Augusta County, Virginia · Nursing home
Shenandoah Nursing Home
5 of 5 overall from CMS
339 Westminister Drive, Fishersville, VA 22939
At a glance
- Overall rating 5 of 5 Above the state average of 3.0
- Nurse time per resident, per day 3.43 hours Below the state average of 3.76
- Nursing staff who left in a year 37.0% Below the state average of 48.1%
- Health citations, last 3 inspection cycles 15 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 96.3% of 84 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Shenandoah Nursing Home is a 84-bed nursing home in Fishersville, Virginia (Augusta County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 3.43 nurse staffing hours per resident per day, below the Virginia average of 3.76. CMS lists no fines in the past three years.
- Certified beds
- 84
- Residents per day (average)
- 80.9
- Certified since
- 1991 (35 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Saber Healthcare Group (126 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Shenandoah Nursing Home
Chosen from this home's public data.
- Reported nurse staffing is 2.91 hours per resident on weekends against 3.43 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 96.3% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
- Registered nurse time is 0.50 hours per resident per day; the Virginia average is 0.69. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 Virginia average 3.0
- Health inspections 4 of 5 Virginia average 2.7
- Staffing 3 of 5 Virginia average 2.4
- Quality measures 5 of 5 Virginia average 3.9
The vertical line marks the Virginia average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.43 h Virginia average 3.76
- Nurse aides 2.05 h Virginia average 2.07
- Licensed practical nurses 0.88 h Virginia average 1.00
- Registered nurses 0.50 h Virginia average 0.69
- All staff, weekends 2.91 h Virginia average 3.29
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Virginia average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover37.0%
- Virginia average48.1%
- Registered nurse turnover37.5%
- Virginia average48.2%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Virginia and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Virginia | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 36.6% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.8% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.9% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 11.4% | 18.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% | 3.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% | 90.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 29.8% | 15.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.1% | 20.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.7% | 94.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 0.0% | 4.7% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.3% | 21.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 11.0% | 14.2% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.76 | 1.52 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.00 | 1.48 | 1.78 |
Short-stay residents
| Measure | This home | Virginia | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.1% | 73.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.7% | 73.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.2% | 22.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 9.5% | 11.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 15 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 30, 2024 | 8 | 2 |
| Mar 10, 2022 | 2 | 0 |
| Apr 10, 2019 | 5 | 0 |
Virginia homes averaged 14.3 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (15)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jul 29, 2024)
-
DPotential for more than minimal harm, isolated
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 29, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 29, 2024)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 29, 2024)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 29, 2024)
Show 10 more
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 29, 2024)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Jul 29, 2024)
-
DPotential for more than minimal harm, isolated
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary · Deficient, Provider has date of correction (Jul 29, 2024)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 30, 2022)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 30, 2022)
-
EPotential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 19, 2019)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 19, 2019)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 19, 2019)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 19, 2019)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 19, 2019)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Virginia homes averaged 0.5 fines and $23,688 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Virginia
- Size207 of 289 by certified beds
- Virginia average residents per day99.5
- ChainSaber Healthcare Group
- Chain average overall rating2.9 of 5
- Resident or family councilResident
- Homes in Fishersville3
- Homes in Augusta County3
Common questions
What is the CMS star rating for Shenandoah Nursing Home?
Shenandoah Nursing Home has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 3 and quality measures is 5.
How many beds does Shenandoah Nursing Home have?
Shenandoah Nursing Home has 84 certified beds. It averages 80.9 residents per day, about 96.3% of its certified beds.
How much nursing care do residents get at Shenandoah Nursing Home?
The home reports 3.43 hours of nurse staffing per resident per day, including 0.50 hours from registered nurses. The Virginia average is 3.76 hours and 0.69 hours from registered nurses.
Has Shenandoah Nursing Home been fined?
CMS lists no fines for this home in the past three years.
Does Shenandoah Nursing Home accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Augusta Nursing and Rehabilitation 112beds 78.7%in use 2.96nurse hours a day
- 5 of 5 Augusta Medical Ctr Skilled Ca 17beds 74.7%in use 6.29nurse hours a day
- 1 of 5 River Edge Rehabilitation and Nursing 109beds 94.1%in use 2.96nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Augusta County
Who to call in Virginia
These offices serve residents of every nursing home in Virginia.
- Long-term care ombudsman Virginia Long-Term Care Ombudsman Program (Office of the State Long-Term Care Ombudsman) 800-552-5019 (Toll-free. Also 804-565-1600.) An advocate for residents and their families.
- File a complaint about a nursing home VDH Office of Licensure and Certification (OLC) Complaint Unit 1-800-955-1819 (Metro Richmond (804) 367-2106. Messages left after hours, on weekends or holidays are returned the next business day. An online complaint portal is also available.) The state agency that inspects nursing homes.
Virginia staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 495262. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.