Senior Home Review
Home›Browse›Virginia›Lynchburg›Guggenheimer Health and Rehab Center
Nursing homeFAID #12447

Guggenheimer Health and Rehab Center

1902 GRACE STREET, LYNCHBURG, VA, 24504
(434) 947-5100
130 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Delivered within 24–48 hours
What we can show you for free.
Bed capacity
130
CMS facility ID
495112
Care type
Nursing home
County
Lynchburg City
Facility name
Guggenheimer Health and Rehab Center
Street address
1902 GRACE STREET
City / state / ZIP
Lynchburg, VA 24504
Phone
(434) 947-5100

Guggenheimer Health and Rehab Center is a Medicare/Medicaid-certified skilled nursing facility in Lynchburg, Virginia. It is licensed for 130 beds — close to the median for skilled nursing facilities in Virginia (117 beds).

It is one of 25 senior care facilities in Lynchburg 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 Guggenheimer Health and Rehab Center 78 times across 9 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $76,681 in fines. 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.

What the public record shows.

Ownership & operator

Parent company
Hill Valley Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Diamond Hill Snf Holdings Llc
Direct owner — 100% stake — since 2021
Timberlake Operations Holdings Llc
Indirect owner — 100% stake — since 2021
Hvh Timberlake Management Llc
Operational control — since 2021
Idels, Shimon
Officer — since 2021
Martin, Kristi
Managing employee — since 2021

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1978-03-24
CMS overall rating
1 of 5 stars
Health deficiencies
31 at the last standard inspection
Federal fines
$76,681 total
Last standard inspection
2024-10-02
Nurse staffing
3.4 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$432 per day (≈ $13,130/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
63% Medicaid · 9% Medicare · 28% private/other
Occupancy
78% (fiscal year 2024)
Vs. state median
8% above the VA median of $401/day — full state cost breakdown

Services & coverage

Licensed beds
130
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.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-01-07Health inspectionComplaint-triggered3 citations
F-0559
D · No harm foundFrom a complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2026-02-06
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2026-02-06
F-0925
E · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2026-02-06
2024-12-10Health inspectionComplaint-triggered13 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-02
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-01-02
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-02
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-02
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-02
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-02
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-02
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-02
F-0761
E · No harm foundFrom a complaint
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 2025-01-02
F-0778
D · No harm foundFrom a complaint
Help the resident make transportation arrangements to and from radiology services.
Corrected 2025-01-02
F-0806
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-01-02
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-02
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-01-02
7 earlier / fire-safety inspections (62 citations)
2024-10-02Health inspection28 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-02
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-11-16
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-11-16
F-0584
D · No harm found
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-11-16
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-11-16
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 2024-11-16
F-0657
E · 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 2025-01-02
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-02
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-02
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-02
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-11-16
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-16
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-11-16
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-02
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-02
F-0761
E · 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 2025-01-02
F-0778
D · No harm found
Help the resident make transportation arrangements to and from radiology services.
Corrected 2025-01-02
F-0790
D · No harm found
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-11-16
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-01-02
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-16
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 2025-01-02
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-01-02
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2024-11-16
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-11-16
F-0887
E · No harm found
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-11-16
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2024-11-16
F-0919
E · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-10-02
F-0925
E · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-11-16
2023-10-11Health inspectionComplaint-triggered3 citations
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-06
F-0761
D · No harm foundFrom a complaint
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 2023-11-06
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-11-06
2021-10-13Health inspection3 citations
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 2021-11-21
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-11-21
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2021-11-21
2019-01-16Health inspection4 citations
F-0623
C · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-02-10
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 2019-02-10
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 2019-02-10
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-02-10
2024-10-02Fire-safety inspection8 citations
K-0231
F · No harm found
Provide large enough exits.
Corrected 2024-12-05
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-12-05
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2024-12-05
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-05
K-0400
E · No harm found
Meet fire sprinkler requirement for tall buildings.
Corrected 2024-12-05
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-12-05
K-0916
E · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-12-05
K-0917
D · No harm found
Ensure electrical receptacles or cover plates have distinctive color or marking.
Corrected 2024-12-05
2021-10-13Fire-safety inspection13 citations
K-0281
F · No harm found
Install proper backup exit lighting.
Corrected 2021-12-10
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2022-03-22
K-0325
D · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2021-12-10
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-12-10
K-0352
F · No harm found
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2022-03-22
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-03-22
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2021-12-10
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-12-10
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2022-03-22
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-03-22
K-0711
D · No harm found
Provide a written emergency evacuation plan.
Corrected 2021-12-10
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-12-10
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2021-12-10
2019-01-16Fire-safety inspection3 citations
K-0232
F · No harm found
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2019-03-13
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2019-03-13
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-03-13

Federal penalties

2024-10-02Fine$76,681
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 495112.
What people say on Google.
3.7113 ratings on Google
★★★★Angela Moore · 2026-04-08 · via Google

“My dad was in Guggenheimer for 3 months, receiving PT and OT. These therapists did a great job with Dad and were very patient with him. There were many CNAs who were fantastic. Cynthia and Charles were stellar. The staff was very welcoming to us each day as we visited. We always enjoyed good weather days in the court yard. I particularly enjoyed taking dad to the puzzle table.”

★★Roberta Little · 2026-07-13 · via Google

“My Mother was admitted to Guggenheimer Health and Rehab Center for estimated time of 2 weeks. Her stay wasn't what we expected all though it was a few CNA's that took pride in their positions. Most of the times they were short staffed and it took the CNA aides longer than expected for service. Majority of her stay the TV wasn't working. Clinical Engineering staff came into her shared room apparen…”

★★★★★Lake Vest · 2026-06-03 · via Google

“Took care of my father while my mother and I had to attend a family funeral. Nurse Dorthy of night shift was helpful, and my father was taken good care of by the admitting nurse, and any CNAs he interacted with. Staff were patient with last minute changes, and were extremely understanding, and polite. I had no issues understanding directions, and felt my father was assisted well.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
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 78 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.
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