Nursing home
Mountain Laurel Rehabilitation and Nursing
514 North Main Street, Rural Retreat, VA 24368 · Map
For profit - Limited Liability company · Part of Eastern Healthcare Group (17 facilities) · 120 certified beds
Mountain Laurel Rehabilitation and Nursing is a Medicare-certified nursing home in Rural Retreat, Virginia. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.51 hours per resident per day, below the Virginia average of 3.81. Its most recent inspection on Apr 8, 2025 cited 56 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 10 fines totaling $204,839In CMS records: 10 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Mountain Laurel Rehabilitation and Nursing 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) | 3.51 | 3.81 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.48 | 0.69 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.96 | 2.12 | 2.34 | below avg |
| Nursing staff turnover | 60.6% | 48.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 56.0 | 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 April 8, 2025 inspection was corrected by June 24, 2025
Penalties in CMS records: 10 fines totaling $204,839, 10 total penalties.
What inspectors found at Mountain Laurel Rehabilitation and Nursing
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 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.
Quality of Life and Care Deficiencies · Apr 8, 2025 · Full report (PDF) - Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Apr 8, 2025 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 8, 2025 · Full report (PDF) - Actual harm
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · Apr 8, 2025 · Full report (PDF) - Actual harm
Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care Deficiencies · Apr 8, 2025 · Full report (PDF)
Show all 12 deficiencies
- Actual harm
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Administration Deficiencies · Apr 8, 2025 · Full report (PDF) - Actual harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Apr 8, 2025 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Apr 8, 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 · Apr 8, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Apr 8, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Apr 8, 2025 · Full report (PDF) - Potential for harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Apr 8, 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
- 514 North Main Street
Rural Retreat, VA 24368 - CMS certification #
- 495417
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 94.9
- Provider type
- Medicare and Medicaid
- First certified
- 2015-01-29
- Chain
- Eastern Healthcare Group (17 facilities)
- Setting
- Rural
Part of Eastern Healthcare Group
Eastern Healthcare Group operates 17 nursing facilities across the United States. View all Eastern Healthcare Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Mountain Laurel Rehabilitation and Nursing using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, diabetes care
Full public records, with dates and sources
Care and services
From the community’s website
What Mountain Laurel Rehabilitation and Nursing says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Location and nearby care
- Nearest hospital with an emergency room
- Wythe County Community Hospital, Wytheville. 10.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Wythe Cnty Community Hosp Ecu, Wytheville. 10.5 miles away, straight line.
- Nearest home health agency office
- Wythe Circle Home Care, Wytheville. 11.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Counts Drug Co. 11.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 24368 as small town (small town high commuting).
- Dialysis within 15 miles
- Fresenius Kidney Care Smyth County, Marion, 13.3 miles away, straight line (CMS rating 1 of 5 stars)
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 24368.
Gentiva Ii, office in Wytheville, 10.6 miles away, straight line (CMS family survey rating 2 of 5 stars)
Wythe Hospice Of Swva, office in Wytheville, 11.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Integrated Senior Care PC, Princeton. 32.5 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 relatively 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 | Only cases that look tied to an earlier operator (not shown) |
| 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 | See above |
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Frequently asked questions
Is Mountain Laurel Rehabilitation and Nursing a good nursing home?
CMS gives Mountain Laurel Rehabilitation and Nursing an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Mountain Laurel Rehabilitation and Nursing staffed?
Mountain Laurel Rehabilitation and Nursing reports 3.51 total nurse hours per resident per day, compared with the Virginia average of 3.81.
Has Mountain Laurel Rehabilitation and Nursing had inspection problems?
Its most recent CMS inspection cited 56 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Mountain Laurel Rehabilitation and Nursing have?
Mountain Laurel Rehabilitation and Nursing is certified for 120 beds.