Holston Health and Rehabilitation

WYTHEVILLE, VA · 137 beds · For profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 1-star staffing rating
  • 32 deficiencies — 2.2x the state average
  • 1 citation(s) at the highest severity level — immediate risk to residents
  • 1 citation(s) where residents suffered actual harm
  • $79,870 in fines
  • RN hours significantly below state average
  • 70% total nursing staff turnover

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
32
2.2x state avg
Deficiencies
$79,870
Fines (3-yr)
★☆☆☆☆
Staffing

Violation Timeline

May 6, 2025

20 deficiencyies
F0839 Potential Harm Scope/Severity: D

Administration Deficiencies

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Employ staff that are licensed, certified, or registered in accordance with state laws.

F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0578 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0582 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0624 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Prepare residents for a safe transfer or discharge from the nursing home.

F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0655 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0658 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

F0692 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide enough food/fluids to maintain a resident's health.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0697 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide safe, appropriate pain management for a resident who requires such services.

F0699 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care or services that was trauma informed and/or culturally competent.

F0711 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

F0727 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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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.

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

See full violation history →

Staffing

0.25
RN hrs/res/day
1.19
LPN hrs/res/day
1.96
CNA hrs/res/day
3.01
Weekend hrs/res/day
70%
Total nurse turnover
80%
RN turnover

A nurse checks on each resident roughly every 7.1 hours on average.

Fines & Penalties

  • Fine May 6, 2025
    $79,870
Total $79,870

Ownership

For profit - Corporation Independent (not part of a chain)
  • Ownership Data Not Available

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