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Mountain Laurel Rehabilitation and NursingCMS ratings, inspections and fines

Address
514 North Main Street, Rural Retreat, VA 24368
CCN
495417
Ownership type
For-profit, limited liability company
Certified beds
120
Residents per day
102
CMS flags
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CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating2 of 5
Quality measure rating3 of 5
Care 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 Mountain Laurel Rehabilitation and Nursing an overall rating of 1 of 5 stars. The last standard survey was on 8 Apr 2025. The latest survey cycle has 56 health citations. The median for nursing homes in Virginia is 11. CMS lists 8 fines with a total of $198,489 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.

CMS star ratings of Mountain Laurel Rehabilitation and Nursing, with medians
Rating (1 to 5 stars)This homeWythe County medianVirginia medianUS average (CMS)
Overall rating11.03.03.0
Health inspection rating11.03.02.8
Staffing rating22.02.02.9
Quality measure rating33.04.03.6

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.

Health citations of Mountain Laurel Rehabilitation and Nursing in the last three survey cycles
Survey cycleStandard surveyCitationsVirginia median
Cycle 1 (latest)8 Apr 20255611
Cycle 214 Aug 20232010
Cycle 3No date1110

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.

Scope and severity of the 87 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyK0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0

Survey cycle 1 (latest): 56 citations

Standard survey of this cycle: .

Health citations of Mountain Laurel Rehabilitation and Nursing in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
8 Apr 2025F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard survey15 May 2025
8 Apr 2025F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey15 May 2025
8 Apr 2025F0578Honor 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.EStandard survey15 May 2025
8 Apr 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey24 Jun 2025
8 Apr 2025F0583Keep residents' personal and medical records private and confidential.DStandard survey15 May 2025
8 Apr 2025F0584Honor 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.EStandard survey15 May 2025
8 Apr 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation15 May 2025
8 Apr 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey15 May 2025
8 Apr 2025F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation15 May 2025
8 Apr 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey24 Jun 2025
8 Apr 2025F0625Notify 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.EStandard survey15 May 2025
8 Apr 2025F0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DStandard survey15 May 2025
8 Apr 2025F0641Ensure each resident receives an accurate assessment.DStandard survey15 May 2025
8 Apr 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey15 May 2025
8 Apr 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey15 May 2025
8 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation24 Jun 2025
8 Apr 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey15 May 2025
8 Apr 2025F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint investigation15 May 2025
8 Apr 2025F0675Honor each resident's preferences, choices, values and beliefs.GComplaint investigation15 May 2025
8 Apr 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation15 May 2025
8 Apr 2025F0679Provide activities to meet all resident's needs.DComplaint investigation15 May 2025
8 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation24 Jun 2025
8 Apr 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey15 May 2025
8 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey15 May 2025
8 Apr 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GStandard survey15 May 2025
8 Apr 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey15 May 2025
8 Apr 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey24 Jun 2025
8 Apr 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey15 May 2025
8 Apr 2025F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard survey15 May 2025
8 Apr 2025F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard survey15 May 2025
8 Apr 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey15 May 2025
8 Apr 2025F0732Post nurse staffing information every day.CStandard survey15 May 2025
8 Apr 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation15 May 2025
8 Apr 2025F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.JComplaint investigation15 May 2025
8 Apr 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey24 Jun 2025
8 Apr 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey15 May 2025
8 Apr 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey24 Jun 2025
8 Apr 2025F0758Implement 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.DStandard survey15 May 2025
8 Apr 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey15 May 2025
8 Apr 2025F0760Ensure that residents are free from significant medication errors.DStandard survey15 May 2025
8 Apr 2025F0761Ensure 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.DStandard survey15 May 2025
8 Apr 2025F0770Provide timely, quality laboratory services/tests to meet the needs of residents.EStandard survey24 Jun 2025
8 Apr 2025F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard survey15 May 2025
8 Apr 2025F0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.GStandard survey15 May 2025
8 Apr 2025F0777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.GComplaint investigation15 May 2025
8 Apr 2025F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey15 May 2025
8 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey24 Jun 2025
8 Apr 2025F0814Dispose of garbage and refuse properly.EStandard survey15 May 2025
8 Apr 2025F0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.DComplaint investigation15 May 2025
8 Apr 2025F0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.DStandard survey15 May 2025
8 Apr 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation24 Jun 2025
8 Apr 2025F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint investigation15 May 2025
8 Apr 2025F0865Have a plan that describes the process for conducting QAPI and QAA activities.EComplaint investigation15 May 2025
8 Apr 2025F0880Provide and implement an infection prevention and control program.DStandard survey24 Jun 2025
8 Apr 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey15 May 2025
8 Apr 2025F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard survey15 May 2025

Survey cycle 2: 20 citations

Standard survey of this cycle: .

Health citations of Mountain Laurel Rehabilitation and Nursing in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
4 Dec 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation31 Jan 2025
4 Dec 2024F0584Honor 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.DComplaint investigation31 Jan 2025
4 Dec 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation31 Jan 2025
4 Dec 2024F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation23 Jan 2025
4 Dec 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation31 Jan 2025
4 Dec 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation23 Jan 2025
4 Dec 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation31 Jan 2025
14 Aug 2023F0602Protect each resident from the wrongful use of the resident's belongings or money.DStandard survey13 Sep 2023
14 Aug 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation13 Sep 2023
14 Aug 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation13 Sep 2023
14 Aug 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey13 Sep 2023
14 Aug 2023F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey13 Sep 2023
14 Aug 2023F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard survey13 Sep 2023
14 Aug 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey13 Sep 2023
14 Aug 2023F0730Observe each nurse aide's job performance and give regular training.EStandard survey13 Sep 2023
14 Aug 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey13 Sep 2023
14 Aug 2023F0839Employ staff that are licensed, certified, or registered in accordance with state laws.DStandard survey13 Sep 2023
14 Aug 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey13 Sep 2023
14 Aug 2023F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.DStandard survey13 Sep 2023
14 Aug 2023F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard survey13 Sep 2023

Survey cycle 3: 11 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Mountain Laurel Rehabilitation and Nursing in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
1 Jul 2021F0578Honor 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.DStandard survey31 Jul 2021
1 Jul 2021F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey31 Jul 2021
1 Jul 2021F0583Keep residents' personal and medical records private and confidential.DStandard survey31 Jul 2021
1 Jul 2021F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey31 Jul 2021
1 Jul 2021F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey31 Jul 2021
1 Jul 2021F0692Provide enough food/fluids to maintain a resident's health.DStandard survey31 Jul 2021
1 Jul 2021F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey31 Jul 2021
1 Jul 2021F0760Ensure that residents are free from significant medication errors.DStandard survey31 Jul 2021
1 Jul 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey31 Jul 2021
1 Jul 2021F0880Provide and implement an infection prevention and control program.EStandard survey31 Jul 2021
1 Jul 2021F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey31 Jul 2021

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.

Penalties of Mountain Laurel Rehabilitation and Nursing in the CMS penalties file
DateTypeFineDays without payment
8 Apr 2025Fine$170,017
4 Dec 2024Fine$8,357
25 Sep 2023Fine$4,235
18 Sep 2023Fine$3,882
11 Sep 2023Fine$3,529
5 Sep 2023Fine$3,176
28 Aug 2023Fine$2,823
21 Aug 2023Fine$2,470

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.

Nurse staffing hours per resident per day at Mountain Laurel Rehabilitation and Nursing
StaffThis homeVirginia medianVirginia average (CMS)
All nurse staff3.143.403.76
Registered nurses (RN)0.430.500.69
Licensed practical nurses (LPN)1.071.00
Nurse aides1.632.07
All nurse staff, weekends2.603.003.29
Nurse staff turnover in a year
62.6%
Nurse staff turnover, Virginia median
48.3%
RN turnover in a year
50.0%
Administrators who left in a year
1

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.

Quality measures of Mountain Laurel Rehabilitation and Nursing, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeVirginia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.1%13.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.2%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.3%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.2%3.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.5%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay6.1%14.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.4%4.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.3%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, limited liability company
Legal business name
Wythe VA Opco LLC
Chain
Eastern Healthcare Group (18 homes in the CMS chain file)
Organisations in the CMS ownership record of Mountain Laurel Rehabilitation and Nursing
OrganisationRole in the CMS recordInterestSince
VA SNF Operations Holdings LLC5% or greater direct ownership interest100%28 Dec 2023
Apex Global Solutions LLCIndirect ownership interest28 Dec 2023
Ydi Eastern Holdco LLCIndirect ownership interest28 Dec 2023
Capital Funding Group5% or greater mortgage interest28 Dec 2023
Capital Funding GroupOperational/managerial control28 Dec 2023
VA SNF Master Consulting LLCOperational/managerial control28 Dec 2023
VA SNF Operations Holdings 3 LLCOperational/managerial control28 Dec 2023
Ydi Eastern Holdco LLCOperational/managerial control28 Dec 2023

The site shows organisations only. It does not show the names of persons.

Other homes in Wythe County

The 2 nearest other nursing homes in Wythe County, Virginia
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Wythe Cnty Community Hosp EcuWytheville5 of 53$025 Nov 2025
Holston Health & RehabilitationWytheville1 of 531$111,9117 May 2025

All 3 nursing homes in Wythe County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Mountain Laurel Rehabilitation and Nursing (CCN 495417). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/mountain-laurel-rehabilitation-and-nursing-rural-retreat-va-495417/

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 Mountain Laurel Rehabilitation and Nursing last inspected?
The latest inspection with a citation in the CMS record was on 8 Apr 2025. It was a standard survey and a complaint investigation. It gave 56 citations. The standard survey before the last one was on 14 Aug 2023.
Who operates Mountain Laurel Rehabilitation and Nursing?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Eastern Healthcare Group. The CMS ownership file names 4 organisations for operational or managerial control. This site does not show the names of persons.
Is Mountain Laurel Rehabilitation and Nursing 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.