Holston Health & Rehabilitation: Staffing, Turnover, and Inspection Record
Holston Health & Rehabilitation is a 137-bed for-profit nursing home in Wytheville, Virginia. In the CMS August 2026 release it reported 1.66 nurse aide hours per resident per day, 20% below the Virginia average of 2.07, and 78.0% nursing staff turnover (Virginia average 48.1%).
Holston Health & Rehabilitation
990 Holston RdWytheville, VA 24382
Wythe County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Holston Health & Rehabilitation, nurse aides logged 1.66 hours per resident per day, 20% below the Virginia average. With about 93 residents a day, that works out to roughly 155 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Virginia avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.66 | 2.07 | 2.32 |
| Licensed practical nurses | 0.93 | 1.00 | 0.86 |
| Registered nurses | 0.52 | 0.69 | 0.69 |
| All nursing staff | 3.11 | 3.76 | 3.86 |
| All nursing staff, weekends | 2.65 | 3.29 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
78.0% of nursing staff at Holston Health & Rehabilitation left over the year CMS measured, against a Virginia average of 48.1% and a US average of 45.8%. Registered nurse turnover was 80.0%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 7, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 31 health deficiencies (Virginia average 14.5). CMS lists 1 fine totaling $111,911 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 7, 2025 | Fine | $111,911 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Holston Health & Rehabilitation holds 1 of 5 overall; the Virginia average is 3.0.
About Holston Health & Rehabilitation
- Ownership: For profit - Corporation
- Legal name: Legal Business Name Not Available
- Medicare and Medicaid certified since: Nov 1, 2000
- Councils: resident and family councils
- Area: rural
Nursing homes near Holston Health & Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Wythe Cnty Community Hosp Ecu Wytheville | 1.0 | 8 | 0.28 | 8.67 | — | 5 | None |
| Mountain Laurel Rehabilitation and Nursing Rural Retreat · abuse citation | 11.4 | 120 | 1.63 | 3.14 | 62.6% | 1 | $198,489 |
| Bland County Nursing & Rehab Center Bastian | 15.0 | 57 | 2.23 | 4.17 | 46.3% | 4 | None |
| Pulaski Hlth & Rehab Cntr Pulaski | 19.4 | 90 | 1.89 | 3.39 | 54.4% | 4 | None |
| Mercer Healthcare Center Bluefield | 20.8 | 123 | 2.00 | 3.56 | 44.5% | 2 | $28,060 |
| Westwood Center Bluefield | 21.0 | 60 | 2.03 | 3.80 | 61.7% | 1 | $159,612 |
| Bluestone Health and Rehabilitation Bluefield · SFF candidate · abuse citation | 21.6 | 60 | 1.59 | 2.98 | 35.0% | 1 | $132,589 |
| Galax Health and Rehab Galax | 22.1 | 120 | 2.02 | 3.35 | 48.3% | 2 | $13,627 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.