Total staff
151
Employees
94
Contractors
57
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Virgil Rehabilitation & Skilled Nursing Center
Nursing Home · Los Angeles, CA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Virgil Rehabilitation & Skilled Nursing Center
Nursing Home · Los Angeles, CA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Virgil Rehabilitation & Skilled Nursing Center accepts Medicare, Medicaid, and private pay.
Located in the heart of Los Angeles, Virgil Rehabilitation and Skilled Nursing Center is a place where residents receive personalized care and support to achieve their maximum independence and recovery. The center prides itself on its patient-centered approach, which emphasizes building a strong rapport with residents. They welcome people from all walks of life, providing extensive experience in dealing with various medical conditions. This home offers a range of services, including onsite hemodialysis, medical rehab services, resident discharge, dietary support, therapeutic recreation, and 24-hour staff.
At Virgil Rehabilitation and Skilled Nursing Center, residents can expect a warm and welcoming atmosphere, where they can feel connected and worry-free. The community is committed to providing the highest quality of care, ensuring that residents receive the support they need to lead meaningful and healthy lives.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 105th out of 346 homes in California. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 105th out of 346 homes in California. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 22m per day
Rank #105 / 346Nurse hours — State benchmarkedThis home is ranked 105th out of 346 homes in California. Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 346 California SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs California avg
+3%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 22m per day | ▼ 44% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 13m per day | ■ Avg State avg: 1h 13m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 40m per day | ■ Avg State avg: 2h 38m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 58m per day | ▼ 3% State avg: 4h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 40% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 18m per day | ▼ 40% State avg: 30m per day · National avg: 28m per day |
Types of Care at Virgil Rehabilitation & Skilled Nursing Center
Nursing Home
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
53.2%
Rank #321 / 351Occupancy rate — State benchmarkedThis home is ranked 321st out of 351 homes in California. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 351. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
198 days
Occupancy rate
53.2%
Rank #321 / 351Occupancy rate — State benchmarkedThis home is ranked 321st out of 351 homes in California. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 351. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
198 days
Walk Score: 92 / 100 Rank #31 / 359Walk Score — State benchmarkedThis home is ranked 31st out of 359 homes in California. Shows how walkable this facility's neighborhood is compared to the average Walk Score across California SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
2.10:1
2097122% better than California average
Avg staff/day
55
Average shift
7.6 hours
0% compared with California average
Total staff hours (quarter)
38,593
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
41
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
68
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6.9%
2,653 contractor hours this quarter
Licensed Practical Nurse: 24
Certified Nursing Assistant: 21
Registered Nurse: 9
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 47 | 21 | 68 | 22,165 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 17 | 24 | 41 | 8,097 | 92 | 100% | 8.1 |
| Registered Nurse | 10 | 9 | 19 | 2,573 | 92 | 100% | 7.8 |
| RN Director of Nursing | 2 | 0 | 2 | 985 | 64 | 70% | 7.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 824 | 84 | 91% | 8 |
| Dietitian | 1 | 0 | 1 | 555 | 69 | 75% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 547 | 63 | 68% | 8.7 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 495 | 64 | 70% | 7.5 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 456 | 57 | 62% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 445 | 57 | 62% | 7.8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 402 | 82 | 89% | 3.2 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 264 | 60 | 65% | 4.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 96 | 18 | 20% | 5.3 |
| Qualified Social Worker | 1 | 0 | 1 | 68 | 17 | 18% | 4 |
| Speech Language Pathologist | 1 | 0 | 1 | 65 | 17 | 18% | 3.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 52 | 13 | 14% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Medical Director | 0 | 1 | 1 | 2 | 1 | 1% | 2 |
68 Certified Nursing Assistant
% of Days
100%
41 Licensed Practical Nurse
% of Days
100%
19 Registered Nurse
% of Days
100%
2 RN Director of Nursing
% of Days
70%
2 Other Dietary Services Staff
% of Days
91%
1 Dietitian
% of Days
75%
1 Dental Services Staff
% of Days
68%
3 Respiratory Therapy Technician
% of Days
70%
1 Administrator
% of Days
65%
2 Nurse Practitioner
% of Days
62%
1 Mental Health Service Worker
% of Days
62%
3 Physical Therapy Assistant
% of Days
89%
1 Therapeutic Recreation Specialist
% of Days
65%
1 Occupational Therapy Aide
% of Days
20%
1 Qualified Social Worker
% of Days
18%
1 Speech Language Pathologist
% of Days
18%
1 Clinical Nurse Specialist
% of Days
14%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
1%
Penalties and fines
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$0 Rank #1 / 354Federal fines — State benchmarkedThis home is ranked 1st out of 354 homes in California. Shows this facility's cumulative CMS federal fine dollars versus the California average among facilities with fines, and where it ranks among 354 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
100% lower than California averageCalifornia average: $55K
Number of fines
0
100% fewer fines than California averageCalifornia average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1 
102% more payment denials than California averageCalifornia average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$0
California average
$55K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 29, 2025 · 55 days
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 29, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 29, 2025
55 days
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.6
30% better than California averageCalifornia average: 6.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
3.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
3.6
68% better than California averageCalifornia average: 11.3
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
2.6%
Percent of long-stay residents whose need for help with daily activities has increased
2.6%
76% better than California averageCalifornia average: 11.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
6.8%
Percent of long-stay residents whose ability to move independently worsened
6.8%
43% better than California averageCalifornia average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
1.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
1.5%
87% better than California averageCalifornia average: 11.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.4%
Percent of long-stay residents experiencing one or more falls with major injury
0.4%
78% better than California averageCalifornia average: 1.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.4%
Percent of long-stay high risk residents with pressure ulcers
5.4%
9% worse than California averageCalifornia average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.4%
Percent of long-stay residents with a urinary tract infection
0.4%
70% better than California averageCalifornia average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.0%
Percent of long-stay residents who lose too much weight
8.0%
91% worse than California averageCalifornia average: 4.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than California averageCalifornia average: 6.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.6%
Percent of long-stay residents who received an antipsychotic medication
12.6%
25% worse than California averageCalifornia average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
In line with California averageCalifornia average: 98.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.64
Number of hospitalizations per 1,000 long-stay resident days.
1.64
27% better than California averageCalifornia average: 2.25
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.11
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.11
93% better than California averageCalifornia average: 1.59
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
5% better than California averageCalifornia average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than California averageCalifornia average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.7%
In line with California averageCalifornia average: 93.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than California averageCalifornia average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
28% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
69% of new residents, often for short stays.
Typical stay
7 - 8 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
5 - 6 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
72
Medicare
3
4.2% of residents
Medicaid
60
83.3% of residents
Private pay or other
9
12.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Virgil Rehabilitation & Skilled Nursing Center based on CMS SNF Cost Reports.
Occupancy Rate
53.2%
↑ 0.7pp vs 2022
Net Income
-$2.8M
↓ ~$1.7M vs 2022
Total Payroll
$6.9M
↓ ~$37.3K vs 2022
Profit Margin
-45.3%
↓ 30.1pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$6.2M
Operating loss
-$2.8M
Privately-owned community
Operated by a business corporation.
Home revenue
$6.2M Rank #325 / 347Revenue — State benchmarkedThis home is ranked 325th out of 347 homes in California. Shows this facility's annual revenue compared to the California SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$2.8M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #228 / 347Payroll — State benchmarkedThis home is ranked 228th out of 347 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #228 / 347Payroll — State benchmarkedThis home is ranked 228th out of 347 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.2M
What does this home offer?
Total Residents: 124
Building Type: Two-story
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Virgil Rehabilitation & Skilled Nursing Center
4.3 miles from city center
Estimated distance in miles from Los Angeles's city center to Virgil Rehabilitation & Skilled Nursing Center's address, calculated via Google Maps.
— 0.51 miles to nearest hospital (Hollywood Presbyterian Medical Center)
Calculate Travel Distance to Virgil Rehabilitation & Skilled Nursing Center
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Financial Assistance for
Nursing Home in California
Virgil Rehabilitation & Skilled Nursing Center is located in Los Angeles, California.
Here are the financial assistance programs available to residents in California.
Compare Nursing Home around Los Angeles
The information below is reported by the California Department of Social Services and Department of Public Health.
Filter by care type
| Virgil Rehabilitation & Skilled Nursing Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Los Angeles (East Hollywood) | 124 | 53.2% | -37% | 4.36 | +47% | +3% | $0 | 53 | 4.8 | 3 | 76 | - | 92 | Rushabh Modi | $6.2M | $6.9M | 110.4% | 55157 | ||||
| Ivy Park at Simi Valley |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Simi Valley (Tradewinds Club) | 175 | 74.3% | -12% | 3.55 | +51% | -16% | $8.3k | 56 | 4.7 | 1 | 89 | C | 59 | Svrtc LLC | $20.3M | $10.1M | 49.8% | 555701 |
Frequently Asked Questions about Virgil Rehabilitation & Skilled Nursing Center
What neighborhood is Virgil Rehabilitation & Skilled Nursing Center in?
Virgil Rehabilitation & Skilled Nursing Center is in the East Hollywood neighborhood.
Is Virgil Rehabilitation & Skilled Nursing Center in a walkable area?
Virgil Rehabilitation & Skilled Nursing Center has a walk score of 92. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
What is the address of Virgil Rehabilitation & Skilled Nursing Center?
Virgil Rehabilitation & Skilled Nursing Center is located at 975 Virgil Ave, Los Angeles, CA 90029, United States.
What is the phone number of Virgil Rehabilitation & Skilled Nursing Center?
(213) 384-2315 will put you in contact with the team at Virgil Rehabilitation & Skilled Nursing Center.
Is Virgil Rehabilitation & Skilled Nursing Center Medicare or Medicaid certified?
Yes — Virgil Rehabilitation & Skilled Nursing Center is a CMS-certified provider of Medicare and Medicaid.
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