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Nursing homeFAID #12605

Grayson Health and Rehabilitation

400 SOUTH INDEPENDENCE AVENUE, INDEPENDENCE, VA, 24348
(276) 773-0303
www.graysonrehabhealth.com
120 licensed beds
★★★★★5/5CMS Five-Star overall4/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of Grayson Health and Rehabilitation
Photo via Google · Ronda Lambert

Address

400 South Independence Avenue
Independence, VA 24348
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Public record summary

What we can show you for free.
Bed capacity
120
CMS facility ID
495331
Care type
Nursing home
County
Grayson
Facility name
Grayson Health and Rehabilitation
Street address
400 SOUTH INDEPENDENCE AVENUE
City / state / ZIP
Independence, VA 24348
Phone
(276) 773-0303
Website
www.graysonrehabhealth.com

About this facility — Grayson Health and Rehabilitation

Grayson Health and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Independence, Virginia. It is licensed for 120 beds — close to the median for skilled nursing facilities in Virginia (117 beds).

It is one of 1 senior care facility in Independence and 289 skilled nursing facilities across Virginia. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Grayson Health and Rehabilitation 39 times across 8 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Avardis Health
Ownership type
For profit - Corporation

Registered owners & officers

Independence Parentco Llc
Direct owner — 100% stake — since 2025
Clark, Alyssa
Governing body · Operational control · Additional disclosable party — since 2025
Grayson Holdco Llc
Indirect owner — since 2025
Hoback, Tiffany
Governing body · Operational control · Additional disclosable party — since 2025
Jones, Tequilla
Operational control · Additional disclosable party — since 2025
Riggins, Bridget
Operational control · Additional disclosable party — since 2025
Snf Mgr Llc
Operational control · Additional disclosable party — since 2025
Sturgill Fant, Vanessa
Operational control · Additional disclosable party — since 2025
Sword, Robert
Operational control · Additional disclosable party — since 2025
Vaop Holdco Llc
Indirect owner — since 2025

Regulatory standing

Licensed / certified since
1998-08-04
CMS overall rating
5 of 5 stars
Health deficiencies
7 at the last standard inspection
Federal fines
None on record
Last standard inspection
2023-12-14
Nurse staffing
2.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$352 per day (≈ $10,700/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
74% Medicaid · 9% Medicare · 18% private/other
Occupancy
96% (fiscal year 2023)
Vs. state median
12% below the VA median of $401/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2025-11-20Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-12-16
2024-08-01Health inspectionComplaint-triggered2 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-03
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-09-03
5 earlier / fire-safety inspections (36 citations)
2023-12-14Health inspection6 citations
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-08
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-08
F-0730
E · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2024-03-08
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-08
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-03-08
F-0761
D · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-03-08
2022-04-07Health inspection8 citations
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-05-17
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2022-05-18
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-05-18
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-05-18
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-05-18
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-05-18
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-05-18
F-0888
D · No harm found
Ensure staff are vaccinated for COVID-19
Corrected 2022-05-18
2019-01-31Health inspection14 citations
F-0578
D · No harm found
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2019-03-13
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2019-03-13
F-0646
D · No harm found
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2019-03-13
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-03-13
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-03-13
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-03-13
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-03-13
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-03-13
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-03-13
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-03-13
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-03-13
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2019-03-13
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-03-13
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-03-13
2023-12-14Fire-safety inspection2 citations
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-10-09
K-0914
D · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-10-09
2022-04-07Fire-safety inspection6 citations
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-06-10
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2022-06-10
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2022-06-10
K-0711
D · No harm found
Provide a written emergency evacuation plan.
Corrected 2022-06-10
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-06-10
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-06-10
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 495331.

Visitor reviews

What people say on Google.
3.621 ratings on Google
★★★★★Ronda Lambert · 2025-12-16 · via Google

“My 80 year old mother was a patient here for a couple months after having a stroke. They took the best care of her and got her well enough to return to her own home! Their physical therapy department is second to none! They worked hard with her every day to regain her strength and mobility. All of her nurses and aides were very attentive and caring towards her throughout her stay as well. Ms.…”

★★★★★Kelly Wilmore · 2026-04-18 · via Google

“My mother broke her hip and arm. She was in the facility for 6 weeks. The staff was amazing. Very caring and detail oriented. Wonderful group of caregivers.”

★★★★★Travis Byrd · 2026-01-26 · via Google

“They provided fantastic care for my father. Kaylee was one of his main nurses and would always reach out to me if something was going on. I couldn't have asked for a better facility or care team for my dad. I know he was at peace here until the end.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 39 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered