MOUNTAIN LAUREL REHABILITATION AND NURSING
MOUNTAIN LAUREL REHABILITATION AND NURSING is a 120-bed nursing home in RURAL RETREAT, Virginia. CMS has certified it for Medicare and Medicaid since 2015-01-29. It averages 101.7 residents a day.
What harm was found in the violations cited at MOUNTAIN LAUREL REHABILITATION AND NURSING?
CMS lists 87 health-inspection deficiencies for MOUNTAIN LAUREL REHABILITATION AND NURSING since 2021-07-01, 76 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-04-08.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-04-08 | F0600, F0684, F0742 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide 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. | J |
| 2025-04-08 | F0675, F0690, F0776, F0777 | Honor each resident's preferences, choices, values and beliefs. / 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 timely, approved x-ray services, or have an agreement with an approved provider to obtain them. / Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | G |
| 2025-04-08 | F0565, F0578, F0584, F0607, F0623, F0625, F0655, F0656, F0658, F0677, F0725, F0770, F0812, F0814, F0842, F0865, F0944 | Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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 enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E |
| 2025-04-08 | F0557, F0580, F0583, F0622, F0635, F0641, F0645, F0661, F0679, F0686, F0689, F0692, F0695, F0698, F0710, F0711, F0740, F0755, F0756, F0757, F0758, F0759, F0760, F0761, F0773, F0806, F0840, F0841, F0849, F0880, F0883 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Keep residents' personal and medical records private and confidential. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide doctor's orders for the resident's immediate care at the time the resident was admitted. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide activities to meet all resident's needs. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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 safe, appropriate dialysis care/services for a resident who requires such services. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / 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 each resident’s drug regimen must be free from unnecessary drugs. / 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 medication error rates are not 5 percent or greater. / 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 or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Employ 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. / Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2025-04-08 | F0732 | Post nurse staffing information every day. | C |
| 2024-12-04 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2024-12-04 | F0558, F0584, F0684, F0755, F0760, F0880 | Reasonably accommodate the needs and preferences of each 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program. | D |
| 2023-08-14 | F0730, F0842, F0947 | Observe each nurse aide's job performance and give regular training. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2023-08-14 | F0602, F0677, F0684, F0690, F0694, F0710, F0726, F0812, F0839, F0851 | Protect each resident from the wrongful use of the resident's belongings or money. / 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. / 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. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Employ staff that are licensed, certified, or registered in accordance with state laws. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D |
| 2021-07-01 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2021-07-01 | F0684, F0880 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide and implement an infection prevention and control program. | E |
| 2021-07-01 | F0578, F0580, F0583, F0686, F0692, F0755, F0760, F0883 | 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Keep residents' personal and medical records private and confidential. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
Why was MOUNTAIN LAUREL REHABILITATION AND NURSING fined 8 times?
| Date | Type | Amount |
|---|---|---|
| 2025-04-08 | Fine | $170,017 |
| 2024-12-04 | Fine | $8,357 |
| 2023-09-25 | Fine | $4,235 |
| 2023-09-18 | Fine | $3,882 |
| 2023-09-11 | Fine | $3,529 |
| 2023-09-05 | Fine | $3,176 |
| 2023-08-28 | Fine | $2,823 |
| 2023-08-21 | Fine | $2,470 |
How is MOUNTAIN LAUREL REHABILITATION AND NURSING staffed relative to the VA average?
| Measure | This facility | VA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.13592 | 3.75779 |
| Total nursing staff turnover (%) | 62.6 | 48.1 |
| Average number of residents per day | 101.7 | 99.5 |
Who owns MOUNTAIN LAUREL REHABILITATION AND NURSING, and what chain is it in?
MOUNTAIN LAUREL REHABILITATION AND NURSING is registered with CMS as For profit - Limited Liability company, operates under the legal business name WYTHE VA OPCO LLC and belongs to the EASTERN HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | VA SNF OPERATIONS HOLDINGS LLC | since 12/28/2023 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | LYAM FAMILY TRUST | since 12/28/2023 |
| INDIRECT OWNERSHIP INTEREST | APEX GLOBAL SOLUTIONS LLC, YDI EASTERN HOLDCO LLC, YDI IRREVOCABLE TRUST, GITTLESON, LAYLA | since 12/28/2023 |
| 5% OR GREATER MORTGAGE INTEREST | CAPITAL FUNDING GROUP | since 12/28/2023 |
| MANAGING CONTROL - GOVERNING BODY | GITTLESON, YEHUDA | since 12/28/2023 |
| CORPORATE OFFICER | SHAPIRO, AKIVA | since 12/28/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | CAPITAL FUNDING GROUP, VA SNF MASTER CONSULTING LLC, VA SNF OPERATIONS HOLDINGS 3 LLC, YDI EASTERN HOLDCO LLC, GITTLESON, YEHUDA, HAJIMOMENIAN, AMIR, HARTMAN, AARON, SHAPIRO, AKIVA, SOMMER, NECHAMA | since 12/28/2023 |
| TRUSTEE OF THE SNF | GITTLESON, YEHUDA | since 12/28/2023 |
Were you or a family member harmed at MOUNTAIN LAUREL REHABILITATION AND NURSING?