Starfile / Virginia

MOUNTAIN LAUREL REHABILITATION AND NURSING

514 NORTH MAIN STREET, RURAL RETREAT, VA 24368 · CCN 495417

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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

$204,839

Number of fines

10

Number of penalties

10

Payment denials

0

Chain

Chain

EASTERN HEALTHCARE GROUP

Facilities in chain

17

Chain avg overall

1.30 / 5

Inspection citations (87)3 immediate jeopardy5 actual harm

1. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-04-08 · Health · corrected 2025-05-15

   Potential for more than minimal harm

2. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-04-08 · Health · corrected 2025-05-15

   Potential for more than minimal harm

3. 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.2025-04-08 · Health · corrected 2025-05-15

   Potential for more than minimal harm

4. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-04-08 · Health · corrected 2025-06-24

   Potential for more than minimal harm

5. DF0583Keep residents' personal and medical records private and confidential.2025-04-08 · Health · corrected 2025-05-15

   Potential for more than minimal harm

6. EF0584Honor 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.2025-04-08 · Health · corrected 2025-05-15

   Potential for more than minimal harm

7. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-08 · Health · corrected 2025-05-15

   Immediate jeopardy

8. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-04-08 · Health · corrected 2025-05-15

   Potential for more than minimal harm

9. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2025-04-08 · Health · corrected 2025-05-15

   Potential for more than minimal harm

10. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-04-08 · Health · corrected 2025-06-24

    Potential for more than minimal harm

11. EF0625Notify 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.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

12. DF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

13. DF0641Ensure each resident receives an accurate assessment.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

14. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

15. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

16. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-08 · Health · corrected 2025-06-24

    Potential for more than minimal harm

17. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

18. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

19. GF0675Honor each resident's preferences, choices, values and beliefs.2025-04-08 · Health · corrected 2025-05-15

    Actual harm

20. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

21. DF0679Provide activities to meet all resident's needs.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

22. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-08 · Health · corrected 2025-06-24

    Immediate jeopardy

23. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

24. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

25. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-08 · Health · corrected 2025-05-15

    Actual harm

26. DF0692Provide enough food/fluids to maintain a resident's health.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

27. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-08 · Health · corrected 2025-06-24

    Potential for more than minimal harm

28. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

29. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

30. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

31. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

32. CF0732Post nurse staffing information every day.2025-04-08 · Health · corrected 2025-05-15

    Potential for minimal harm

33. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

34. JF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2025-04-08 · Health · corrected 2025-05-15

    Immediate jeopardy

35. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-08 · Health · corrected 2025-06-24

    Potential for more than minimal harm

36. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

37. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-04-08 · Health · corrected 2025-06-24

    Potential for more than minimal harm

38. DF0758Implement 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.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

39. DF0759Ensure medication error rates are not 5 percent or greater.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

40. DF0760Ensure that residents are free from significant medication errors.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

41. 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.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

42. EF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-04-08 · Health · corrected 2025-06-24

    Potential for more than minimal harm

43. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

44. GF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2025-04-08 · Health · corrected 2025-05-15

    Actual harm

45. GF0777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.2025-04-08 · Health · corrected 2025-05-15

    Actual harm

46. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

47. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-08 · Health · corrected 2025-06-24

    Potential for more than minimal harm

48. EF0814Dispose of garbage and refuse properly.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

49. DF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

50. DF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

51. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-08 · Health · corrected 2025-06-24

    Potential for more than minimal harm

52. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

53. EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

54. DF0880Provide and implement an infection prevention and control program.2025-04-08 · Health · corrected 2025-06-24

    Potential for more than minimal harm

55. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

56. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-04-08 · Health · corrected 2025-05-15

    Potential for more than minimal harm

57. DF0558Reasonably accommodate the needs and preferences of each resident.2024-12-04 · Health · corrected 2025-01-31

    Potential for more than minimal harm

58. 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.2024-12-04 · Health · corrected 2025-01-31

    Potential for more than minimal harm

59. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-04 · Health · corrected 2025-01-31

    Potential for more than minimal harm

60. GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-12-04 · Health · corrected 2025-01-23

    Actual harm

61. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-04 · Health · corrected 2025-01-31

    Potential for more than minimal harm

62. DF0760Ensure that residents are free from significant medication errors.2024-12-04 · Health · corrected 2025-01-23

    Potential for more than minimal harm

63. DF0880Provide and implement an infection prevention and control program.2024-12-04 · Health · corrected 2025-01-31

    Potential for more than minimal harm

64. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-08-14 · Health · corrected 2023-09-13

    Potential for more than minimal harm

65. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-14 · Health · corrected 2023-09-13

    Potential for more than minimal harm

66. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-14 · Health · corrected 2023-09-13

    Potential for more than minimal harm

67. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-08-14 · Health · corrected 2023-09-13

    Potential for more than minimal harm

68. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-08-14 · Health · corrected 2023-09-13

    Potential for more than minimal harm

69. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2023-08-14 · Health · corrected 2023-09-13

    Potential for more than minimal harm

70. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-08-14 · Health · corrected 2023-09-13

    Potential for more than minimal harm

71. EF0730Observe each nurse aide's job performance and give regular training.2023-08-14 · Health · corrected 2023-09-13

    Potential for more than minimal harm

72. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-14 · Health · corrected 2023-09-13

    Potential for more than minimal harm

73. DF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2023-08-14 · Health · corrected 2023-09-13

    Potential for more than minimal harm

74. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-14 · Health · corrected 2023-09-13

    Potential for more than minimal harm

75. DF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-08-14 · Health · corrected 2023-09-13

    Potential for more than minimal harm

76. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-08-14 · Health · corrected 2023-09-13

    Potential for more than minimal harm

77. DF0578Honor 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.2021-07-01 · Health · corrected 2021-07-31

    Potential for more than minimal harm

78. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2021-07-01 · Health · corrected 2021-07-31

    Potential for more than minimal harm

79. DF0583Keep residents' personal and medical records private and confidential.2021-07-01 · Health · corrected 2021-07-31

    Potential for more than minimal harm

80. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-07-01 · Health · corrected 2021-07-31

    Potential for more than minimal harm

81. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-07-01 · Health · corrected 2021-07-31

    Potential for more than minimal harm

82. DF0692Provide enough food/fluids to maintain a resident's health.2021-07-01 · Health · corrected 2021-07-31

    Potential for more than minimal harm

83. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-07-01 · Health · corrected 2021-07-31

    Potential for more than minimal harm

84. DF0760Ensure that residents are free from significant medication errors.2021-07-01 · Health · corrected 2021-07-31

    Potential for more than minimal harm

85. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-07-01 · Health · corrected 2021-07-31

    Potential for more than minimal harm

86. EF0880Provide and implement an infection prevention and control program.2021-07-01 · Health · corrected 2021-07-31

    Potential for more than minimal harm

87. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2021-07-01 · Health · corrected 2021-07-31

    Potential for more than minimal harm

Ownership

Other facilities in RURAL RETREAT

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