CCN 495293 · Roanoke County, Virginia
Berkshire Health & Rehabilitation Center
705 Clearview Drive, Vinton, VA 24179
Berkshire Health & Rehabilitation Center is a 180-bed for-profit nursing home in Vinton, Virginia, first certified for Medicare or Medicaid in 1995. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 172.3 residents a day, about 96% of its certified beds. It has an active FHA-insured Section 232 loan: $45.4 million originally, at 6.09%, with $44.9 million outstanding as of September 30, 2026 and maturity in June 2060.
Facility facts
- Certified beds
- 180
- Average residents per day
- 172.3 (95.7% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Berkshire Operations LLC
- Certified since
- Jan 1, 1995
- Chain or affiliated group
- Lifeworks Rehab (64 facilities, chain average 2.1 stars)
- Location
- Urban, part of a continuing care retirement community
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Virginia median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 60 at 1, 60 at 2, 54 at 3, 55 at 4, 57 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.21 | 3.45 | 3.68 |
| RN hours per resident per day | 0.47 | 0.53 | 0.58 |
| Weekend nurse hours per resident per day | 2.72 | ||
| Nursing staff turnover | 56.1% | 48.3% | 44.9% |
| Occupancy (residents / beds) | 95.7% | 91.8% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 9 (Jun 18, 2024) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Berkshire Health & Rehabilitation Center meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Berkshire Holdings I LLCOrganization | Direct Ownership Interest | 100% | 05/28/2021 |
| America West LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Charles 1994 & Family LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Charles 1994 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Charles 1994 LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Edward 1998 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Edward 1998 LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Kss 2000 Family TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Ml 2000 Family TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Mrv West LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Redrock West LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Saul 2012 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Saul 2012 LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Rczbm West Manager LLCOrganization | Operational / Managerial Control | n/a | 05/28/2021 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| May 28, 2021 | Berkshire Operations LLC | Mfa X & Xlvii - Berkshire |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| May 28, 2025 | 223(f) refinance or purchaseHUD project name: Berkshire Health & Rehabilitation Center, 180 beds. Lender at endorsement: Keybank National Association | $45,360,000 | Active: 6.09%, $44,875,261 balanceMatures Jun 1, 2060. Servicer: Keybank National Association | 05122230 |
| Sep 13, 2006 | 223(a)(7) refinance of a construction loanHUD project name: Berkshire Health Care Center, 60 beds. Lender at endorsement: Capmark Finance, Inc | $1,298,800 | Ended Apr 30, 2013Prepayment | 05143208 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.