25.5/100
Poor
514 North Main Street, Rural Retreat, VA 24368
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.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
8 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$204,839 in federal fines
CMS has fined this facility across 10 penalty action(s).
Nursing staff turnover of 63%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours 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.
Last standard health inspection: April 8, 2025 (1 year ago).
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate jeopardy to resident health or safety
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate jeopardy to resident health or safety
Quality of Life and Care Deficiencies
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.
Immediate jeopardy to resident health or safety
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
Actual harm to a resident
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Actual harm to a resident
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Actual harm to a resident
Administration Deficiencies
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Actual harm to a resident
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
No actual harm, potential for more than minimal harm
Part of EASTERN HEALTHCARE GROUP, which operates 18 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| APEX GLOBAL SOLUTIONS LLC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| YDI EASTERN HOLDCO LLC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| YDI IRREVOCABLE TRUST | Organization | INDIRECT OWNERSHIP INTEREST | — |
| GITTLESON, LAYLA | Individual | INDIRECT OWNERSHIP INTEREST | — |
| CAPITAL FUNDING GROUP | Organization | 5% OR GREATER MORTGAGE INTEREST | — |
| GITTLESON, YEHUDA | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| SHAPIRO, AKIVA | Individual | CORPORATE OFFICER | — |
| CAPITAL FUNDING GROUP | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| VA SNF MASTER CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| VA SNF OPERATIONS HOLDINGS 3 LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| YDI EASTERN HOLDCO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| GITTLESON, YEHUDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Mountain Laurel Rehabilitation And Nursing holds an ElderGrade of F (25.5 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.14 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 8 of the 87 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Mountain Laurel Rehabilitation And Nursing 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.