Starfile / Virginia

Holston Health and Rehabilitation

990 HOLSTON RD, WYTHEVILLE, VA 24382 · CCN 495349

Inspection history vs Virginia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$111,911

Number of fines

1

Number of penalties

1

Payment denials

0

Inspection citations (68)1 immediate jeopardy1 actual harm

1. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-05-07 · Health · corrected 2025-09-04

   Potential for more than minimal harm

2. EF0578Honor 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.2025-05-07 · Health · corrected 2025-06-06

   Potential for more than minimal harm

3. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-05-07 · Health · corrected 2025-06-06

   Potential for more than minimal harm

4. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-05-07 · Health · corrected 2025-06-06

   Potential for more than minimal harm

5. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-05-07 · Health · corrected 2025-06-06

   Potential for more than minimal harm

6. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2025-05-07 · Health · corrected 2025-06-06

   Potential for more than minimal harm

7. DF0625Notify 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.2025-05-07 · Health · corrected 2025-06-06

   Potential for more than minimal harm

8. DF0641Ensure each resident receives an accurate assessment.2025-05-07 · Health · corrected 2025-09-04

   Potential for more than minimal harm

9. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-05-07 · Health · corrected 2025-06-06

   Potential for more than minimal harm

10. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-07 · Health · corrected 2025-09-04

    Potential for more than minimal harm

11. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

12. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

13. KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-07 · Health · corrected 2025-09-04

    Immediate jeopardy

14. DF0692Provide enough food/fluids to maintain a resident's health.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

15. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-07 · Health · corrected 2025-09-04

    Potential for more than minimal harm

16. GF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-07 · Health · corrected 2025-06-06

    Actual harm

17. DF0699Provide care or services that was trauma informed and/or culturally competent.2025-05-07 · Health · corrected 2025-09-04

    Potential for more than minimal harm

18. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

19. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

20. EF0727Have 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.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

21. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-07 · Health · corrected 2025-09-04

    Potential for more than minimal harm

22. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

23. DF0760Ensure that residents are free from significant medication errors.2025-05-07 · Health · corrected 2025-09-04

    Potential for more than minimal harm

24. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

25. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

26. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

27. DF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

28. DF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

29. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-07 · Health · corrected 2025-09-04

    Potential for more than minimal harm

30. DF0880Provide and implement an infection prevention and control program.2025-05-07 · Health · corrected 2025-09-04

    Potential for more than minimal harm

31. DF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

32. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

33. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-02 · Health · corrected 2024-03-13

    Potential for more than minimal harm

34. DF0637Assess the resident when there is a significant change in condition2024-02-02 · Health · corrected 2024-03-13

    Potential for more than minimal harm

35. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-02 · Health · corrected 2024-03-13

    Potential for more than minimal harm

36. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-02 · Health · corrected 2024-03-13

    Potential for more than minimal harm

37. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-02 · Health · corrected 2024-03-13

    Potential for more than minimal harm

38. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-02 · Health · corrected 2024-03-13

    Potential for more than minimal harm

39. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-02 · Health · corrected 2024-03-13

    Potential for more than minimal harm

40. DF0692Provide enough food/fluids to maintain a resident's health.2024-02-02 · Health · corrected 2024-03-13

    Potential for more than minimal harm

41. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-02 · Health · corrected 2024-03-13

    Potential for more than minimal harm

42. FF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-02-02 · Health · corrected 2024-03-13

    Potential for more than minimal harm

43. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-02-02 · Health · corrected 2024-03-13

    Potential for more than minimal harm

44. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-02-02 · Health · corrected 2024-03-13

    Potential for more than minimal harm

45. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-02 · Health · corrected 2024-03-13

    Potential for more than minimal harm

46. DF0880Provide and implement an infection prevention and control program.2024-02-02 · Health · corrected 2024-03-13

    Potential for more than minimal harm

47. DF0908Keep all essential equipment working safely.2024-02-02 · Health · corrected 2024-03-13

    Potential for more than minimal harm

48. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-05-12 · Health · corrected 2022-05-13

    Potential for more than minimal harm

49. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-05-12 · Health · corrected 2022-05-13

    Potential for more than minimal harm

50. DF0886Perform COVID19 testing on residents and staff.2022-05-12 · Health · corrected 2022-05-13

    Potential for more than minimal harm

51. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

52. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

53. DF0584Honor 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.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

54. DF0641Ensure each resident receives an accurate assessment.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

55. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

56. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

57. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

58. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

59. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

60. DF0695Provide safe and appropriate respiratory care for a resident when needed.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

61. DF0697Provide safe, appropriate pain management for a resident who requires such services.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

62. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

63. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

64. DF0759Ensure medication error rates are not 5 percent or greater.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

65. DF0760Ensure that residents are free from significant medication errors.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

66. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

67. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

68. DF0880Provide and implement an infection prevention and control program.2019-06-07 · Health · corrected 2019-07-19

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in WYTHEVILLE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.