Nursing homes across Wythe County, Virginia, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Wythe Cnty Community Hosp Ecu runs just eight certified beds, which puts it in a category most families never encounter, a hospital-based swing-bed operation rather than a traditional stand-alone nursing home. The staffing figure stands out: 8.67 nurse hours per resident day, more than double the national average of 3.86, though weekend coverage dips roughly 7% below its own weekday level. Six deficiencies sit on the current record, none of them at the harm or jeopardy level and none abuse-related, with a November 2025 inspection keeping things current. The for-profit corporate ownership is worth knowing about, but the inspection and quality measure ratings both come in strong, and the small bed count means care is concentrated.
Mountain Laurel runs leaner on nursing hours than most homes in the country, 3.14 per resident day against a national average of 3.86, and weekends are thinner still, roughly 17 percent below what the building staffs Monday through Friday. That gap matters when a resident needs help on a Sunday. Turnover sits at 62.6 percent, well above the 45.8 percent national figure, so the people providing care change often. The inspection record is where this home stands out: 87 deficiencies, eight of them serious enough to put residents in harm's way and three tied to abuse, plus $204,839 in fines across ten penalties. CMS placed it in the Special Focus Facility program, which is reserved for the small share of homes with persistent problems.
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.