MOUNTAIN LAUREL REHABILITATION AND NURSING

RURAL RETREAT, VA · 120 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • 1-star health inspection rating (lowest possible)
  • 56 deficiencies — 3.8x the state average
  • 3 citation(s) at the highest severity level — immediate risk to residents
  • 5 citation(s) where residents suffered actual harm
  • $204,839 in fines over 3 years
  • 61% total nursing staff turnover

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
56
3.8x state avg
Deficiencies
$204,839
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

April 7, 2025

20 deficiencyies
F0557 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

F0565 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to organize and participate in resident/family groups in the facility.

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.

F0583 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Keep residents' personal and medical records private and confidential.

F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0607 Potential Harm Scope/Severity: E

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Develop and implement policies and procedures to prevent abuse, neglect, and theft.

F0623 Potential Harm Scope/Severity: E

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.

F0625 Potential Harm Scope/Severity: E

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.

F0635 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0645 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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PASARR screening for Mental disorders or Intellectual Disabilities

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

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.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0690 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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.

F0698 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate dialysis care/services for a resident who requires such services.

See full violation history →

Staffing

0.50
RN hrs/res/day
1.13
LPN hrs/res/day
2.06
CNA hrs/res/day
3.05
Weekend hrs/res/day
61%
Total nurse turnover
64%
RN turnover

A nurse checks on each resident roughly every 6.5 hours on average.

Fines & Penalties

  • Fine Apr 7, 2025
    $170,017
  • Fine Dec 3, 2024
    $8,357
  • Fine Sep 24, 2023
    $4,235
  • Fine Sep 17, 2023
    $3,882
  • Fine Sep 10, 2023
    $3,529
  • Fine Sep 4, 2023
    $3,176
  • Fine Aug 27, 2023
    $2,823
  • Fine Aug 20, 2023
    $2,470
  • Fine Aug 13, 2023
    $2,117
  • Fine Jul 23, 2023
    $4,233
Total $204,839

Ownership

For profit - Limited Liability company Chain: EASTERN HEALTHCARE GROUP
  • VA SNF OPERATIONS HOLDINGS LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 12/28/2023

    100% Organization
  • LYAM FAMILY TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/28/2023

    50% Organization
  • YDI IRREVOCABLE TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/28/2023

    50% Organization
  • CAPITAL FUNDING GROUP

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/28/2023

    Organization
  • VA SNF MASTER CONSULTING LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/28/2023

    Organization
  • VA SNF OPERATIONS HOLDINGS 3 LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/28/2023

    Organization
  • YDI EASTERN HOLDCO LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/28/2023

    Organization
  • GITTLESON, YEHUDA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/28/2023

    Individual
  • HAJIMOMENIAN, AMIR

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/28/2023

    Individual
  • HARTMAN, AARON

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/28/2023

    Individual
  • SHAPIRO, AKIVA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/28/2023

    Individual
  • SOMMER, NECHAMA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/28/2023

    Individual
  • SHAPIRO, AKIVA

    CORPORATE OFFICER

    Since since 12/28/2023

    Individual
  • CAPITAL FUNDING GROUP

    5% OR GREATER MORTGAGE INTEREST

    Since since 12/28/2023

    Organization