Rural Retreat, Virginia · CCN 495417 · Phone: 2766867000 · 120 beds · Ownership: For Profit - Limited Liability Company
Mountain Laurel Rehabilitation And Nursing is a Medicare-certified skilled nursing facility (CCN 495417) in Rural Retreat, Virginia. It holds a CMS overall Five-Star rating of 1 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 19/100 (High Risk).
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Mountain Laurel Rehabilitation And Nursing is a Medicare- and Medicaid-certified skilled nursing facility in Rural Retreat, Virginia, operating under CMS Certification Number (CCN) 495417. 120-bed facility. For Profit - Limited Liability Company. Part of the Eastern Healthcare Group chain. The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.
Mountain Laurel Rehabilitation And Nursing has held its Medicare/Medicaid certification for approximately 11 years (certification date on file: 2015-01-29). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.
Local market context (Wythe County): Mountain Laurel Rehabilitation And Nursing shares Wythe County with 1 other Medicare-certified SNF in our Virginia sample. Two-facility counties typically see direct competitive comparison on Care Compare ratings during discharge-planner decisions.
CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.
Long-Stay Quality Measure rating: ★★★★★ (5 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.
Short-Stay Quality Measure rating: ★☆☆☆☆ (1 of 5). Short-stay measures cover post-acute residents discharged within 100 days and include rehospitalization within 30 days, successful return to community, and improvement in function.
Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.
Special Focus Facility status: Mountain Laurel Rehabilitation And Nursing appears on the CMS Special Focus Facility list (status: SFF Candidate). SFF designation is reserved for facilities with a persistent pattern of substandard quality of care — typically high deficiency counts across consecutive surveys. CMS conducts a standard survey approximately every six months on SFF facilities (vs. up to fifteen months for non-SFF) and tracks two consecutive improved surveys as the exit criterion. Facilities that fail to improve over 18-24 months on the SFF list face termination of their Medicare provider agreement under 42 CFR 488.456.
Abuse Icon present: CMS has applied the Abuse Icon to Mountain Laurel Rehabilitation And Nursing's Care Compare listing. The icon flags facilities cited for substantiated abuse, neglect, exploitation, or misappropriation findings under the F600-series Long-Term Care Resident Rights and Abuse / Neglect F-tags within the most recent two survey cycles, where citations met the scope-and-severity threshold defined in CMS Care Compare's Five-Star Quality Rating Methodology. The icon stays in place until the facility completes a full survey cycle with no further qualifying citations.
Recent health deficiencies cited at last standard survey: 56. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Mountain Laurel Rehabilitation And Nursing received 10 CMS fines totaling $204,839. Last documented standard health survey: 2025-04-08. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.
CMS health survey weighted score: 663. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.
Total enforcement penalties assessed in the most recent reporting window: $10. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.
At today's staffing levels, Mountain Laurel Rehabilitation And Nursing would not meet the cadre-specific minimums scheduled to take effect on the May 2029 timeline under 89 FR 40876: RN HPRD is 0.423 vs the 0.55 floor, a 0.13-hour gap and nurse-aide HPRD is 1.649 vs the 2.45 floor, a 0.80-hour gap. Closing this gap typically requires either net new hires at the specific cadre, shifted scheduling that reallocates existing FTEs to direct-care hours, or a hardship exemption application under 42 CFR 483.35.
Total nurse staffing: 3.233 hours per resident day (HPRD), which is 0.25 hours below the 3.48 total HPRD floor scheduled to take effect for rural-facility facilities by May 2029 (89 FR 40876, May 2024); facilities projected to remain below the floor at the effective date must either close the gap, qualify for a hardship exemption, or face citation under 42 CFR 483.35.
Staffing mix: RN 0.423 HPRD, LPN 1.16 HPRD, CNA 1.649 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2029 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.
Weekend RN staffing: 0.21 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.
Total nurse staff turnover: 65.7% annualized — extremely high (above the 60% red-flag threshold tracked by CMS).
RN-specific turnover: 66.7% annualized. RN turnover above 50% is the single strongest correlate with QM rating decline in CMS's own internal analyses.
Administrator turnover events in the most recent reporting window: 1. Multiple administrator changes in a 12-month window is associated with substantial leadership-discontinuity risk during the next standard survey.
Mountain Laurel Rehabilitation And Nursing is operated as part of Eastern Healthcare Group, a chain operating 17 Medicare-certified facilities (CMS chain identifier 608). Chain-operated facilities tend to share corporate compliance staff, standard operating procedures, and survey-prep resources — but also share enforcement exposure when CMS designates a chain-wide issue under the system-wide quality assurance framework.
Provider type designation: Medicare And Medicaid.
The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.
Peer comparisons use a same-state cohort of 200 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.
FileFlo's compliance indicator for Mountain Laurel Rehabilitation And Nursing is 19/100 (High Risk). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.
FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.
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Mountain Laurel Rehabilitation And Nursing (CCN 495417) holds a CMS overall Five-Star rating of 1 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.
Mountain Laurel Rehabilitation And Nursing is a Medicare-certified skilled nursing facility (CMS Certification Number 495417) in Rural Retreat, Virginia.
FileFlo scores Mountain Laurel Rehabilitation And Nursing's CMS survey-readiness at 19/100 (High Risk). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.
As a Medicare-certified skilled nursing facility, Mountain Laurel Rehabilitation And Nursing is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.
Run FileFlo's free CMS survey-readiness audit for Mountain Laurel Rehabilitation And Nursing — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.
The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:
Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →
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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile