HOLSTON HEALTH & REHABILITATION
HOLSTON HEALTH & REHABILITATION is a 137-bed nursing home in WYTHEVILLE, Virginia. CMS has certified it for Medicare and Medicaid since 2000-11-01. It averages 93.0 residents a day.
What harm was found in the violations cited at HOLSTON HEALTH & REHABILITATION?
CMS lists 68 health-inspection deficiencies for HOLSTON HEALTH & REHABILITATION since 2019-06-07, 47 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2025-05-07.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-05-07 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K |
| 2025-05-07 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2025-05-07 | F0578, F0655, F0658, F0725, F0727, F0842, F0949 | 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E |
| 2025-05-07 | F0554, F0580, F0582, F0623, F0624, F0625, F0641, F0656, F0657, F0692, F0695, F0699, F0711, F0755, F0756, F0760, F0761, F0770, F0773, F0776, F0880, F0941, F0839 | Allow residents to self-administer drugs if determined clinically appropriate. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Prepare residents for a safe transfer or discharge from the nursing home. / 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. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure that residents are free from significant medication errors. / 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. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. / Provide and implement an infection prevention and control program. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Employ staff that are licensed, certified, or registered in accordance with state laws. | D |
| 2024-02-02 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | F |
| 2024-02-02 | F0580, F0637, F0657, F0658, F0677, F0684, F0689, F0692, F0695, F0745, F0757, F0842, F0880, F0908 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Assess the resident when there is a significant change in condition / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely. | D |
| 2022-05-12 | F0756, F0842, F0886 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Perform COVID19 testing on residents and staff. | D |
| 2019-06-07 | F0684, F0758, F0761, F0804 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2019-06-07 | F0550, F0580, F0584, F0641, F0657, F0677, F0690, F0694, F0695, F0697, F0755, F0759, F0760, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program. | D |
Why was HOLSTON HEALTH & REHABILITATION fined?
| Date | Type | Amount |
|---|---|---|
| 2025-05-07 | Fine | $111,911 |
How is HOLSTON HEALTH & REHABILITATION staffed relative to the VA average?
| Measure | This facility | VA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.11424 | 3.75779 |
| Total nursing staff turnover (%) | 78.0 | 48.1 |
| Average number of residents per day | 93.0 | 99.5 |
Who owns HOLSTON HEALTH & REHABILITATION?
HOLSTON HEALTH & REHABILITATION is registered with CMS as For profit - Corporation.
Were you or a family member harmed at HOLSTON HEALTH & REHABILITATION?