Holston Health & Rehabilitation
Nursing Home Facility
990 Holston Rd, Wytheville, VA 24382
Holston Health & Rehabilitation is a senior care community located in Wytheville, VA. It provides assisted living, nursing home care, and senior living for older adults in the Wytheville area. To learn more or schedule a tour, call (276) 228-5595.
With 137 beds, Holston Health & Rehabilitation is one of the larger communities in the area, senior care communities in Wytheville average about 70 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 68% of its licensed beds. That is above the Wytheville average of roughly 52%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Wytheville average about 3.0 stars. Its most recent standard health inspection was in May 2025 and recorded 31 deficiencies.
Residents receive about 3.1 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Communities in Wytheville average about 5.9 hours. Nursing staff turnover over the past year was about 78%, which is high and can affect continuity of care.
The community is located in Wythe County, VA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 68 problems at Holston Health & Rehabilitation. 2 findings involved harm to a resident, including 1 that put residents in immediate danger. 18 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $111,911.
Findings from the most recent inspection cycle
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Put residents in immediate danger, a pattern
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Provide safe, appropriate pain management for a resident who requires such services.
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Could cause more than minimal harm, a pattern
Resident Rights
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.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
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.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Show 23 more
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Could cause more than minimal harm, a pattern
Administration
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Allow residents to self-administer drugs if determined clinically appropriate.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Prepare residents for a safe transfer or discharge from the nursing home.
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Could cause more than minimal harm, one or a few residents
Resident 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.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care or services that was trauma informed and/or culturally competent.
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Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Administration
Provide timely, quality laboratory services/tests to meet the needs of residents.
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Could cause more than minimal harm, one or a few residents
Administration
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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Could cause more than minimal harm, one or a few residents
Administration
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Administration
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Holston Health & Rehabilitation offers assisted living, nursing home care, and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 137
- Occupancy 68%
- Nursing hours per resident/day 3.1
- Annual staff turnover 78%
- Last health inspection May 2025
Resident & family reviews
No one has shared a review of Holston Health & Rehabilitation yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.