Starfile / Virginia

GUGGENHEIMER HEALTH AND REHAB CENTER

1902 GRACE STREET, LYNCHBURG, VA 24504 · CCN 495112

Inspection history vs Virginia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$76,681

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

HILL VALLEY HEALTHCARE

Facilities in chain

40

Chain avg overall

2.20 / 5

Inspection citations (54)1 actual harm

1. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2026-01-07 · Health · corrected 2026-02-06

   Potential for more than minimal harm

2. DF0584Honor 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.2026-01-07 · Health · corrected 2026-02-06

   Potential for more than minimal harm

3. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2026-01-07 · Health · corrected 2026-02-06

   Potential for more than minimal harm

4. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-10 · Health · corrected 2025-01-02

   Potential for more than minimal harm

5. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-10 · Health · corrected 2025-01-02

   Potential for more than minimal harm

6. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-10 · Health · corrected 2025-01-02

   Potential for more than minimal harm

7. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-10 · Health · corrected 2025-01-02

   Potential for more than minimal harm

8. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-10 · Health · corrected 2025-01-02

   Potential for more than minimal harm

9. DF0692Provide enough food/fluids to maintain a resident's health.2024-12-10 · Health · corrected 2025-01-02

   Potential for more than minimal harm

10. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-10 · Health · corrected 2025-01-02

    Potential for more than minimal harm

11. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-10 · Health · corrected 2025-01-02

    Potential for more than minimal harm

12. EF0761Ensure 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.2024-12-10 · Health · corrected 2025-01-02

    Potential for more than minimal harm

13. DF0778Help the resident make transportation arrangements to and from radiology services.2024-12-10 · Health · corrected 2025-01-02

    Potential for more than minimal harm

14. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-12-10 · Health · corrected 2025-01-02

    Potential for more than minimal harm

15. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-10 · Health · corrected 2025-01-02

    Potential for more than minimal harm

16. DF0880Provide and implement an infection prevention and control program.2024-12-10 · Health · corrected 2025-01-02

    Potential for more than minimal harm

17. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-10-02 · Health · corrected 2025-01-02

    Potential for more than minimal harm

18. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-10-02 · Health · corrected 2024-11-16

    Potential for more than minimal harm

19. DF0583Keep residents' personal and medical records private and confidential.2024-10-02 · Health · corrected 2024-11-16

    Potential for more than minimal harm

20. DF0584Honor 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.2024-10-02 · Health · corrected 2024-11-16

    Potential for more than minimal harm

21. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-10-02 · Health · corrected 2024-11-16

    Potential for more than minimal harm

22. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-02 · Health · corrected 2024-11-16

    Potential for more than minimal harm

23. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-02 · Health · corrected 2025-01-02

    Potential for more than minimal harm

24. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-02 · Health · corrected 2025-01-02

    Potential for more than minimal harm

25. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-02 · Health · corrected 2025-01-02

    Potential for more than minimal harm

26. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-02 · Health · corrected 2025-01-02

    Potential for more than minimal harm

27. DF0685Assist a resident in gaining access to vision and hearing services.2024-10-02 · Health · corrected 2024-11-16

    Potential for more than minimal harm

28. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-02 · Health · corrected 2024-11-16

    Actual harm

29. DF0692Provide enough food/fluids to maintain a resident's health.2024-10-02 · Health · corrected 2024-11-16

    Potential for more than minimal harm

30. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-02 · Health · corrected 2025-01-02

    Potential for more than minimal harm

31. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-02 · Health · corrected 2025-01-02

    Potential for more than minimal harm

32. EF0761Ensure 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.2024-10-02 · Health · corrected 2025-01-02

    Potential for more than minimal harm

33. DF0778Help the resident make transportation arrangements to and from radiology services.2024-10-02 · Health · corrected 2025-01-02

    Potential for more than minimal harm

34. DF0790Provide routine and 24-hour emergency dental care for each resident.2024-10-02 · Health · corrected 2024-11-16

    Potential for more than minimal harm

35. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-10-02 · Health · corrected 2025-01-02

    Potential for more than minimal harm

36. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-02 · Health · corrected 2024-11-16

    Potential for more than minimal harm

37. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-10-02 · Health · corrected 2025-01-02

    Potential for more than minimal harm

38. EF0880Provide and implement an infection prevention and control program.2024-10-02 · Health · corrected 2025-01-02

    Potential for more than minimal harm

39. EF0881Implement a program that monitors antibiotic use.2024-10-02 · Health · corrected 2024-11-16

    Potential for more than minimal harm

40. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-10-02 · Health · corrected 2024-11-16

    Potential for more than minimal harm

41. EF0887Educate 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.2024-10-02 · Health · corrected 2024-11-16

    Potential for more than minimal harm

42. DF0908Keep all essential equipment working safely.2024-10-02 · Health · corrected 2024-11-16

    Potential for more than minimal harm

43. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-10-02 · Health · corrected 2024-10-02

    Potential for more than minimal harm

44. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-10-02 · Health · corrected 2024-11-16

    Potential for more than minimal harm

45. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-11 · Health · corrected 2023-11-06

    Potential for more than minimal harm

46. DF0761Ensure 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.2023-10-11 · Health · corrected 2023-11-06

    Potential for more than minimal harm

47. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-11 · Health · corrected 2023-11-06

    Potential for more than minimal harm

48. DF0761Ensure 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.2021-10-13 · Health · corrected 2021-11-21

    Potential for more than minimal harm

49. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-10-13 · Health · corrected 2021-11-21

    Potential for more than minimal harm

50. EF0880Provide and implement an infection prevention and control program.2021-10-13 · Health · corrected 2021-11-21

    Potential for more than minimal harm

51. CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-01-16 · Health · corrected 2019-02-10

    Potential for minimal harm

52. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-01-16 · Health · corrected 2019-02-10

    Potential for more than minimal harm

53. DF0758Implement 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.2019-01-16 · Health · corrected 2019-02-10

    Potential for more than minimal harm

54. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-01-16 · Health · corrected 2019-02-10

    Potential for more than minimal harm

Ownership

Other facilities in LYNCHBURG

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.