Holston Health and Rehabilitation
990 Holston Rd · Wytheville, VA · 24382 · 2762285595
137 certified beds For profit - Corporation
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$111,911 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
73% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.05 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 2.73 | ≈ weekday level |
| Nursing turnover / year | 73% | median 45% |
| Fines (3-yr window) | 1 · $111,911 |
Inspection citations (68 in the current record)
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Immediate jeopardy · K May 7, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 4, 2025 · Quality of Life and Care
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Actual harm · G May 7, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected June 6, 2025 · Quality of Life and Care
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Potential for harm · D May 7, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 4, 2025 · Resident Rights
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Potential for harm · E May 7, 2025
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.
Corrected June 6, 2025 · Resident Rights
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Potential for harm · D May 7, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 6, 2025 · Resident Rights
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Potential for harm · D May 7, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected June 6, 2025 · Resident Rights
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Potential for harm · D May 7, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 6, 2025 · Resident Rights
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Potential for harm · D May 7, 2025
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected June 6, 2025 · Resident Rights
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Potential for harm · D May 7, 2025
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.
Corrected June 6, 2025 · Resident Rights
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Potential for harm · D May 7, 2025
Ensure each resident receives an accurate assessment.
Corrected September 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 7, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 7, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 7, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 7, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 7, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected June 6, 2025 · Quality of Life and Care
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Potential for harm · D May 7, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 4, 2025 · Quality of Life and Care
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Potential for harm · D May 7, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected September 4, 2025 · Quality of Life and Care
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Potential for harm · D May 7, 2025
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected June 6, 2025 · Nursing and Physician Services
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Potential for harm · E May 7, 2025
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.
Corrected June 6, 2025 · Nursing and Physician Services
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Potential for harm · D May 7, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 4, 2025 · Pharmacy Service
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Potential for harm · D May 7, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 6, 2025 · Pharmacy Service
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Potential for harm · D May 7, 2025
Ensure that residents are free from significant medication errors.
Corrected September 4, 2025 · Pharmacy Service
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Potential for harm · D May 7, 2025
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.
Corrected June 6, 2025 · Pharmacy Service
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Potential for harm · D May 7, 2025
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected June 6, 2025 · Administration
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Potential for harm · D May 7, 2025
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected June 6, 2025 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 7, 2025 | Fine | $111,911 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495349 · certified since November 1, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.