Holston Health & RehabilitationCMS ratings, inspections and fines
- Address
- 990 Holston Rd, Wytheville, VA 24382
- CCN
- 495349
- Ownership type
- For-profit, corporation
- Certified beds
- 137
- Chain
- None in the CMS record
- Residents per day
- 93
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Holston Health & Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 7 May 2025. The latest survey cycle has 31 health citations. The median for nursing homes in Virginia is 11. CMS lists 1 fine of $111,911 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Wythe County median | Virginia median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 1.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 3 homes in the county, 289 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Virginia median |
|---|---|---|---|
| Cycle 1 (latest) | 7 May 2025 | 31 | 11 |
| Cycle 2 | 12 May 2022 | 4 | 10 |
| Cycle 3 | No date | 33 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 31 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 May 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 4 Sep 2025 |
| 7 May 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 4 Sep 2025 |
| 7 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 4 Sep 2025 |
| 7 May 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint investigation | 4 Sep 2025 |
| 7 May 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 4 Sep 2025 |
| 7 May 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 4 Sep 2025 |
| 7 May 2025 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 6 Jun 2025 |
| 7 May 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 4 Sep 2025 |
| 7 May 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 4 Sep 2025 |
| 7 May 2025 | F0761 | 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. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 4 Sep 2025 |
| 7 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 4 Sep 2025 |
| 7 May 2025 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Standard survey | 6 Jun 2025 |
| 7 May 2025 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Standard survey | 6 Jun 2025 |
Survey cycle 2: 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 May 2025 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Complaint investigation | 6 Jun 2025 |
| 12 May 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 13 May 2022 |
| 12 May 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 13 May 2022 |
| 12 May 2022 | F0886 | Perform COVID19 testing on residents and staff. | D | Standard survey | 13 May 2022 |
Survey cycle 3: 33 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 Feb 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 13 Mar 2024 |
| 2 Feb 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Complaint investigation | 13 Mar 2024 |
| 2 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 13 Mar 2024 |
| 2 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 13 Mar 2024 |
| 2 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 13 Mar 2024 |
| 2 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 13 Mar 2024 |
| 2 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 13 Mar 2024 |
| 2 Feb 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 13 Mar 2024 |
| 2 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 13 Mar 2024 |
| 2 Feb 2024 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | F | Complaint investigation | 13 Mar 2024 |
| 2 Feb 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 13 Mar 2024 |
| 2 Feb 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 13 Mar 2024 |
| 2 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 13 Mar 2024 |
| 2 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 13 Mar 2024 |
| 2 Feb 2024 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 13 Mar 2024 |
| 7 Jun 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0584 | 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. | D | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0761 | 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. | E | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 19 Jul 2019 |
| 7 Jun 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Jul 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 7 May 2025 | Fine | $111,911 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Virginia median | Virginia average (CMS) |
|---|---|---|---|
| All nurse staff | 3.11 | 3.40 | 3.76 |
| Registered nurses (RN) | 0.52 | 0.50 | 0.69 |
| Licensed practical nurses (LPN) | 0.93 | 1.00 | |
| Nurse aides | 1.66 | 2.07 | |
| All nurse staff, weekends | 2.65 | 3.00 | 3.29 |
- Nurse staff turnover in a year
- 78.0%
- Nurse staff turnover, Virginia median
- 48.3%
- RN turnover in a year
- 80.0%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.7% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.7% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.0% | 13.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Legal Business Name Not Available
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Wythe County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Wythe Cnty Community Hosp Ecu | Wytheville | 5 of 5 | 3 | $0 | 25 Nov 2025 | |
| Mountain Laurel Rehabilitation and Nursing | Rural Retreat | 1 of 5 | 56 | $198,489 | 8 Apr 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Virginia Department of Health: file a complaintThe complaint page of the State Survey Agency for Virginia, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Holston Health & Rehabilitation (CCN 495349). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/holston-health-rehabilitation-wytheville-va-495349/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Holston Health & Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 7 May 2025. It was a standard survey and a complaint investigation. It gave 32 citations. The standard survey before the last one was on 12 May 2022.
- Who operates Holston Health & Rehabilitation?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Holston Health & Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Virginia as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.