Grayson Health and Rehabilitation: Staffing, Turnover, and Inspection Record
Grayson Health and Rehabilitation is a 120-bed for-profit nursing home in Independence, Virginia, part of Avardis Health. In the CMS August 2026 release it reported 1.53 nurse aide hours per resident per day, 26% below the Virginia average of 2.07, and 45.2% nursing staff turnover (Virginia average 48.1%).
Grayson Health and Rehabilitation
400 South Independence AvenueIndependence, VA 24348
Grayson County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Grayson Health and Rehabilitation, nurse aides logged 1.53 hours per resident per day, 26% below the Virginia average. With about 113 residents a day, that works out to roughly 173 aide hours a day, or about 22 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Virginia avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.53 | 2.07 | 2.32 |
| Licensed practical nurses | 0.62 | 1.00 | 0.86 |
| Registered nurses | 0.57 | 0.69 | 0.69 |
| All nursing staff | 2.72 | 3.76 | 3.86 |
| All nursing staff, weekends | 2.37 | 3.29 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
45.2% of nursing staff at Grayson Health and Rehabilitation left over the year CMS measured, against a Virginia average of 48.1% and a US average of 45.8%. Registered nurse turnover was 33.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 14, 2023. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Virginia average 14.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Grayson Health and Rehabilitation holds 5 of 5 overall; the Virginia average is 3.0.
About Grayson Health and Rehabilitation
- Ownership: For profit - Corporation
- Chain: Avardis Health, 38 homes
- Legal name: 400 South Independence Avenue Opco LLC
- Medicare and Medicaid certified since: Aug 4, 1998
- Area: rural
Nursing homes near Grayson Health and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Lotus Village Center for Nursing and Rehabilitatio Sparta | 8.0 | 90 | 2.56 | 3.38 | 53.5% | 1 | $337,573 |
| Waddell Nursing And Rehab Center Galax | 12.7 | 135 | 1.98 | 3.49 | 27.5% | 5 | None |
| Galax Health and Rehab Galax | 14.0 | 120 | 2.02 | 3.35 | 48.3% | 2 | $13,627 |
| Mountain Laurel Rehabilitation and Nursing Rural Retreat · abuse citation | 20.6 | 120 | 1.63 | 3.14 | 62.6% | 1 | $198,489 |
| Margate Health and Rehabilitation, LLC Jefferson | 21.6 | 210 | 2.09 | 3.52 | 54.5% | 3 | $28,973 |
| Wythe Cnty Community Hosp Ecu Wytheville | 23.3 | 8 | 0.28 | 8.67 | — | 5 | None |
| Holston Health & Rehabilitation Wytheville | 24.2 | 137 | 1.66 | 3.11 | 78.0% | 1 | $111,911 |
| SW VA M H Inst Geri TRT Ctr Marion · staffing data not validated | 24.8 | 25 | — | — | 19.6% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.