Holston Health & Rehabilitation
Nursing home in Wytheville, VA
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 990 Holston Rd, Wytheville, VA 24382
- Phone
- (276) 228-5595
- Listed under
- For-profit
- Medicare CCN
- 495349
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 3 of 5
- Certified beds
- 137
- Average residents per day
- 93
- Ownership
- For-profit, corporation
- Legal business name
- Legal Business Name Not Available
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Nov 1, 2000
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident and family councils
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: May 7, 2025. CMS lists 68 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 7, 2019 to May 7, 2025): 18 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| May 7, 2025 | Allow residents to self-administer drugs if determined clinically appropriate. | 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. | D |
| May 7, 2025 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | 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. | D |
| May 7, 2025 | Prepare residents for a safe transfer or discharge from the nursing home. | 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. | D |
| May 7, 2025 | Ensure each resident receives an accurate assessment. | 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. | 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. | D |
| May 7, 2025 | Provide enough food/fluids to maintain a resident's health. | D |
| May 7, 2025 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| May 7, 2025 | Provide care or services that was trauma informed and/or culturally competent. | D |
Fines and payment denials
CMS records 1 fine totalling $111,911 in the last three years.
| May 7, 2025 | Fine: $111,911 |
Staffing
- Total nurse staffing per resident per day
- 3.11 hours
- Registered nurse (RN) time per resident per day
- 0.52 hours
- Nurse aide time per resident per day
- 1.66 hours
- Total nurse staffing on weekends
- 2.65 hours
- Nursing staff turnover (yearly)
- 78%
- RN turnover (yearly)
- 80%
- Administrators who left in the past year
- 2
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.