Mountain Laurel Rehabilitation and Nursing
514 North Main Street · Rural Retreat, VA · 24368 · 2766867000
120 certified beds For profit - Limited Liability company Chain: Eastern Healthcare Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $178,374 in fines in the last 24 months.
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Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations 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.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$178,374 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
66% 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: 3 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 2.73 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 10 · $204,839 |
Inspection citations (87 in the current record)
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Immediate jeopardy · J April 8, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J April 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 24, 2025 · Quality of Life and Care
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Immediate jeopardy · J April 8, 2025 · found via complaint
Provide 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.
Corrected May 15, 2025 · Quality of Life and Care
-
Actual harm · G April 8, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 15, 2025 · Quality of Life and Care
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Actual harm · G April 8, 2025
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected May 15, 2025 · Administration
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Actual harm · G April 8, 2025 · found via complaint
Honor each resident's preferences, choices, values and beliefs.
Corrected May 15, 2025 · Quality of Life and Care
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Actual harm · G April 8, 2025 · found via complaint
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected May 15, 2025 · Administration
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Potential for harm · D April 8, 2025
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · E April 8, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · E April 8, 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 May 15, 2025 · Resident Rights
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Potential for harm · D April 8, 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 24, 2025 · Resident Rights
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Potential for harm · D April 8, 2025
Keep residents' personal and medical records private and confidential.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · E April 8, 2025
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.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · E April 8, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 8, 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 24, 2025 · Resident Rights
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Potential for harm · E April 8, 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 May 15, 2025 · Resident Rights
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Potential for harm · D April 8, 2025
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected May 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 8, 2025
Ensure each resident receives an accurate assessment.
Corrected May 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 8, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 8, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 8, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 8, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D April 8, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D April 8, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D April 8, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 24, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 8, 2025 | Fine | $170,017 |
| December 4, 2024 | Fine | $8,357 |
| September 25, 2023 | Fine | $4,235 |
| September 18, 2023 | Fine | $3,882 |
| September 11, 2023 | Fine | $3,529 |
| September 5, 2023 | Fine | $3,176 |
| August 28, 2023 | Fine | $2,823 |
| August 21, 2023 | Fine | $2,470 |
| August 14, 2023 | Fine | $2,117 |
| July 24, 2023 | Fine | $4,233 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495417 · certified since January 29, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.