Holston Health & Rehabilitation

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Sep 4, 2025

• Provide safe, appropriate pain management for a resident who requires such services.

  Severity G of L: actual harm, isolatedCorrected Jun 6, 2025

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 4, 2025

• Provide behavior health training consistent with the requirements and as determined by a facility assessment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 6, 2025

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jun 6, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 6, 2025

• Establish staff and initial training requirements.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 6, 2025

• Establish policies and procedures for volunteers.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 6, 2025

• Address subsistence needs for staff and patients.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 6, 2025

• Address patient/client population and determine types of services needed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 6, 2025

• Meet other general requirements.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 25, 2025

• To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 25, 2025

• Conduct testing and exercise requirements.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 6, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 6, 2025

• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 6, 2025

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 6, 2025

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 4, 2025

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

• Provide enough food/fluids to maintain a resident's health.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 4, 2025

• Provide care or services that was trauma informed and/or culturally competent.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 4, 2025

• Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 4, 2025

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 4, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

• Provide timely, quality laboratory services/tests to meet the needs of residents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

• Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

• Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 4, 2025

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

• Prepare residents for a safe transfer or discharge from the nursing home.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

• Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

• Employ staff that are licensed, certified, or registered in accordance with state laws.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 6, 2025

• Allow residents to self-administer drugs if determined clinically appropriate.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 4, 2025

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 4, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

• Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Mar 13, 2024

• Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

• Assess the resident when there is a significant change in condition

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

• Provide enough food/fluids to maintain a resident's health.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

• Provide medically-related social services to help each resident achieve the highest possible quality of life.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

• Keep all essential equipment working safely.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

• To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 30, 2022

• Have properly installed electrical wiring and gas equipment.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 30, 2022

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 30, 2022

• Have properly located and lighted "Exit" signs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2022

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 30, 2022

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2022

• Install corridor and hallway doors that block smoke.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2022

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 30, 2022

• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2022

• Ensure proper usage of power strips and extension cords.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 30, 2022

• Use approved construction type or materials.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 19, 2023

• Provide rooms that can be unlocked from inside without a key.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 3, 2022

• Perform COVID19 testing on residents and staff.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 13, 2022

• Provide a written emergency evacuation plan.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2022

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 13, 2022

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 13, 2022

• Install an approved automatic sprinkler system.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 29, 2019

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 29, 2019

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 19, 2019

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 19, 2019

• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 19, 2019

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 29, 2019

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 19, 2019

• Have properly installed electrical wiring and gas equipment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 29, 2019

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2019

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2019

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2019

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2019

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2019

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2019

• Provide for the safe, appropriate administration of IV fluids for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2019

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2019

• Provide safe, appropriate pain management for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2019

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2019

• Ensure medication error rates are not 5 percent or greater.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2019

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2019

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2019

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2019

Holston Health & Rehabilitation offers Assisted Living and Skilled Nursing / Long Term Care.

Holston Health & Rehabilitation is located at 990 Holston Rd in Wytheville, Virginia.

Families and visitors consistently praise Holston Health & Rehabilitation for clean facilities, attentive staff, and strong therapy services. Reviewers highlight a welcoming atmosphere and staff who know residents personally, though the review sample is small.

Holston Health & Rehabilitation had 4 government inspection visits in the last three years, with 92 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page, or contact Holston Health & Rehabilitation directly, to arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.