Mountain Laurel Rehabilitation and Nursing
514 North Main Street · Rural Retreat, VA · 24368 · 2766867000
120 certified beds For profit - Limited Liability company Chain: Eastern Healthcare Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $178,374 in fines in the last 24 months.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$178,374 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 2.73 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 10 · $204,839 |
Inspection citations (87 in the current record)
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Immediate jeopardy · J April 8, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J April 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 24, 2025 · Quality of Life and Care
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Immediate jeopardy · J April 8, 2025 · found via complaint
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.
Corrected May 15, 2025 · Quality of Life and Care
-
Actual harm · G April 8, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 15, 2025 · Quality of Life and Care
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Actual harm · G April 8, 2025
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected May 15, 2025 · Administration
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Actual harm · G April 8, 2025 · found via complaint
Honor each resident's preferences, choices, values and beliefs.
Corrected May 15, 2025 · Quality of Life and Care
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Actual harm · G April 8, 2025 · found via complaint
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected May 15, 2025 · Administration
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Potential for harm · D April 8, 2025
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · E April 8, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · E April 8, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · D April 8, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 24, 2025 · Resident Rights
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Potential for harm · D April 8, 2025
Keep residents' personal and medical records private and confidential.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · E April 8, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · E April 8, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 8, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 24, 2025 · Resident Rights
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Potential for harm · E April 8, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · D April 8, 2025
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected May 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 8, 2025
Ensure each resident receives an accurate assessment.
Corrected May 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 8, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 8, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 8, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 8, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D April 8, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D April 8, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D April 8, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 24, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 8, 2025 | Fine | $170,017 |
| December 4, 2024 | Fine | $8,357 |
| September 25, 2023 | Fine | $4,235 |
| September 18, 2023 | Fine | $3,882 |
| September 11, 2023 | Fine | $3,529 |
| September 5, 2023 | Fine | $3,176 |
| August 28, 2023 | Fine | $2,823 |
| August 21, 2023 | Fine | $2,470 |
| August 14, 2023 | Fine | $2,117 |
| July 24, 2023 | Fine | $4,233 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495417 · certified since January 29, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.