Holston Health and Rehabilitation in Wytheville, VA has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing ratings and 2-star quality measures. Reported nurse staffing is 3.05 hours per resident per day, below the 4.1 federal benchmark, and the facility has had $111,911 in fines in the last 24 months, including a recent federal penalty.
Last inspection: May 7, 2025Penalties, last 24 months: $111,911recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0488.
Staffing detail
Registered nurses
0.29
Licensed practical nurses
1.02
Nurse aides
1.74
Weekend nursing
2.73
Hours per resident per day.
Total staff turnover: 73%
Registered nurse turnover: 80%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
9.6%Worsening
Residents with a fall causing major injury
2.9%Improving
Residents with pressure ulcers (bedsores)
2.8%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
6.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
29.5%Improving
Residents whose ability to walk got worse
32.6%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
31.1%Worsening
Short-stay residents newly given an antipsychotic
0.5%Improving
Residents with a long-term catheter
1.6%Worsening
Residents with new or worsening incontinence
20.6%Worsening
Residents with depressive symptoms
17.5%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
94.3%Steady
Short-stay residents given the pneumonia vaccine
99.5%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2025 — limited pattern, immediate jeopardy to residents.
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F-Tag 684 — 42 CFR §483.25 — S/S: K
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited May 2025 — isolated incident, actual harm.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to ensure the resident’s doctor reviewed their care and properly wrote, signed, and dated required notes and orders during visits. Cited February 2024 — widespread issue, potential for harm.
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F-Tag 711 — 42 CFR §483.30 — S/S: F
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: E
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 655 — 42 CFR §483.21 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $111,911 was recorded.
INSPECTION
Health inspection found 32 health deficiencies.
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INSPECTION
Health inspection found 15 health deficiencies.
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INSPECTION
Health inspection found 3 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $111,911 in total fines.
Federal fine
May 7, 2025
$111,911
Operator & ownership
Ownership
For profit - Corporation
Occupancy
96.8 residents on an average day (71% of 137 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 25 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.