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 Shenandoah Valley Health And Rehab during CMS and state inspections, most recent first.
A resident was admitted to an LTC facility with outdated medication orders, leading to the administration of medications that should have been discontinued. The LPN focused on an antibiotic order and failed to reconcile other medications, which was not caught by the unit manager or DON. The error was discovered when a family member questioned the orders.
A resident was administered medications that should have been discontinued due to the use of outdated discharge orders. The error occurred because the LPN focused on an antibiotic order and failed to reconcile other medications. The discrepancy was discovered when a family member questioned the orders, revealing a lapse in the facility's admission process.
Failure to Reconcile Medication Orders Leads to Administration Errors
Penalty
Summary
The facility staff failed to follow professional standards of care regarding medication orders for a resident, leading to the administration of medications that were recommended to be discontinued. The resident was admitted to the facility with multiple complex medical conditions, including atrial fibrillation, renal hemorrhage, and sepsis, among others. Upon admission, the staff did not clarify and enter updated admission orders, resulting in the continuation of medications such as apixaban, aspirin, diltiazem, and lisinopril, which were supposed to be discontinued according to the updated hospital discharge summary. The error occurred because the staff relied on an outdated discharge summary from a previous hospital stay, rather than the most recent one. The LPN responsible for entering the orders focused only on the antibiotic order and failed to reconcile the other medication orders. This oversight was not caught by the unit manager or the director of nursing, who were supposed to verify the orders within 24 hours. The physician and nurse practitioner were also unaware of the updated orders and continued to administer the medications based on the outdated information. The discrepancy was only discovered when a family member questioned the resident's medication orders. By that time, the resident had been receiving the incorrect medications for several days. The facility's policy required that all medication orders be verified and reconciled with the discharge summary, but this process was not followed, leading to the medication errors.
Medication Reconciliation Failure Leads to Significant Errors
Penalty
Summary
The facility staff failed to ensure that a resident was free from significant medication errors. The resident was admitted with a complex medical history, including atrial fibrillation, renal hemorrhage, and acute kidney failure, among other conditions. Upon admission, the resident was administered medications such as apixaban, aspirin, diltiazem, and lisinopril, which were supposed to be discontinued according to updated admission orders. These medications were administered for eleven days due to the use of an outdated discharge summary from a previous hospital stay. The error occurred because the admission orders were not properly reconciled with the updated discharge summary provided by the hospital. The Licensed Practical Nurse (LPN) responsible for entering the orders focused on an antibiotic order and failed to discontinue the medications that were no longer required. The outdated orders were not identified by the admitting Registered Nurse (RN) or the physician who later reviewed and signed them. The discrepancy was only discovered when a family member questioned the medication orders. Interviews with facility staff revealed that the outdated orders were not uploaded into the clinical record for review by providers, and the updated list was not implemented. The facility's policy required a second nurse to verify medication orders, but this process was not effectively carried out. The physician stated that if he had been aware of the updated orders, he would have likely discontinued the medications as recommended by the hospitalist. The failure to reconcile the orders led to the resident receiving medications that should have been discontinued, highlighting a lapse in the facility's admission process.
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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.
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Nursing homes near Buena Vista
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heritage Hall Lexington | 5.3 mi | ★★★★★ | 13 | 0 |
| Kendal At Lexington | 6.4 mi | ★★★★★ | 0 | 0 |
| Fairmont Crossing Health And Rehab Center | 20.9 mi | ★★★★★ | 6 | 0 |
| Westminster-canterbury Of Lynchburg Inc | 22.4 mi | ★★★★★ | 3 | 0 |
| Seven Hills Rehabilitation And Nursing | 25.1 mi | ★★★★★ | 8 | 1 |
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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.