Federal inspection record · CMS data as of October 1, 2026
Gretna Health And Rehabilitation Center
595 Vaden Drive, Gretna, VA · (434) 656-1206
- Certified beds
- 90
- Residents per day
- 87
- Ownership
- For-Profit
- Chain
- Lifeworks Rehab
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 13, 1989
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Gretna Health And Rehabilitation Center carries 31 inspection points. That is fewer than 75% of Virginia's 287 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–45 pts
- 3★ 45–76.5 pts
- 2★ 76.5–168.75 pts
- 1★ over 168.75 pts
Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
12 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Perform COVID19 testing on residents and staff.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service3E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Environmental1E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspection history
2023-07-27
7 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2021-10-21
5 health deficiencies · 8 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2019-08-29
0 health deficiencies · 4 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 3 h 38 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 38 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 41% of nursing staff and 54% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 0.8 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 1.6 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.2 pts better | 97.4% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.7 pts worse | 88.6% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse | 4.9% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.8 pts worse | 35.3% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.3 pts better | 0.0% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.1 pts worse | 33.8% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.7 pts worse | 22.9% | 14.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.1 pts worse | 20.3% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.2 pts worse | 16.7% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.0% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts better | 0.0% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts better | 18.4% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts better | 3.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.3 pts better | 89.5% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit10.7 pts worse | 22.2% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.5% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.9 pts worse | 68.4% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.4 pts worse | 25.4% | 22.0% | 23.4% |
·
Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Gretna Holdings I LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| America West LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Charles 1994 & Family LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Charles 1994 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 40 facilities |
| Charles 1994 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Edward 1998 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 38 facilities |
| Edward 1998 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Kss 2000 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Ml 2000 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Mrv West LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Powers, Amanda | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Rczbm West Manager LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Redrock West LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Saul 2012 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 39 facilities |
| Saul 2012 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress7F
- E
Have exits that are accessible at all times.
- D
Install proper backup exit lighting.
- D
Have properly located and lighted "Exit" signs.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Conform to length requirements for dead end corridors.
- E
Have properly located and lighted "Exit" signs.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke5F
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems3F
- E
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Miscellaneous2F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
Chatham Health & Rehabilitation Center
Chatham, VA · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 32 min
- Fines
- $8,018
-
Autumn Care Of Altavista
Altavista, VA · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 7 min
- Fines
- $0
-
Roman Eagle Rehabilitation And Health Care Center
Danville, VA
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 4 h 27 min
- Fines
- $0