Nursing HomeInspections

Holston Health & Rehabilitation

Nursing home in Wytheville, VA

Medicare & Medicaid certified1★ overall (CMS)

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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
4 of 5
Certified beds
137
Average residents per day
96
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

CMS certification number 495349. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

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”.

InspectionCitationSeverity
May 7, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
May 7, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
May 7, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
May 7, 2025Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights		D
Potential for more than minimal harm, isolated
May 7, 2025Prepare residents for a safe transfer or discharge from the nursing home.
Resident Rights		D
Potential for more than minimal harm, isolated
May 7, 2025Notify 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.
Resident Rights		D
Potential for more than minimal harm, isolated
May 7, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 7, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 7, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 7, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 7, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 7, 2025Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 68. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $111,911 in the last three years.

May 7, 2025Fine: $111,911

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.93 hours
Registered nurse (RN) time per resident per day
0.48 hours
Nurse aide time per resident per day
1.61 hours
Total nurse staffing on weekends
2.56 hours
Nursing staff turnover (yearly)
75%
RN turnover (yearly)
80%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

Other nursing homes in Wytheville

Wythe Cnty Community Hosp Ecu600 W Ridge Rd · Wytheville, VA 24382 · (276) 228-0200 · For-profit6 health citations in 3 inspection cycles · last standard inspection Nov 25, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

All 2 in Wytheville →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error