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Nursing HomeMedicaid Investigative

Lynn Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1000 Shenandoah Avenue, Front Royal, VA 22630120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 155 Google reviews

5
4
3
2
1
Lynn Care Center Nursing Home in Front Royal, VA — Street View
Street View

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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Above-median deficiencies (23 vs median 11.0)
  • High staff turnover (60%)
  • High RN turnover (63%)

Below average in VA · Meets national RN staffing standard · Above average staffing · $34,230 in fines · Abuse citation

Source: Medicare data

What this means for your family

Lynn Care Center is highly regarded for its physical therapy and memory care unit, with many families praising specific nurses for their dedication. However, you must be prepared to be an active advocate for your loved one, as multiple reviewers have reported inconsistent staffing and slow response times to call buttons. We recommend visiting during off-hours to observe the staffing levels firsthand.

Google Reviews

Google Reviews

155 reviews on Google
Lynn Care Center receives high praise for its dedicated rehabilitation team and specific nursing staff members who are frequently cited for their compassion and professionalism. However, the facility faces significant criticism regarding inconsistent staffing levels, leading to reports of delayed response times and neglect, as well as recurring complaints about the quality of the food.

Quality Themes

Tap a score for details
Food3.0Staff8.0Clean8.0Activities9.0Meds5.0Memory8.0Comms7.0Value4.0

Strengths

  • Exceptional rehabilitation and therapy team
  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Helpful and responsive administrative staff

Concerns

  • Slow response times to call buttons and basic needs (mentioned by 6 reviewers)
  • Poor food quality and lack of variety (mentioned by 4 reviewers)
  • Inconsistent staffing levels leading to neglect (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'18(1)'21(1)'23(6)'25(84)'26(2)

Distribution · 162 analyzed

5
129
4
12
3
1
2
0
1
20
26 reviews posted between Jan 19, 2025Jan 24, 2025 · 24 were 5-star
15 reviews posted between Jan 26, 2025Jan 31, 2025 · 15 were 5-star

How They Respond to Reviews

73%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
  • 2With the rehabilitation and therapy team being such a standout feature here, how do you integrate their work into the residents' daily routines?
  • 3We understand that staffing levels can fluctuate; what specific protocols are in place to ensure that residents' call buttons are answered promptly during peak times or shift changes?
  • 4Regarding the dining experience, what steps are you taking to improve the variety and quality of the meals served to residents?
  • 5Given the recent health inspection findings, could you walk us through the specific improvements or changes you have implemented to address those regulatory concerns?
  • 6How does your nursing staff coordinate with families when a resident has a sudden change in health or requires an urgent medical intervention?

Personalized based on this facility's data


Key Review Excerpts

The therapy team is the BEST! Therapy is primarly reason for coming to LCC. Nursing was responsive to any questions or concerns i had and the staff took good care of my mom.

Rehab patient's family · 2025★★★★★

I never saw a memory care unit as pretty, spacious, and sunny as Shenandoah Gardens. Whenever I visit, all of the residents are up and out of their beds, sitting together in the common room.

Memory care family member · 2024★★★★★

This place is short staffed and therefore patient care suffers . Better make sure you are there to speak for your loved one because they will not be checked on for hours at a time.

Family member · 2023☆☆☆☆
Source: 155 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.70hrs
93%
Registered nurses for medical care
Total Nursing
3.91hrs
95%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

3

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility23.3%
Worse than Avg
Here
23.3%
US
12.1%
VA
16.9%
Warren
17.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
15.5%
VA
14.2%
Warren
14.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.8%
Better than Avg
Here
16.8%
US
19.5%
VA
20.4%
Warren
25.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
VA
91.0%
Warren
93.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.2%
Better than Avg
Here
11.2%
US
15.3%
VA
16.4%
Warren
14.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.6%
Better than Avg
Here
10.6%
US
14.4%
VA
15.3%
Warren
13.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.2%
Better than Avg
Here
95.2%
US
81.8%
VA
73.9%
Warren
83.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility84.9%
Better than Avg
Here
84.9%
US
79.8%
VA
73.6%
Warren
82.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
VA
1.2%
Warren
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

19deficiencies
1penalties
Above state avg (14.5)
14 complaint-triggered
$34,230 in fines

Families have repeatedly filed complaints triggering 14 deficiencies, indicating ongoing concerns about resident abuse protection, medication management, and care planning. The facility struggles with persistent issues across safety hazards, resident communication about medical changes, and developing proper care plans, with several problems recurring across multiple years despite reported corrections. While all deficiencies show correction dates, the pattern of repeated complaints and similar violations suggests families should carefully evaluate current conditions.

Jan 12, 2026Routine
17
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0584Potential for harm · IsolatedCorrected

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.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0730Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0840Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0942Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

0944Potential for harm · IsolatedCorrected

Administration Deficiencies

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

0945Potential for harm · IsolatedCorrected

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.

0946Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide training in compliance and ethics.

0949Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Jan 12, 2026Complaint
3
0600Immediate jeopardy · PatternCorrected

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.

0689Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0657Potential for harm · PatternCorrected

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.

Feb 7, 2025Complaint
3
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0580Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jul 16, 2024Complaint
3
0657Potential for harm · IsolatedCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jul 25, 2023Complaint
5
0580Potential for harm · PatternCorrected

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.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · PatternCorrected

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.

0656Potential for harm · IsolatedCorrected

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.

Jan 6, 2023Routine
25
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0580Potential for harm · IsolatedCorrected

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.

0622Potential for harm · IsolatedCorrected

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.

0623Potential for harm · IsolatedCorrected

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.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

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

0656Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0700Potential for harm · IsolatedCorrected

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.

0730Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0811Potential for harm · IsolatedCorrected

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.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0947Potential for harm · IsolatedCorrected

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.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Federal Penalties

Fine

Jan 12, 2026

$38,110

Ownership & Operations

Who Operates This Facility

Owner / Operator

Lynn Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Hill Valley Healthcare

Chain Size

44 facilities nationwide

Chain avg rating: 2.2/5 · Rank 23 of 40

Ownership & Management

Owners

Shenandoah Snf Operations Holdings LLC

Owner · Organization

100%

Key personnel

Hurley, MaryW-2 Managing EmployeeIdels, ShimonOfficer / DirectorShenandoah Operators Manager LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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