Nursing homeFAID #12620
Holston Health & Rehabilitation
990 HOLSTON RD, WYTHEVILLE, VA, 24382
(276) 228-5595
137 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare
Photo via Google · Herbert Smith
Public record summary
What we can show you for free.
Bed capacity
137
CMS facility ID
495349
Care type
Nursing home
County
Wythe
Facility name
Holston Health & Rehabilitation
Street address
990 HOLSTON RD
City / state / ZIP
Wytheville, VA 24382
Phone
(276) 228-5595
About this facility — Holston Health & Rehabilitation
Holston Health & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Wytheville, Virginia. It is licensed for 137 beds — above the median for skilled nursing facilities in Virginia (117 beds).
It is one of 6 senior care facilities in Wytheville and 289 skilled nursing facilities across Virginia. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Holston Health & Rehabilitation 92 times across 8 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $111,911 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Ownership type
For profit - Corporation
Regulatory standing
Licensed / certified since
2000-11-01
CMS overall rating
1 of 5 stars
Health deficiencies
31 at the last standard inspection
Federal fines
$111,911 total
Last standard inspection
2025-05-07
Nurse staffing
3.1 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$286 per day (≈ $8,690/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
47% Medicaid · 5% Medicare · 48% private/other
Occupancy
75% (fiscal year 2023)
Vs. state median
29% below the VA median of $401/day — full state cost breakdown
Services & coverage
Licensed beds
137
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2025-05-07Health inspectionComplaint-triggered32 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-09-04
F-0578
E · No harm found
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.
Corrected 2025-06-06
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-06-06
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-06-06
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-06-06
F-0624
D · No harm found
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2025-06-06
F-0625
D · No harm found
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.
Corrected 2025-06-06
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-09-04
F-0655
E · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-06-06
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-04
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-06-06
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-06
F-0684
K · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-04
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-06-06
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-04
F-0697
G · Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-06-06
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-09-04
F-0711
D · No harm found
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-06-06
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-06-06
F-0727
E · No harm found
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.
Corrected 2025-06-06
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-04
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-06-06
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2025-09-04
F-0761
D · No harm found
Ensure 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.
Corrected 2025-06-06
F-0770
D · No harm found
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-06-06
F-0773
D · No harm found
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-06-06
F-0776
D · No harm found
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2025-06-06
F-0839
D · No harm foundFrom a complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected 2025-06-06
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-04
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-09-04
F-0941
D · No harm found
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2025-06-06
F-0949
E · No harm found
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2025-06-06
2024-02-02Health inspectionComplaint-triggered15 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-03-13
F-0637
D · No harm foundFrom a complaint
Assess the resident when there is a significant change in condition
Corrected 2024-03-13
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-13
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-13
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-13
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-13
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-13
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-13
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-13
F-0711
F · No harm foundFrom a complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-03-13
F-0745
D · No harm foundFrom a complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-03-13
F-0757
D · No harm foundFrom a complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-03-13
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-13
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-03-13
F-0908
D · No harm foundFrom a complaint
Keep all essential equipment working safely.
Corrected 2024-03-13
5 earlier / fire-safety inspections (45 citations)
2022-05-12Health inspection3 citations
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-05-13
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-05-13
F-0886
D · No harm found
Perform COVID19 testing on residents and staff.
Corrected 2022-05-13
2019-06-07Health inspection18 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-07-19
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2019-07-19
F-0584
D · No harm found
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.
Corrected 2019-07-19
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2019-07-19
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-07-19
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-07-19
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-07-19
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-07-19
F-0694
D · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2019-07-19
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-07-19
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2019-07-19
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-07-19
F-0758
E · No harm found
Implement 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.
Corrected 2019-07-19
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-07-19
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2019-07-19
F-0761
E · No harm found
Ensure 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.
Corrected 2019-07-19
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-07-19
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-07-19
2025-05-07Fire-safety inspection7 citations
E-0007
E · No harm found
Address patient/client population and determine types of services needed.
Corrected 2025-06-06
E-0015
E · No harm found
Address subsistence needs for staff and patients.
Corrected 2025-06-06
E-0024
E · No harm found
Establish policies and procedures for volunteers.
Corrected 2025-06-06
E-0037
E · No harm found
Establish staff and initial training requirements.
Corrected 2025-06-06
E-0039
E · No harm found
Conduct testing and exercise requirements.
Corrected 2025-06-06
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-09-25
K-0932
E · No harm found
Meet other general requirements.
Corrected 2025-09-25
2022-05-12Fire-safety inspection13 citations
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2023-01-19
K-0221
E · No harm found
Provide rooms that can be unlocked from inside without a key.
Corrected 2022-10-03
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-12-30
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2022-10-03
K-0345
E · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-12-30
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-03
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2022-10-03
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2022-12-30
K-0521
E · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-12-30
K-0711
D · No harm found
Provide a written emergency evacuation plan.
Corrected 2022-10-03
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-12-30
K-0914
E · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-10-03
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2022-12-30
2019-06-07Fire-safety inspection4 citations
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2019-07-29
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-07-29
K-0351
F · No harm found
Install an approved automatic sprinkler system.
Corrected 2019-07-29
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2019-07-29
Federal penalties
2025-05-07Fine$111,911
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 495349.
Visitor reviews
What people say on Google.
4.6★★★★★10 ratings on Google
★★★★★Karie Geiss · 2026-05-29 · via Google“The facilities were clean and the staff was engaged and caring towards the residents. I couldn’t believe they had a beauty parlor, chapel and a dining room (where staff served like a restaurant). I took a tour with their marketing Director Barb Sewell who knew the name of each resident we ran into and she even took the time to go above and beyond for them .”
★★★★★vwexpo1 · 2026-07-10 · via Google“Barb was fantastic! She was very helpful when she gave us a tour for my father. Thank you Holston Health!!!”
★★★★★Victoria Dunagan · 2026-02-13 · via Google“Holston Health & Rehab truly cares about the people they serve. The staff are patient, kind, and attentive. The building is clean and the atmosphere is so welcoming. It’s such a relief knowing my family is treated with dignity and respect.”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 92 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
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Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered