I would give this place no stars if I could. Took my 2.5 year old to the ER at 5pm yesterday with a 102 rectal temp, she finally got vitals taken at 5:30pm and they said she wasn't running a fever (done by ear), we finally got a bed...in the hallway...at 7pm & by 7:30pm she still hadnt been acknowledged so we left. I got to AMC in Fishersville around 8:30pm where they did her vitals right away, had us in a room as soon as the vitals were done (in which her fever was 103.9 so clearly CSJH didnt do a correct temperature read), dr was in within 10 mins and heavily concerned for her. Both ER's were equally busy, but AMC did what a hospital should do, accomodate the patient in a quick and efficient manner. My daughter is now in pediatric ICU where she is battling a high fever that won't break and respiratory distress along with severe dehydration. I'm so glad i left CSJH and came to AMC where they actually care about the patients.If tou choose a carilion facility, make the drive to roanoke memorial or pick a different hospital.