49/100
Below average
Holston Health & Rehabilitation
990 Holston Rd, Wytheville, VA 24382
- Certified beds
- 137
- Occupancy
- 68%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$111,911 in federal fines
CMS has fined this facility across 1 penalty action(s).
Nursing staff turnover of 78%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Our read on Holston Health & Rehabilitation
Holston Health & Rehabilitation runs 137 beds in Wytheville under corporate ownership, and the staffing numbers are the first thing a family should sit with. At 3.11 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 78% against a national 45.8%, meaning most of the people caring for your relative are likely new. The inspection record backs that up: 68 deficiencies, two at harm or jeopardy level, and a $111,911 fine. No abuse citations. The most recent inspection was May 2025.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
8/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.1 total nurse hours per resident per day (national median 3.77)
- →0.52 RN hours per resident per day
- →Weekend staffing drops 15% against weekdays
Staff stability
0/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →78% of nursing staff left in the last year
- →-2 for 2 administrator departures
Resident outcomes
9/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →3 of 5 stars on the CMS quality-measure rating
Enforcement history
2/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$111,911 in federal fines across 1 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: May 7, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Holston Health & Rehabilitation
What is the ElderGrade for Holston Health & Rehabilitation? +
Holston Health & Rehabilitation holds an ElderGrade of D (49 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Holston Health & Rehabilitation? +
Residents receive an average of 3.11 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Holston Health & Rehabilitation been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Holston Health & Rehabilitation accept Medicaid? +
Yes, Holston Health & Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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