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340 BAGLEY CIRCLE, MARION, VA 24354
25 beds · Government - State Wheelchair accessible
CMS Provider #49E131
Data updated: March 1, 2026
Overall Rating
★★★★★
Health Rating
★★★★★
Staffing Rating
★★★★★
Quality Rating
★★★★★
Daily nursing care
5.1 hrs/resident
Steady
Inspection findings
2
More issues
Ownership changes
0
State-owned government facility (Virginia)
Complaint trend
Fewer complaints
The facility currently has zero complaint-related inspection findings.
Overall Rating
Health Inspection
Staffing Rating
Quality Rating
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Records indicate this state-owned facility maintains exceptionally high permanent staffing levels and low employee turnover compared to Virginia averages, despite a recent modest increase in health inspection findings.
Analysis of Centers for Medicare and Medicaid Services data shows this facility maintains high levels of clinical staffing and personnel stability. The total nursing care provided is 5.14 hours per resident per day, which is approximately 35% higher than the Virginia state average. Specifically, registered nurse care levels are 2.21 hours per resident per day, significantly exceeding the state benchmark of 0.69 hours. This level of care is supported by a staffing model that uses zero contract or agency nurses, meaning all residents are cared for by permanent facility employees. Additionally, the facility demonstrates stability in its workforce, with a total nursing turnover rate of 14.6% and a registered nurse turnover rate of 17.6%, both of which are substantially lower than the state averages (48.4% and 48.8% respectively).
While staffing metrics are robust, inspection records from the most recent cycle identified two standard findings, an increase from one finding in the previous cycle. These included issues related to medication regimen reviews by a pharmacist and the implementation of gradual dose reductions for certain medications. The data also reveals a decrease in staffing hours during weekends; total nursing care drops from 5.14 hours on weekdays to 4.53 hours on weekends, a reduction of approximately 11.8%. Despite these findings, the facility has incurred no financial penalties or payment denials. Compared to local demographics where one-fifth of the population lives in poverty, this government-run facility operates with staffing resources that consistently exceed regional and state averages.
The facility reported zero usage (0%) of contract or agency nursing staff, indicating all care is provided by permanent employees.
Registered nurse staffing levels are 2.21 hours per resident per day, which is more than triple the Virginia state average of 0.69 hours.
Nursing staff turnover is 14.6%, significantly lower than the state average of 48.4%, suggesting higher personnel stability.
This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.
| Category | Apr 24 | Jun 24 | Aug 24 | Oct 24 | Dec 24 | Mar 25 | May 25 | Jul 25 | Nov 25 | Jan 26 | Mar 26 | Apr 26 | Trend |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | |
| Staffing | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | |
| Health | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 4★ | 4★ | 4★ | 4★ | 4★ |
Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.
RN Hours Specifically
State avg total staffing: 3.8 hrs/resident/day
1
administrator departed in past year
Some change14.6%
State avg: 48.4%
17.6%
State avg: 48.8%
0.0%
of nursing hours from contract/agency staff
Low — good continuitySource: PBJ data, 2025Q3
A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.
Walk Score
44
Car-Dependent
Median Income
$41,091
Median Home Value
$135,500
Poverty Rate
19.3%
Age 65+
23.5%
Median Age
47
Pop. Density
13,918/mi²
Median Rent
$687
Google reviews provide firsthand accounts from residents' families and visitors.
★★★★★
30 reviews
"As a family member of a patient receiving treatment at the facility, I can offer a unique perspective. I share a similar circumstance with the previous reviewer, living seven hours away from the facility. The staff demonstrated exceptional accommodation, easing my concerns about leaving my family member in their care. The staff's friendly demeanor was remarkable. They exceeded expectations in facilitating quality time with my loved one. Nurse Doss and Dr. Fields are deserving of special recognition for their expertise and warm welcome. While they are the only two staff members I specifically recall, the entire staff was outstanding. Their genuine smiles and kind words made a lasting impression."
"The food was the only good part of this gulag, disappointed with the staff and the staff were loud, rude, and disrespectful, had to put up with their opinions on a daily basis. These were the most terrible months of my life."
"My apologies in advance for the horrible punctuation or grammar for this review & know that this is solely based on my short duration here as a depressed teenager. I had the unfortunate experience of being sent here a few weeks after my best friend had passed away due to an accidental o/d. The experience of this place in general would not have been completely horrible except for a moment when I witnessed a mentally challenged African-American female teen be mistreated by a nurse for not wanting to immediately take her medicine. Her name I do believe was Rashawnda & I will refer to her as R going forward for reference. The first day I met R she told me how beautiful my blue eyes were & continued to do so each day after which I always thanked her for & returned the compliment. Most days I would ask her if she wanted to go color in the coloring books with me which she always said yes to & enjoyed. One day the nursing staff came by to give everyone their medicine & when it was R's turn to take it she quietly said she didn't want to but the nurse immediately became irritated with her disobedience & started raising her voice where everyone else could hear it demanding her to "take it now!" which in return started to trigger R. Before it began to escalate any further I walked up to R & said it's okay to take your medicine, I just took mine & after you take yours we can go color in the coloring books & she calmly looked at me & said okay Nataniel & as R began to reach for the medicine the nurse yanked it away & yelled No! She is not taking it for you, she has to take it for me which immediately re-triggered R where she then began to flail her arms which led the nurse to call security demanding all the other kids including myself to the kitchen while R was being manhandled to the ground by the security officers. All throughout the night, we could hear R in the padded room pleading, screaming & crying for her mom & wanting to go home. That memory has been burned in my mind for almost 20 years now & I'd say she probably doesn't even remember me tbh but despite it, I just hope and pray that R is happy & living her best life far away from this place. All children & especially special needs children should be handled with care, kindness & patience, not the other way around. In my honest opinion I believe that nurse knew exactly what she was doing when she started making a scene by yelling in R's face knowing good & well that it would trigger anyone with special needs. The nurse was either racist, sick & tired of working there day in & day out, having a bad day, or likely just wanted to make an example out of R so that all the other kids knew better than not to respect her authority at any point in time. Anywho, I just thought I'd share this experience & hopefully save some kid out there from unnecessary trauma. I'd highly suggest trying counseling or a psychiatrist or any other place for that matter before this one."
"I have been a most excellently behaved patient within this institute as well as called in and treated other patients with my kindness thereabouts without. As I see it those employed by this institute will sheckle you, interrupt peaceful times, provoke unnecessary responses, hang up on you without any remorse, and even go so far as to disengage patients concerning your calls without at all permitting them to ever even know you called in the long term wards. The food however is excellent, and the lodging is suitable. They can be the most inconcisive deceitful servants I have ever had the dishonor of meeting. With of course the honest exceptions of a few dearful few good people under employ who will take the time to speak with you thoroughly about your treatment as requested."
"If you love your family do NOT send them here. My mother had to be sent here for post partum depression and psychosis, with schizophrenia and she is bipolar. She was here for 4 days and all they done was put her on her meds she already took and sent her back home. We had to send her back because they NEVER HELPED HER they literally treat them like children in kindergarten. they never gave her anything that would help her out of the terrible illness after her son me told them that she isn't only bipolar as that is the ONLY THING THAT THEY ARE TREATING HER FOR, for about two weeks now, that she has post partum depression and psychosis with schizophrenia, and all they did differently was up her meds for being bipolar they do not listen or pick up the phone to hardly anyone and if they do you'll be put on hold and then they will hang up. I would just love my mother back home as they won't do anything to help her and our family"
"One of the worst if not actually the worst mental health hospitals I've ever been to. They for some reason(s) changed my diagnosis when I feel I fit the previous one better. The higher ups/main doctors made me feel as if what I thought and felt was irrelevant and nothing much to them and acted as if getting to actually know the patient is unheard of I took from my personal experience while there 2 different times. They (mainly one lady doctor) kept asking me about my episode(s) and to tell the truth I was uncomfortable talking about it/them. Thats really the main thing she kept asking about... I understand she/they can better treat knowing more but she wanted details and I feel she was too caught up in the small(er) details and wasn't listening to me or acknowledging much about me and what I was saying. I tried telling the doctors staff members that yes I've had issues before with schizophrenia/schizo- effective related issues but had been living a holistic approach to treating myself and actually felt great most of the time and that my self confidence increased greatly bc the medication(s) weren't causing weight gain bc there weren't any medications at the time. I've done the holistic approach at least twice and honestly have done really well doing so and truthfully think its better for myself, like it could be for other but thats not the point. The fact that the one lady was caught up on little details of hallucinations and delusions lead others to be and its like they didn't even hear me say that or that I had been drinking rather heavily and for some time considering. I'm about positive that the drinking triggered my schizo whatever and that when the alcohol wore off and things went back to normal that the hallucinations and delusions would stop... which they did. Near the end of stay and after the issues ended they court ordered an injection. I was upset with this and felt once again I wasn't being heard as a patient and the fact that the one ring leader that wanted to question me the most but only talk about some details they Presisted on talking about which lead the most part of the doctors team to quite frankly ignore what I was truly saying and only seemed to hear that I WAS hallucinating and also had some delusional thinking and ideas. They only wanted to hear the bad part it seemed and nothing about where I had been drinking and believed to trigger the episode."
"The treatment facility is serving all of S.W. Virginia. With a professional staff and quiet environment, the detox program, will begin the process of healing the body and mind. I am in a better place now and continue on the path to a better life."
"If you care and love yur family member or friend DO NOT send them here. My husband was here over a week and it was the MOST unprofessional place I’ve EVER seen, the staff was just horrible, especially a nurse name ROXANNE. I was visiting my husband and he was just asking about his belongings to see if they would let me have them and she was rude to him for no reason whatsoever and veeery unprofessional, people like her shouldn’t be working with patients like him or anyone for that matter. They gave him no help, no kinda counseling until his last day there, they didn’t feed him good, the portions was barely enough for a child. I WILL NEVER SEND ANOTHER LOVED ONE HERE."
"I had a mixed experience. Good and bad. A male staff member pushed me and I fell. I have Cerebral Palsy. The food was Ok. Some staff members were very rude. Others were very kind. I hope I never go back though."
"Wow this place seems horrible. My little brother is in here in need of SERIOUS MENTAL HELP. Yet they are making him think nothing is wrong with him. I thought they were suppose to be professionals honestly but apparently not. They go tell him every concern we have mentioned to them, only making him more upset with the ones that truly love him. Wow just wow. Yall should be totally ashamed of what you're doing up there."
Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.
| Date | Tag | Category | Description | Severity | Corrected | Type | IC |
|---|---|---|---|---|---|---|---|
| 8/31/2023 | 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Actual harm | 1/23/2024 | Standard | |
| 8/31/2023 | 0758 | Pharmacy Service Deficiencies | 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. | Minimal harm | 1/23/2024 | Standard | |
| 2/26/2021 | 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | Actual harm | 4/1/2021 | Standard | |
| 3/14/2019 | 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | No harm | 4/26/2019 | Standard | |
| 3/14/2019 | 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. | Minimal harm | 4/26/2019 | Standard | |
| 3/14/2019 | 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | Minimal harm | 4/26/2019 | Standard | |
| 3/14/2019 | 0758 | Pharmacy Service Deficiencies | 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. | Actual harm | 4/26/2019 | Standard | |
| 3/14/2019 | 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Minimal harm | 4/26/2019 | Standard |
When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.
No penalties or fines recorded for this facility.
Ownership structure and changes can affect facility quality.
Years Operating
52
| Owner Name | Type | Role | Ownership % | Association Date |
|---|---|---|---|---|
| — | — | — | — | — |
| — | — | — | — | — |
Recent news articles, lawsuits, and media coverage mentioning this facility.
No recent news coverage found for this facility.
Data updated: March 1, 2026 · CMS, OSCAR, state inspection records
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