Holston Health & Rehabilitation

990 Holston Rd, Wytheville, VA 24382 · (276) 228-5595
For profit - Corporation · 137 certified beds

Holston Health & Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2025, found 31 citations, 2 for actual harm or immediate jeopardy (the Virginia average is 14.3). It was fined 1 time in the last three years, $111,911 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on May 7, 2025 found 31 citations. What an inspection citation means

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 7, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Provide safe, appropriate pain management for a resident who requires such services.May 7, 2025 · F0697 · Level of harm: Actual harm · Residents affected: Few
• 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.May 7, 2025 · F0578 · 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 admittedMay 7, 2025 · F0655 · 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.May 7, 2025 · F0658 · 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.May 7, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.May 7, 2025 · F0727 · 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.May 7, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide behavior health training consistent with the requirements and as determined by a facility assessment.May 7, 2025 · F0949 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Allow residents to self-administer drugs if determined clinically appropriate.May 7, 2025 · F0554 · 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.May 7, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.May 7, 2025 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.May 7, 2025 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Prepare residents for a safe transfer or discharge from the nursing home.May 7, 2025 · F0624 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 7, 2025 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.May 7, 2025 · F0641 · 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.May 7, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.May 7, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.May 7, 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.May 7, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care or services that was trauma informed and/or culturally competent.May 7, 2025 · F0699 · 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.May 7, 2025 · F0711 · 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.May 7, 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.May 7, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.May 7, 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.May 7, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely, quality laboratory services/tests to meet the needs of residents.May 7, 2025 · F0770 · 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.May 7, 2025 · F0773 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.May 7, 2025 · F0776 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.May 7, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.May 7, 2025 · F0941 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 18 citations.

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 7, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · 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.May 7, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Employ staff that are licensed, certified, or registered in accordance with state laws.May 7, 2025 · F0839 · 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.February 2, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Assess the resident when there is a significant change in conditionFebruary 2, 2024 · F0637 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 2, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.February 2, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.February 2, 2024 · F0677 · 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.February 2, 2024 · F0684 · 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.February 2, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.February 2, 2024 · 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.February 2, 2024 · F0695 · 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.February 2, 2024 · F0711 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide medically-related social services to help each resident achieve the highest possible quality of life.February 2, 2024 · F0745 · 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.February 2, 2024 · F0757 · 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.February 2, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.February 2, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep all essential equipment working safely.February 2, 2024 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $111,911May 7, 2025

Nurse staffing

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

About this home