Skilled nursing facility · CMS certification number 495316

Lynn Care Center

FRONT ROYAL, Virginia · Medicare and Medicaid

Certified beds, as filed in Care Compare: 120

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $38,110.00 · Payment denials: 0. The most recent penalty on file: January 12, 2026, Fine, $38,110. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on December 9, 2025.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$21,685,529	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,090,855	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$20,594,674	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,072,800	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$4,521,874	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$10,193	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$4,532,067	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $4,532,070 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	43,800	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	6,634	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	29,158	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	4,611	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	40,403	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	60	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	266	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	42	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	368	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	110.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	109.62	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	109.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1444166, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended June 30, 2024

Cost report for January 1, 2024 to June 30, 2024 — a reporting period of 181 days, not a full year, on form CMS-2540-10, as submitted, processed by CMS on December 11, 2024.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$10,079,755	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$689,581	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,390,174	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,680,105	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$710,069	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$811	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$710,880	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $710,880 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,851	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	193	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	104.11	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	102.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	102.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1400741, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$18,505,565	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,751,772	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,753,793	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,964,345	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,789,448	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,044	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,801,492	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,801,492 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,571	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	439	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.58	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	109.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	85.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438094, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for February 1, 2022 to December 31, 2022 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on September 9, 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$13,878,215	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,537,463	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,340,752	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,243,541	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$97,211	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$577	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$97,788	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $97,788 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,138	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	155	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	69.24	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	321.87	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	181.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1363938, read from the public cost report file SNF10FY2022.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
SHENANDOAH SNF OPERATIONS HOLDINGS LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 02/01/2022
LONG, JASON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/20/2025
IDELS, SHIMON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/01/2022
LONG, JASON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/20/2024
SHENANDOAH OPERATORS MANAGER LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 02/01/2022

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SHENANDOAH OPERATIONS HOLDINGS LLC (enrollment ID O20220426000156).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
SHENANDOAH SNF OPERATIONS HOLDINGS LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	2/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
DELILAH 2626 HOLDINGS LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5	2/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
LION 26 HOLDINGS LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	47.5	2/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
SABRINA 1818 HOLDINGS LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	47.5	2/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
SAESSY IRREVOCABLE TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	45.2	2/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
TATIRIQ IRREVOCABLE TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	45.2	2/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
JASON LONG	Individual	ADP OF THE SNF	Not stated in the filing	3/20/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
SHIMON IDELS	Individual	CORPORATE OFFICER	Not stated in the filing	2/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JASON LONG	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	5/20/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
SHENANDOAH OPERATORS MANAGER LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	2/1/2022	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

July 1, 2026: MARY E HURLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JASON LONG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JASON LONG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
January 1, 2023: UMA DAS MUNSHI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
January 1, 2023: SHIMON IDELS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv

Recent changes on this record

July 1, 2026: MARY E HURLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JASON LONG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
July 1, 2026: JASON LONG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
December 9, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
August 29, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
December 11, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
September 9, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
January 1, 2023: UMA DAS MUNSHI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
January 1, 2023: SHIMON IDELS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	January 12, 2026	January 12, 2026	19	1
2	January 6, 2023	January 6, 2023	23	5
3	August 31, 2021	August 31, 2021	12	3

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

54 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
January 12, 2026	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0584	Resident Rights Deficiencies	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.	D	No	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	K	Yes	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	No	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	No	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	Yes	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	K	Yes	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0730	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	D	No	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	March 10, 2026
January 12, 2026	Health	F 0840	Administration Deficiencies	Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.	D	No	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0942	Resident Rights Deficiencies	Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.	D	No	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0944	Administration Deficiencies	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.	D	No	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0945	Infection Control Deficiencies	Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.	D	No	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0946	Administration Deficiencies	Provide training in compliance and ethics.	D	No	Deficient, Provider has date of correction	February 10, 2026
January 12, 2026	Health	F 0949	Administration Deficiencies	Provide behavior health training consistent with the requirements and as determined by a facility assessment.	D	No	Deficient, Provider has date of correction	February 10, 2026
February 7, 2025	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	March 25, 2025
February 7, 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	March 25, 2025
February 7, 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	Yes	Deficient, Provider has date of correction	March 25, 2025
July 16, 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	Yes	Deficient, Provider has date of correction	October 18, 2024
July 16, 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	October 18, 2024
July 16, 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Past Non-Compliance	June 21, 2024
January 6, 2023	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0622	Resident Rights Deficiencies	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0637	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0687	Quality of Life and Care Deficiencies	Provide appropriate foot care.	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G	No	Past Non-Compliance	January 3, 2023
January 6, 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0700	Quality of Life and Care Deficiencies	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.	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0730	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0811	Nutrition and Dietary Deficiencies	Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	D	No	Deficient, Provider has date of correction	February 20, 2023
January 6, 2023	Health	F 0947	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	D	No	Deficient, Provider has date of correction	February 20, 2023
August 31, 2021	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	November 15, 2021
August 31, 2021	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	November 15, 2021
August 31, 2021	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	No	Deficient, Provider has date of correction	October 5, 2021
August 31, 2021	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	November 15, 2021
August 31, 2021	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	October 5, 2021
August 31, 2021	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	October 5, 2021
August 31, 2021	Health	F 0761	Pharmacy Service Deficiencies	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.	D	No	Deficient, Provider has date of correction	November 15, 2021
August 31, 2021	Health	F 0770	Administration Deficiencies	Provide timely, quality laboratory services/tests to meet the needs of residents.	D	No	Deficient, Provider has date of correction	October 5, 2021
August 31, 2021	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	November 15, 2021

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
January 12, 2026	Fine	$38,110			136991

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	SHENANDOAH OPERATIONS HOLDINGS LLC
Date First Approved to Provide Medicare and Medicaid Services	1997-03-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Warren
Telephone Number	5406360300
Chain Name	HILL VALLEY HEALTHCARE
Chain ID	270
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	120
Average Number of Residents per Day	109.1
Overall Rating	2
Health Inspection Rating	1
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	4
Processing Date	2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

Get an email when this record changes

One email a day naming what moved on Lynn Care Center: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On December 9, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.

Follow this record for $99/month

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for Lynn Care Center

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Virginia at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

The citable document with full history — $295

Other public records in Virginia

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 495316.