Cycle 1
Health 2022-12-29 · Fire 2022-12-29
0 health deficiencies
No concentrated health issue counts in this cycle.
5 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Wytheville, VA
Wythe Cnty Community Hosp Ecu
4-star overall rating with 5-star inspections with 5 fire-safety deficiencies in the latest cycle
600 W Ridge Rd, Wytheville, VA
(276) 228-0200
Overall
4 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
8
Certified beds
Average residents
3
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Lifepoint Health
Operator or chain grouping
Approved since
1987-05-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 4 overall / 4 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
7.24
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.37
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
2.42
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
10.03
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
7.61
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
8.66
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
7.85
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
6.56
CMS adjusted RN staffing hours
Adjusted total hours
9.09
CMS adjusted total nurse staffing hours
Case-mix index
1.51
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
528
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
68.19
Composite VBP score used to determine payment impact.
Payment multiplier
1.0214
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.02
Baseline 19.42% · Performance 19.57% · Measure score 4.02 · Achievement 4.02 · Improvement 0
Healthcare-associated infections
6.43
Baseline 6.04% · Performance 5.91% · Measure score 6.43 · Achievement 6.43 · Improvement 0.74
Total nurse turnover
10
Baseline 37.50% · Performance 16.67% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.88% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 99 · Observed rate 10.1% · Lower 95% interval 7.51% |
| Discharge to community | 74.25% |
50.57%
23.7 pts better
|
Better than the National Rate · Eligible stays 91 · Observed rate 81.32% · Lower 95% interval 65.64% |
| Medicare spending per beneficiary | 0.6 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 35 · Denominator 35 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 35 |
| Discharge self-care score | 40.63% |
53.69%
13.1 pts worse
|
Numerator 13 · Denominator 32 |
| Discharge mobility score | 31.25% |
50.94%
19.7 pts worse
|
Numerator 10 · Denominator 32 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 35 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.91% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 43 · Observed rate 0% · Lower 95% interval 3.12% |
| Staff COVID-19 vaccination coverage | 3.7% |
8.2%
4.5 pts worse
|
Numerator 1 · Denominator 27 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 29 · Denominator 29 |
| Discharge function score | 37.5% |
56.45%
19 pts worse
|
Numerator 12 · Denominator 32 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 30 · Denominator 30 |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.4% |
74.6%
19.8 pts better
|
81.7%
12.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.0% · Q2 94.4% · Q3 92.3% · Q4 95.6% · 4Q avg 94.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.1% |
11.7%
6.4 pts worse
|
12.0%
6.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.1% · Observed 17.2% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.6% |
73.6%
8 pts better
|
79.7%
1.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.4% |
22.0%
2.4 pts worse
|
23.9%
0.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.4% · Observed 20.7% · Expected 20.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-02-06 · Fire 2020-02-06
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2018-12-12 · Fire 2018-12-12
3 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2022-12-29
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-20
E · Potential for more than minimal harm
2022-12-29
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-06-20
E · Potential for more than minimal harm
2022-12-29
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-03-21
E · Potential for more than minimal harm
2022-12-29
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-03-21
D · Potential for more than minimal harm
2022-12-29
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-03-21
Inspection history
Recent health citations
F · Potential for more than minimal harm
2020-02-06
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-03-16
D · Potential for more than minimal harm
2020-02-06
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-03-16
D · Potential for more than minimal harm
2020-02-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-03-16
D · Potential for more than minimal harm
2018-12-12
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2019-01-31
C · Minimal harm
2018-12-12
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-01-31
C · Minimal harm
2018-12-12
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2019-01-31
Penalties and ownership
What sits behind the stars
Ownership
Lifepoint Holdings 2 LLC
5% Or Greater Direct Ownership Interest · Organization
Davis, Daniel
Corporate Officer · Individual
Dsb Acquisition LLC
5% Or Greater Indirect Ownership Interest · Organization
Grooms, John
Corporate Officer · Individual
Haugh, William
Corporate Officer · Individual
Historic Lifepoint Hospitals, LLC
5% Or Greater Indirect Ownership Interest · Organization
Lawrence, Charlotte
Corporate Officer · Individual
Legacy Lifepoint Health LLC
5% Or Greater Indirect Ownership Interest · Organization
Lifepoint Corporate Services General Partnership
Operational/Managerial Control · Organization
Lifepoint Health Inc
5% Or Greater Indirect Ownership Interest · Organization
Lifepoint Hospitals Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Monte, Christopher
Corporate Officer · Individual
Parks, Vicki
Contracted Managing Employee · Individual
Poppell, Marcus
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Holston Health and Rehabilitation
Wytheville, VA
1-star overall rating with 1-star inspections with $111,911 in total fines with 32 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Mountain Laurel Rehabilitation And Nursing
Rural Retreat, VA
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $204,839 in total fines with 56 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Bland County Nursing & Rehab Center
Bastian, VA
5-star overall rating with 5-star inspections with 5 fire-safety deficiencies in the latest cycle
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