Mountain Laurel Rehabilitation and Nursing, Rural Retreat, Virginia

87
Citations from health inspectionsVirginia average: 39 a home: 8
Residents harmed or put in dangerVirginia average: 1.5 a home: $186,491
Fines from the federal governmentVirginia average: $23,688 a home: 1 out of 5
Overall rating in starsVirginia average: 3.0

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Four inspection visits produced 87 citations. Residents were in immediate danger in three findings. Residents were found hurt in five cases. Federal fines came to $186,491 (four fines).

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

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Quick Look at the Record

The home's overall star rating: 1 out of 5
Rating for health inspections: 1 out of 5
Rating for staffing: 2 out of 5
Rating for quality of care: 3 out of 5
Nurse time for each resident: 3.14 hours each dayThe Virginia average is 3.76 hours
Time from registered nurses: 0.43 hours each dayThe Virginia average is 0.69 hours
Nursing staff who left during one year: 62.6%against the Virginia average of 48.1%
Beds that are certified: 120
Ownership: Limited Liability company (for profit)
Chain: Eastern Healthcare Group, with 18 homes
Street address: 514 North Main Street, Rural Retreat, Virginia 24368
County: Wythe

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

56 citations dated April 8, 2025

F944 Staff Training on Quality Improvement Program: risk of harm, no one found hurt, a pattern, several residents.
F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
F865 Written Quality Improvement Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F849 Arrange Hospice Care When Needed: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F841 Physician Medical Director: risk of harm, no one found hurt, one or a few residents.
F840 Outside Professionals When Needed: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F814 Dispose of Garbage Properly: risk of harm, no one found hurt, a pattern, several residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents.
F777 Order X Rays and Report Results Promptly: residents were harmed, one or a few residents, found on a complaint visit.
F776 Timely Approved X Ray Services: residents were harmed, one or a few residents.
F773 Order Laboratory Tests and Report Results Promptly: risk of harm, no one found hurt, one or a few residents.
F770 Timely Quality Laboratory Services: risk of harm, no one found hurt, a pattern, several residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
F742 Mental Health and Trauma Treatment: immediate danger to residents, one or a few residents, found on a complaint visit.
F740 Behavioral Health Care and Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents.
F711 Doctor Reviews Care and Writes Notes Each Visit: risk of harm, no one found hurt, one or a few residents.
F710 Doctor's Order to Admit and Ongoing Doctor Care: risk of harm, no one found hurt, one or a few residents.
F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
F690 Bladder, Bowel and Catheter Care: residents were harmed, one or a few residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
F684 Quality of Care: immediate danger to residents, one or a few residents, found on a complaint visit.
F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F675 Honor Resident Preferences, Values, and Beliefs: residents were harmed, one or a few residents, found on a complaint visit.
F661 Share Information at Planned Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, a pattern, several residents.
F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
F635 Doctor's Orders for Care at Admission: risk of harm, no one found hurt, one or a few residents.
F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, a pattern, several residents.
F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, a pattern, several residents.
F622 Valid Reasons and Paperwork for Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents.
F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
F583 Keep Resident Records Private: risk of harm, no one found hurt, one or a few residents.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, a pattern, several residents.
F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.
F557 Respect, Dignity, and Personal Belongings: risk of harm, no one found hurt, one or a few residents.

Seven citations dated Dec. 4, 2024

F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F697 Pain Management: residents were harmed, one or a few residents, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

13 citations dated Aug. 14, 2023

F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, a pattern, several residents.
F851 Submit Accurate Staffing Data to Federal Government: risk of harm, no one found hurt, one or a few residents.
F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents.
F839 Properly Licensed Staff: risk of harm, no one found hurt, one or a few residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents.
F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, a pattern, several residents.
F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, one or a few residents.
F710 Doctor's Order to Admit and Ongoing Doctor Care: risk of harm, no one found hurt, one or a few residents.
F694 Safe Fluids Given Through a Vein: risk of harm, no one found hurt, one or a few residents.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents.

11 citations dated July 1, 2021

F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents.
F583 Keep Resident Records Private: risk of harm, no one found hurt, one or a few residents.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

Date	Penalty	Amount
April 8, 2025	Fine	$170,017
Dec. 4, 2024	Fine	$8,357
Sept. 25, 2023	Fine	$4,235
Sept. 18, 2023	Fine	$3,882

Ownership and Management of the Home

The home is run by Capital Funding Group (operational or managerial control).
The home is run by VA SNF Master Consulting LLC (operational or managerial control).
The home is run by VA SNF Operations Holdings 3 LLC (operational or managerial control).
The home is run by Ydi Eastern Holdco LLC (operational or managerial control).
The direct 100% owner is VA SNF Operations Holdings LLC.
Owns a share through another company: Apex Global Solutions LLC.
Owns 50% through another company: Lyam Family Trust.
Owns a share through another company: Ydi Eastern Holdco LLC.

One additional company has a stake or a management role, according to CMS.

One person with an ownership stake is also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 495417. Other homes in Virginia.