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Valley Health Care Center

Assisted Living Facility

940 East Lee Highway, Chilhowie, VA 24319

Assisted Living Nursing Home Care Senior Living
Valley Health Care Center
On our watch list. This nursing home has been flagged for serious inspection violations. Please review its state inspection record carefully before deciding. About our watch list.

Valley Health Care Center is a senior care community located in Chilhowie, VA. It provides assisted living, nursing home care, and senior living for older adults in the Chilhowie area. To learn more or schedule a tour, call (276) 646-8911.

Operated by Lifeworks Rehab, which runs 40 communities in our directory.

With 180 beds, Valley Health Care Center is one of the larger communities in the area, senior care communities in Smyth County average about 86 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in December 2025 and recorded 8 deficiencies.

Residents receive about 3.1 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Communities in Smyth County average about 4.3 hours. Nursing staff turnover over the past year was about 36%.

The community is located in Smyth County, VA.

Medicare five-star ratings

  • Overall ★★★★★ 4/5
  • Health inspections ★★★★★ 4/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 3/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 16 problems at Valley Health Care Center. None of them caused harm to a resident.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected December 2025. Corrected by January 19, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected December 2025. Corrected by January 19, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected December 2025. Corrected by January 19, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide activities to meet all resident's needs.

    Inspected December 2025. Corrected by January 19, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected December 2025. Corrected by January 19, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Inspected December 2025. Corrected by January 19, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected December 2025. Corrected by January 19, 2026.

  • Could cause more than minimal harm, one or a few residents Environmental

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Inspected December 2025. Corrected by January 19, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Valley Health Care Center offers assisted living, nursing home care, and senior living.

Facility details

  • Beds / units 180
  • Nursing hours per resident/day 3.1
  • Annual staff turnover 36%
  • Last health inspection December 2025

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