Pulaski County, Virginia · Nursing home
Highland Ridge Rehab Center
1 of 5 overall from CMS
5872 Hanks Street, Dublin, VA 24084
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.69 hours Below the state average of 3.76
- Nursing staff who left in a year 64.2% Above the state average of 48.1%
- Health citations, last 3 inspection cycles 46 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 94.5% of 132 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.
Highland Ridge Rehab Center is a 132-bed nursing home in Dublin, Virginia (Pulaski County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.69 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
- 132
- Residents per day (average)
- 124.7
- Certified since
- 1998 (28 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Hill Valley Healthcare (43 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 Highland Ridge Rehab Center
Chosen from this home's public data.
- CMS counts 17 health deficiencies in the latest inspection cycle (the standard inspection on Feb 26, 2026 plus complaint and infection-control inspections); the Virginia average is 14.3. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 64.2%, above the Virginia average of 48.1%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.07 hours per resident on weekends against 3.69 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Virginia average 3.0
- Health inspections 2 of 5 Virginia average 2.7
- Staffing 1 of 5 Virginia average 2.4
- Quality measures 4 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 3.69 h Virginia average 3.76
- Nurse aides 1.96 h Virginia average 2.07
- Licensed practical nurses 1.34 h Virginia average 1.00
- Registered nurses 0.39 h Virginia average 0.69
- All staff, weekends 3.07 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 turnover64.2%
- Virginia average48.1%
- Registered nurse turnover76.5%
- Virginia average48.2%
- Administrators who left1
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 | 13.8% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 12.4% | 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 | 0.3% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 65.9% | 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 | 4.3% | 3.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% | 90.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 15.5% | 15.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.6% | 20.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.3% | 94.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.1% | 4.7% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.9% | 21.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 15.0% | 14.2% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.71 | 1.52 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.30 | 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 | 84.9% | 73.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.5% | 73.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.7% | 22.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 15.2% | 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 46 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 16 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Feb 26, 2026 | 17 | 1 |
| Apr 26, 2023 | 11 | 10 |
| Oct 8, 2021 | 18 | 9 |
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 (46)
-
FPotential for more than minimal harm, widespread
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 (Apr 12, 2026)
-
FPotential for more than minimal harm, widespread
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 (Apr 12, 2026)
-
EPotential for more than minimal harm, pattern
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 12, 2026)
-
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 12, 2026)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 12, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Apr 12, 2026)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Apr 12, 2026)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Apr 12, 2026)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Apr 12, 2026)
-
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 (Apr 12, 2026)
-
DPotential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 12, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 12, 2026)
-
CPotential for minimal harm, widespread
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 12, 2026)
-
FPotential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Oct 9, 2025)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 9, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 9, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Oct 9, 2025)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 8, 2024)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 8, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 8, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 8, 2024)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 8, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 8, 2024)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Mar 8, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Mar 8, 2024)
-
DPotential for more than minimal harm, isolated
Provide or obtain dental services for each resident.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 8, 2024)
-
DPotential for more than minimal harm, isolated
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Complaint investigation · Administration · Deficient, Provider has date of correction (Mar 8, 2024)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 8, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Mar 8, 2024)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Jun 29, 2023)
Showing the 30 most recent of 46.
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
- Size75 of 289 by certified beds
- Virginia average residents per day99.5
- ChainHill Valley Healthcare
- Chain average overall rating1.7 of 5
- Resident or family councilResident
- Homes in Pulaski County2
Common questions
What is the CMS star rating for Highland Ridge Rehab Center?
Highland Ridge Rehab Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 1 and quality measures is 4.
How many beds does Highland Ridge Rehab Center have?
Highland Ridge Rehab Center has 132 certified beds. It averages 124.7 residents per day, about 94.5% of its certified beds.
How much nursing care do residents get at Highland Ridge Rehab Center?
The home reports 3.69 hours of nurse staffing per resident per day, including 0.39 hours from registered nurses. The Virginia average is 3.76 hours and 0.69 hours from registered nurses.
Has Highland Ridge Rehab Center been fined?
CMS lists no fines for this home in the past three years.
Does Highland Ridge Rehab Center 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
- 4 of 5 Pulaski Hlth & Rehab Cntr 90beds 110.2%in use 3.39nurse hours a day
- 4 of 5 Radford Health And Rehab Center 90beds 96.3%in use 3.51nurse hours a day
- 1 of 5 The Wybe and Marietje Kroontje Health Care Center 60beds 86.0%in use 4.13nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Pulaski 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 495333. 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.