Mountain Laurel Rehabilitation and Nursing

514 North Main Street, Rural Retreat, VA 24368 · (276) 686-7000
For profit - Limited Liability company · 120 certified beds

Mountain Laurel Rehabilitation and Nursing has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2025, found 56 citations, 7 for actual harm or immediate jeopardy (the Virginia average is 14.3). It was fined 4 times in the last three years, $186,491 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on April 8, 2025 found 56 citations. What an inspection citation means

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 8, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 8, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• 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.April 8, 2025 · F0742 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Honor each resident's preferences, choices, values and beliefs.April 8, 2025 · F0675 · Level of harm: Actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.April 8, 2025 · F0690 · Level of harm: Actual harm · Residents affected: Few
• Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.April 8, 2025 · F0776 · Level of harm: Actual harm · Residents affected: Few
• Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.April 8, 2025 · F0777 · Level of harm: Actual harm · Residents affected: Few
• Honor the resident's right to organize and participate in resident/family groups in the facility.April 8, 2025 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.April 8, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.April 8, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.April 8, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.April 8, 2025 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.April 8, 2025 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedApril 8, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.April 8, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.April 8, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.April 8, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.April 8, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide timely, quality laboratory services/tests to meet the needs of residents.April 8, 2025 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 8, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Dispose of garbage and refuse properly.April 8, 2025 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 8, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Have a plan that describes the process for conducting QAPI and QAA activities.April 8, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.April 8, 2025 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.April 8, 2025 · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.April 8, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep residents' personal and medical records private and confidential.April 8, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.April 8, 2025 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide doctor's orders for the resident's immediate care at the time the resident was admitted.April 8, 2025 · F0635 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.April 8, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• PASARR screening for Mental disorders or Intellectual DisabilitiesApril 8, 2025 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.April 8, 2025 · F0661 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide activities to meet all resident's needs.April 8, 2025 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 8, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 8, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.April 8, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.April 8, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.April 8, 2025 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.April 8, 2025 · F0710 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.April 8, 2025 · F0711 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.April 8, 2025 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 8, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.April 8, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.April 8, 2025 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 8, 2025 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.April 8, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.April 8, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 8, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.April 8, 2025 · F0773 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.April 8, 2025 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Employ 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.April 8, 2025 · F0840 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.April 8, 2025 · F0841 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.April 8, 2025 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.April 8, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures for flu and pneumonia vaccinations.April 8, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Post nurse staffing information every day.April 8, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many

Complaint inspections, last three years

Inspections after complaints found 22 citations.

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 8, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.April 8, 2025 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.April 8, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.April 8, 2025 · F0661 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor each resident's preferences, choices, values and beliefs.April 8, 2025 · F0675 · Level of harm: Actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.April 8, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide activities to meet all resident's needs.April 8, 2025 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 8, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.April 8, 2025 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 8, 2025 · F0742 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.April 8, 2025 · F0777 · Level of harm: Actual harm · Residents affected: Few
• Employ 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.April 8, 2025 · F0840 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 8, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.April 8, 2025 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Have a plan that describes the process for conducting QAPI and QAA activities.April 8, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.December 4, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.December 4, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 4, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.December 4, 2024 · F0697 · Level of harm: Actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 4, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.December 4, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.December 4, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $170,017April 8, 2025
• Fine of $8,357December 4, 2024
• Fine of $4,235September 25, 2023
• Fine of $3,882September 18, 2023

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home