cause of the injury, as required by the facility's policy on injuries of unknown origin. The Administrator confirmed that no Facility Reported Incident (FRI) was filed for this case, and no further information was provided to the survey team before the exit conference. For Resident #26, who also had severe cognitive impairment, the staff failed to report a fracture of the right humerus identified on September 8, 2023. The resident had been complaining of right shoulder and arm pain, leading to an x-ray that revealed the fracture. However, there was no explanation in the progress notes as to how the injury occurred, and no documented investigation was found. The newly employed Administrator was unaware of this incident and later provided a packet with available information and staff statements, indicating that an investigation was ongoing and an FRI would be submitted. The facility's policy on injuries of unknown origin requires the Administrator or the Director of Nursing to begin a documented investigation for the cause of the injury, including interviews with the resident, staff, family, visitors, or volunteers who may have had contact with the resident. This policy was not followed in the cases of Resident #19 and Resident #26, leading to deficiencies in the facility's response to these injuries.
Failure to Provide Discharge Instructions and Medication Prescriptions
Penalty
Summary
The facility staff failed to provide sufficient preparation and orientation to Resident #86 to ensure a safe and orderly discharge from the facility. Resident #86, who had multiple diagnoses including a stage 4 pressure ulcer and muscle weakness, was discharged home without receiving discharge instructions or medication prescriptions. The resident, who was cognitively intact, reported not speaking to anyone about the discharge and not receiving any discharge papers, instructions, medications, or medication prescriptions, except for a prescription for a walker. This resulted in the resident missing all their medications on the day of discharge and having to return to the facility to obtain the necessary prescriptions. The Social Services Director (SSD), who was new to the facility, was unaware of their responsibility to assemble the discharge packet, leading to the oversight. The Licensed Practical Nurse (LPN) present at the time of discharge assumed that the SSD had gone over the discharge instructions with the resident. The facility's policy on discharge planning documentation was not followed, as it required providing a discharge summary and home-going instructions, including physician's orders for immediate care, which were not given to Resident #86. The issue was discussed with the facility's administration, but no further information was provided before the exit conference.
Failure to Follow Professional Standards and Complete Neurological Assessments
Penalty
Summary
The facility staff failed to follow professional standards of practice for two residents. For Resident #242, the nursing staff documented the administration of the medication Isosorbide Mononitrate, which had never been delivered to the facility from the pharmacy. Despite the medication not being available, the staff recorded its administration multiple times. The clinical record included notes indicating the medication was on hold or awaiting delivery, but no clarification was made with the pharmacy. Interviews with the LPN and pharmacy technician confirmed the medication was not available, and the order needed clarification. The resident was unaware if they received the medication, and the issue was discussed with the facility's administration without further resolution before the exit conference. For Resident #24, the facility staff failed to complete neurological assessments following a fall where the resident hit their head. The resident's clinical record included a progress note about the fall, but the neurological assessment flowsheet was incomplete, missing critical information such as level of consciousness, pupil response, hand grasps, motor function, pain response, and staff signatures. The facility policy required these checks to be documented, but they were not. The Interim DON was unaware of why the checks were not completed, and the issue was discussed with the facility's administration without further information provided before the exit conference. Both deficiencies highlight significant lapses in following professional standards and facility policies, leading to potential risks for the residents involved. The issues were identified through observations, staff interviews, clinical record reviews, and facility document reviews, but no corrective actions or follow-up measures were mentioned in the report before the exit conference.
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Illustrative
What surveyors actually found near you
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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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Galax
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Waddell Nursing And Rehab Center | 1.7 mi | ★★★★★ | 4 | 0 |
| Hillsville Health & Rehab Center | 11.5 mi | ★★★★★ | 0 | 0 |
| Grayson Health And Rehabilitation | 14 mi | ★★★★★ | 1 | 0 |
| Lotus Village Center For Nursing And Rehabilitatio | 16.9 mi | ★★★★★ | 17 | 1 |
| Surry Community Health Center By Harborview | 19.4 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.