State assisted-living licensing record · Virginia VDSS · record as pulled September 22, 2026· Not the federal nursing home survey
Gray Ridge Village LLC
155 Ridgefield Rd, Marion, VA 24354 · Smyth County · 92 licensed beds
VDSS licence ID 46048 · licence 1104863 · licensed for one year through February 3, 2026
The licence
Licensed by VDSS · Assisted Living Facility
Licence details, as listed by VDSS
- Licence term
- One-year licence, expires February 3, 2026
- Licensed for
- residential living care only; ambulatory residents only
Position within Virginia
156 citations — more than 98% of the 575 licensed assisted living facilities in Virginia. Compared only within Virginia: a citation from VDSS means what it means in Virginia, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated
Not in this record
Fire and life safety inspection, severity, and enforcement. The fire inspection of a Virginia assisted living facility is the State Fire Marshal's or the local fire official's and is not published; what VDSS itself cites about the building — its buildings-and-grounds, fire safety and emergency preparedness standards — is here. VDSS assigns no severity to a violation, and the facility's plan of correction is not republished. Sanctions, civil penalties and licence actions are recorded separately and not republished. VDSS publishes no first-licence date; a facility appears on the newly licensed page by the date of its initial inspection where the record shows one. Adult day centers and children's facilities are other licence types and are not included.
Get an email about Gray Ridge Village LLC
One email when it happens, from the VDSS record as it is pulled each month. No account; stop it any time with one click.
Building-related citations
The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
- 22VAC40-73-860 General requirementsJanuary 6, 2026
- 22VAC40-73-860 General requirementsJanuary 6, 2026
- 22VAC40-73-870 Maintenance of buildings and groundsJanuary 6, 2026
- 22VAC40-73-870 Maintenance of buildings and groundsJanuary 6, 2026
- 22VAC40-73-880 Heating, ventilation, and coolingJanuary 6, 2026
- 22VAC40-73-890 Lighting and lighting fixturesJanuary 6, 2026
- 22VAC40-73-920 Toilet, face/hand washing, and bathing facilitiesJanuary 6, 2026
- 22VAC40-73-990 Plan for resident emergencies and practice exerciseJanuary 6, 2026
- 22VAC40-73-750 Resident roomsJanuary 7, 2025
- 22VAC40-73-860 General requirementsJanuary 7, 2025
- 22VAC40-73-860 General requirementsJanuary 7, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsJanuary 7, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsJanuary 7, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsOctober 25, 2024
- 22VAC40-73-870 Maintenance of buildings and groundsJuly 9, 2024
- 22VAC40-73-870 Maintenance of buildings and groundsJuly 9, 2024
- 22VAC40-73-750 Resident roomsJanuary 3, 2024
- 22VAC40-73-860 General requirementsJanuary 3, 2024
- 22VAC40-73-860 General requirementsJanuary 3, 2024
- 22VAC40-73-870 Maintenance of buildings and groundsJanuary 3, 2024
- 22VAC40-73-870 Maintenance of buildings and groundsJanuary 3, 2024
- 22VAC40-73-890 Lighting and lighting fixturesJanuary 3, 2024
- 22VAC40-73-920 Toilet, face/hand washing, and bathing facilitiesJanuary 3, 2024
- 22VAC40-73-870 Maintenance of buildings and groundsJanuary 31, 2023
- 22VAC40-73-870 Maintenance of buildings and groundsJanuary 31, 2023
- 22VAC40-73-870 Maintenance of buildings and groundsJanuary 31, 2023
- 22VAC40-73-750 Resident roomsDecember 8, 2022
- 22VAC40-73-860 General requirementsDecember 8, 2022
- 22VAC40-73-860 General requirementsDecember 8, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsDecember 8, 2022
- 22VAC40-73-880 Heating, ventilation, and coolingDecember 8, 2022
- 22VAC40-73-920 Toilet, face/hand washing, and bathing facilitiesDecember 8, 2022
- 22VAC40-73-960 Fire and emergency evacuation planDecember 8, 2022
- 22VAC40-73-750 Resident roomsJune 16, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsJune 16, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsJune 16, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsJune 16, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsJune 16, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsJune 16, 2022
- 22VAC40-73-880 Heating, ventilation, and coolingJune 16, 2022
- 22VAC40-73-880 Heating, ventilation, and coolingJune 16, 2022
- 22VAC40-73-750 Resident roomsMarch 24, 2022
- 22VAC40-73-820 SmokingMarch 24, 2022
- 22VAC40-73-860 General requirementsMarch 24, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsMarch 24, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsMarch 24, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsMarch 24, 2022
- 22VAC40-73-750 Resident roomsJanuary 4, 2022
- 22VAC40-73-860 General requirementsJanuary 4, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsJanuary 4, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsJanuary 4, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsOctober 20, 2021
How that compares
Compared with the median licensed assisted living facility in Virginia. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 156 |
| Median facility in Virginia | 18 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| October 4, 2021 | monitoring inspection | 0 |
| October 20, 2021 | complaint investigation | 2 |
| January 4, 2022 | complaint investigation | 6 |
| March 24, 2022 | monitoring inspection | 10 |
| June 16, 2022 | renewal inspection | 34 |
| August 22, 2022 | complaint investigation | 1 |
| December 8, 2022 | monitoring inspection | 12 |
| January 31, 2023 | renewal inspection | 10 |
| April 17, 2023 | monitoring inspection | 1 |
| July 10, 2023 | complaint investigation | 1 |
| July 10, 2023 | complaint investigation | 0 |
| September 28, 2023 | monitoring inspection | 0 |
| September 28, 2023 | complaint investigation | 0 |
| December 11, 2023 | complaint investigation | 0 |
| January 3, 2024 | renewal inspection | 13 |
| February 8, 2024 | complaint investigation | 0 |
| February 12, 2024 | monitoring inspection | 0 |
| April 2, 2024 | complaint investigation | 0 |
| June 18, 2024 | monitoring inspection | 1 |
| July 9, 2024 | complaint investigation | 4 |
| July 9, 2024 | complaint investigation | 3 |
| July 24, 2024 | monitoring inspection | 0 |
| July 24, 2024 | complaint investigation | 1 |
| July 24, 2024 | complaint investigation | 0 |
| August 8, 2024 | complaint investigation | 0 |
| September 12, 2024 | complaint investigation | 0 |
| September 12, 2024 | monitoring inspection | 0 |
| September 12, 2024 | monitoring inspection | 0 |
| September 13, 2024 | monitoring inspection | 0 |
| October 10, 2024 | complaint investigation | 2 |
| October 25, 2024 | complaint investigation | 1 |
| October 25, 2024 | complaint investigation | 0 |
| November 14, 2024 | complaint investigation | 0 |
| December 3, 2024 | complaint investigation | 1 |
| December 3, 2024 | complaint investigation | 0 |
| January 7, 2025 | renewal inspection | 8 |
| January 30, 2025 | complaint investigation | 0 |
| January 30, 2025 | complaint investigation | 0 |
| January 30, 2025 | monitoring inspection | 1 |
| January 30, 2025 | monitoring inspection | 0 |
| January 30, 2025 | monitoring inspection | 0 |
| February 10, 2025 | complaint investigation | 0 |
| April 1, 2025 | complaint investigation | 0 |
| April 1, 2025 | complaint investigation | 3 |
| April 16, 2025 | complaint investigation | 0 |
| April 16, 2025 | complaint investigation | 0 |
| May 16, 2025 | complaint investigation | 1 |
| May 16, 2025 | monitoring inspection | 0 |
| May 16, 2025 | complaint investigation | 0 |
| June 26, 2025 | complaint investigation | 1 |
| August 28, 2025 | complaint investigation | 1 |
| August 28, 2025 | complaint investigation | 0 |
| August 28, 2025 | complaint investigation | 0 |
| October 29, 2025 | complaint investigation | 0 |
| October 29, 2025 | complaint investigation | 0 |
| October 29, 2025 | monitoring inspection | 1 |
| October 29, 2025 | complaint investigation | 1 |
| October 29, 2025 | monitoring inspection | 3 |
| November 17, 2025 | complaint investigation | 1 |
| November 18, 2025 | complaint investigation | 0 |
| November 18, 2025 | other visit | 9 |
| January 6, 2026 | renewal inspection | 21 |
| January 30, 2026 | complaint investigation | 1 |
| April 22, 2026 | complaint investigation | 0 |
| April 22, 2026 | complaint investigation | 0 |
| April 22, 2026 | complaint investigation | 0 |
| June 24, 2026 | monitoring inspection | 0 |
| June 24, 2026 | complaint investigation | 1 |
| August 5, 2026 | complaint investigation | 0 |
What the citations cover
- Physical plant 49
- Resident care 43
- Medication 38
- Staffing and training 12
- Other 14
| Category | Citations |
|---|---|
| Physical plant | 49 |
| Resident care | 43 |
| Medication | 38 |
| Staffing and training | 12 |
| Records and administration | 7 |
| Food service | 4 |
| Emergency management | 2 |
| Life safety | 1 |
Every visit on file since September 2021
As published by VDSS, newest first, including visits that cited nothing. The wording is VDSS’s own.
August 5, 2026 — complaint investigation, nothing cited
June 24, 2026 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-470 | Health care services |
June 24, 2026 — monitoring inspection, nothing cited
April 22, 2026 — complaint investigation, nothing cited
April 22, 2026 — complaint investigation, nothing cited
April 22, 2026 — complaint investigation, nothing cited
January 30, 2026 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-80-120 | Terms of the license |
January 6, 2026 — renewal inspection, 21 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-190 | Designated direct care staff person in charge |
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-550 | Resident rights |
| 22VAC40-73-610 | Menus for meals and snacks |
| 22VAC40-73-610 | Menus for meals and snacks |
| 22VAC40-73-620 | Oversight of special diets |
| 22VAC40-73-700 | Oxygen therapy |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-880 | Heating, ventilation, and cooling |
| 22VAC40-73-890 | Lighting and lighting fixtures |
| 22VAC40-73-920 | Toilet, face/hand washing, and bathing facilities |
| 22VAC40-73-990 | Plan for resident emergencies and practice exercise |
| 22VAC40-80-120 | Terms of the license |
November 18, 2025 — other visit, 9 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-300 | Communication among staff |
| 22VAC40-73-340 | Psychosocial and behavioral history |
| 22VAC40-73-340 | Psychosocial and behavioral history |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-460 | Personal care services and general supervision and care |
| 22VAC40-73-650 | Physician's or other prescriber's order |
| 22VAC40-73-70 | Incident reports |
| 22VAC40-73-70 | Incident reports |
November 18, 2025 — complaint investigation, nothing cited
November 17, 2025 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-400 | Monthly statement of charges and payments |
October 29, 2025 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
October 29, 2025 — monitoring inspection, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-650 | Physician's or other prescriber's order |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
October 29, 2025 — monitoring inspection, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
October 29, 2025 — complaint investigation, nothing cited
October 29, 2025 — complaint investigation, nothing cited
August 28, 2025 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
August 28, 2025 — complaint investigation, nothing cited
August 28, 2025 — complaint investigation, nothing cited
June 26, 2025 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-470 | Health care services |
May 16, 2025 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
May 16, 2025 — complaint investigation, nothing cited
May 16, 2025 — monitoring inspection, nothing cited
April 16, 2025 — complaint investigation, nothing cited
April 16, 2025 — complaint investigation, nothing cited
April 1, 2025 — complaint investigation, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
April 1, 2025 — complaint investigation, nothing cited
February 10, 2025 — complaint investigation, nothing cited
January 30, 2025 — monitoring inspection, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-640 | Medication management plan and reference materials |
January 30, 2025 — monitoring inspection, nothing cited
January 30, 2025 — complaint investigation, nothing cited
January 30, 2025 — complaint investigation, nothing cited
January 30, 2025 — monitoring inspection, nothing cited
January 7, 2025 — renewal inspection, 8 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-100 | Infection control program |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-750 | Resident rooms |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
December 3, 2024 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
December 3, 2024 — complaint investigation, nothing cited
November 14, 2024 — complaint investigation, nothing cited
October 25, 2024 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-870 | Maintenance of buildings and grounds |
October 25, 2024 — complaint investigation, nothing cited
October 10, 2024 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-460 | Personal care services and general supervision and care |
September 13, 2024 — monitoring inspection, nothing cited
September 12, 2024 — monitoring inspection, nothing cited
September 12, 2024 — monitoring inspection, nothing cited
September 12, 2024 — complaint investigation, nothing cited
August 8, 2024 — complaint investigation, nothing cited
July 24, 2024 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-90-40 | General requirements |
July 24, 2024 — monitoring inspection, nothing cited
July 24, 2024 — complaint investigation, nothing cited
July 9, 2024 — complaint investigation, 4 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-840 | Pets living in the assisted living facility |
| 22VAC40-73-840 | Pets living in the assisted living facility |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
July 9, 2024 — complaint investigation, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-470 | Health care services |
| 22VAC40-73-670 | Qualifications and supervision of staff administering medications |
June 18, 2024 — monitoring inspection, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
April 2, 2024 — complaint investigation, nothing cited
February 12, 2024 — monitoring inspection, nothing cited
February 8, 2024 — complaint investigation, nothing cited
January 3, 2024 — renewal inspection, 13 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-380 | Resident personal and social information |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-650 | Physician's or other prescriber's order |
| 22VAC40-73-750 | Resident rooms |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-890 | Lighting and lighting fixtures |
| 22VAC40-73-920 | Toilet, face/hand washing, and bathing facilities |
| 22VAC40-90-40 | General requirements |
December 11, 2023 — complaint investigation, nothing cited
September 28, 2023 — complaint investigation, nothing cited
September 28, 2023 — monitoring inspection, nothing cited
July 10, 2023 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-310 | Admission and retention of residents |
July 10, 2023 — complaint investigation, nothing cited
April 17, 2023 — monitoring inspection, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
January 31, 2023 — renewal inspection, 10 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-310 | Admission and retention of residents |
| 22VAC40-73-350 | Sex offender information |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
December 8, 2022 — monitoring inspection, 12 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-290 | Work schedule and posting |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-750 | Resident rooms |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-880 | Heating, ventilation, and cooling |
| 22VAC40-73-920 | Toilet, face/hand washing, and bathing facilities |
| 22VAC40-73-960 | Fire and emergency evacuation plan |
August 22, 2022 — complaint investigation, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-470 | Health care services |
June 16, 2022 — renewal inspection, 34 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-100 | Infection control program |
| 22VAC40-73-190 | Designated direct care staff person in charge |
| 22VAC40-73-210 | Direct care staff training |
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-310 | Admission and retention of residents |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-360 | Emergency placement |
| 22VAC40-73-380 | Resident personal and social information |
| 22VAC40-73-390 | Resident agreement with facility |
| 22VAC40-73-430 | Discharge of residents |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-490 | Health care oversight |
| 22VAC40-73-520 | Activity and recreational requirements |
| 22VAC40-73-520 | Activity and recreational requirements |
| 22VAC40-73-550 | Resident rights |
| 22VAC40-73-560 | Resident records |
| 22VAC40-73-610 | Menus for meals and snacks |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-650 | Physician's or other prescriber's order |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-700 | Oxygen therapy |
| 22VAC40-73-750 | Resident rooms |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-880 | Heating, ventilation, and cooling |
| 22VAC40-73-880 | Heating, ventilation, and cooling |
March 24, 2022 — monitoring inspection, 10 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-100 | Infection control program |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-660 | Storage of medications |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-750 | Resident rooms |
| 22VAC40-73-820 | Smoking |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
January 4, 2022 — complaint investigation, 6 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-700 | Oxygen therapy |
| 22VAC40-73-750 | Resident rooms |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
October 20, 2021 — complaint investigation, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-100 | Infection control program |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
October 4, 2021 — monitoring inspection, nothing cited
Reflects the VDSS record as pulled September 22, 2026. A recent visit may not appear yet. This is the Virginia state licensing record; it is not the federal nursing home survey and the two are never combined.