Wythe Cnty Community Hosp Ecu
Wytheville · 1.0 mi · 8 beds
Citations0Substantiated0
Holston Health & Rehabilitation
990 HOLSTON RD, Wytheville, VA, 24382
Nursing home137 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 31 deficiencies against Holston Health & Rehabilitation in Wytheville, Virginia at its most recent standard inspection on 2025-05-07, 2 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $111,911. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
137certified beds
31deficiencies at the last inspection
1immediate-jeopardy findings on record
1actual-harm findings on record
1federal fines, $111,911
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.66
Potential for minimal harmThe least serious band.0
Most recentKGEEEEEEEDDDDDDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-05-07 · from a complaint · Immediate jeopardy to resident health or safety
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · F0697 · 2025-05-07 · standard survey · Actual harm to a resident
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.
Resident Rights Deficiencies · F0578 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · F0655 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2025-05-07 · from a complaint · No actual harm, potential for more than minimal harm
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.
Nursing and Physician Services Deficiencies · F0727 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · F0949 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · F0554 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · F0582 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · F0623 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Prepare residents for a safe transfer or discharge from the nursing home.
Resident Rights Deficiencies · F0624 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0625 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-05-07 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS3.11424
Nursing staff turnoverShare of nursing staff who left in a year78%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$111,911
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask Holston Health & Rehabilitation a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 495349.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction