Nursing home
Holston Health and Rehabilitation
990 Holston Rd, Wytheville, VA 24382 · Map
For profit - Corporation · 137 certified beds
Holston Health and Rehabilitation is a Medicare-certified nursing home in Wytheville, Virginia. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.15 hours per resident per day, below the Virginia average of 3.81. Its most recent inspection on May 7, 2025 cited 32 deficiencies.
- 1 fine totaling $111,911In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Holston Health and Rehabilitation compares
This facility vs. the Virginia and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Virginia avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.15 | 3.81 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.23 | 0.69 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.82 | 2.12 | 2.34 | below avg |
| Nursing staff turnover | 69.9% | 48.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 32.0 | 14.5 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the May 7, 2025 inspection was corrected by September 4, 2025
Penalties in CMS records: 1 fine totaling $111,911, 1 total penalty.
What inspectors found at Holston Health and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · May 7, 2025 · Full report (PDF) - Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · May 7, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · May 7, 2025 · Full report (PDF) - Potential for harm
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · May 7, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · May 7, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Nursing and Physician Services Deficiencies · May 7, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · May 7, 2025 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · May 7, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · May 7, 2025 · Full report (PDF) - Potential for harm
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · May 7, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 7, 2025 · Full report (PDF) - Potential for harm
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Administration Deficiencies · May 7, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 990 Holston Rd
Wytheville, VA 24382 - CMS certification #
- 495349
- Ownership
- For profit - Corporation
- Certified beds
- 137
- Avg residents/day
- 96.7
- Provider type
- Medicare and Medicaid
- First certified
- 2000-11-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Holston Health and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Wythe County Community Hospital, Wytheville. 1.0 mile away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Wythe Cnty Community Hosp Ecu, Wytheville. 1.0 mile away, straight line.
- Nearest home health agency office
- Wythe Circle Home Care, Wytheville. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 24382 as small town (small town high commuting).
- Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 24382.
Gentiva Ii, office in Wytheville, 0.7 miles away, straight line (CMS family survey rating 2 of 5 stars)
Wythe Hospice Of Swva, office in Wytheville, 0.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
Medi Home Health And Hospice - Pulaski, office in Pulaski, 18.0 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Integrated Senior Care PC, Princeton. 27.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Holston Health and Rehabilitation a good nursing home?
CMS gives Holston Health and Rehabilitation an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Holston Health and Rehabilitation staffed?
Holston Health and Rehabilitation reports 3.15 total nurse hours per resident per day, compared with the Virginia average of 3.81.
Has Holston Health and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 32 deficiencies.
How many beds does Holston Health and Rehabilitation have?
Holston Health and Rehabilitation is certified for 137 beds.