Holston Health and Rehabilitation
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Penalty
$111,911
Outcome
Holston Health and Rehabilitation in WYTHEVILLE, VA was fined $111,911 by CMS following 68 deficiency citations identified during federal surveys.
Details
Holston Health and Rehabilitation (WYTHEVILLE, VA) — $111,911 in CMS Fines
Outcome: Holston Health and Rehabilitation in WYTHEVILLE, VA was fined $111,911 by CMS following 68 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Employ staff that are licensed, certified, or registered in accordance with state laws.
- Allow residents to self-administer drugs if determined clinically appropriate.
- 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.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- Prepare residents for a safe transfer or discharge from the nursing home.
- 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.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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