Skilled nursing facility · CMS certification number 495417
MOUNTAIN LAUREL REHABILITATION AND NURSING
RURAL RETREAT, Virginia · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 4 · Fines: 4 · Fines, total amount: $186,491.00 · Payment denials: 0. The most recent penalty on file: April 8, 2025, Fine, $170,017. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for April 1, 2024 to March 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on September 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,210,650 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $158,715 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,051,935 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,576,202 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,475,733 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,570 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,482,303 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,482,307 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,800 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,565 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 29,184 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,461 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 38,210 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 54 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 139 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 132 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 325 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 209.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438800, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended March 31, 2024
Cost report for December 28, 2023 to March 31, 2024 — a reporting period of 94 days, not a full year, on form CMS-2540-10, settled, processed by CMS on April 8, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,386,557 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $256,324 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,130,233 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,176,508 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$46,275 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $440 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$45,835 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$45,839 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,966 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 154.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1421027, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 27, 2023
Cost report for January 1, 2023 to December 27, 2023 — a reporting period of 360 days, on form CMS-2540-10, settled, processed by CMS on February 9, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,730,564 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $714,806 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,015,758 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,533,698 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,482,060 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,534 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,484,594 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,484,594 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,835 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 293 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,737.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1447559, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,043,285 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $668,993 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,374,292 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,530,329 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,156,037 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $68,066 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,087,971 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,087,975 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,948 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,788.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1390383, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended August 31, 2021
Cost report for January 1, 2021 to August 31, 2021 — a reporting period of 242 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 3, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,606,006 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,722,068 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,883,938 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,918,537 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$34,599 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $26 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$34,573 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$215,300 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,299 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 121.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1346688, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,871,668 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,464,629 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,407,039 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,113,924 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $293,115 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $612,165 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $905,280 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $905,278 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,383 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 169 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 16.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 233.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331593, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 23, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,406,746 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,633,038 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,773,708 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,805,089 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$31,381 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $974 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$30,407 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$30,408 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,043 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 286 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 13.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1307911, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 13, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,327,447 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,950,059 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,377,388 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,687,784 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $689,604 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $557 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $690,161 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $690,161 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,053 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 278 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 129.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252479, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 11, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,919,772 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,710,567 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,209,205 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,634,894 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $574,311 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,259 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $599,570 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $599,570 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,887 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 213 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 270.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 187.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1247577, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 4, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,185,740 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,083,522 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,102,218 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,048,285 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,053,933 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,468 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,073,401 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,073,401 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,162 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 280 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 320.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1214837, read from the public cost report file SNF10FY2016.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| VA SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 12/28/2023 |
| LYAM FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 50% | since 12/28/2023 |
| CAPITAL FUNDING GROUP | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 12/28/2023 |
| SHAPIRO, AKIVA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/28/2023 |
| APEX GLOBAL SOLUTIONS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 12/28/2023 |
| GITTLESON, LAYLA | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 12/28/2023 |
| YDI EASTERN HOLDCO LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 12/28/2023 |
| YDI IRREVOCABLE TRUST | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 12/28/2023 |
| GITTLESON, YEHUDA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/28/2023 |
| CAPITAL FUNDING GROUP | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/28/2023 |
| GITTLESON, YEHUDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/28/2023 |
| HAJIMOMENIAN, AMIR | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/28/2023 |
| HARTMAN, AARON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/28/2023 |
| SHAPIRO, AKIVA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/28/2023 |
| SOMMER, NECHAMA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/28/2023 |
| VA SNF MASTER CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/28/2023 |
| VA SNF OPERATIONS HOLDINGS 3 LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/28/2023 |
| YDI EASTERN HOLDCO LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/28/2023 |
| GITTLESON, YEHUDA | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 12/28/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of WYTHE VA OPCO LLC (enrollment ID O20240220004275).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| VA SNF OPERATIONS HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/28/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| LYAM FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 12/28/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| YDI IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 12/28/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAPITAL FUNDING GROUP | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 12/28/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| AKIVA SHAPIRO | Individual | CORPORATE OFFICER | Not stated in the filing | 12/28/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| APEX GLOBAL SOLUTIONS LLC | Organization | INDIRECT OWNERSHIP INTEREST | Not stated in the filing | 12/28/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| LAYLA GITTLESON | Individual | INDIRECT OWNERSHIP INTEREST | 1 | 12/28/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YDI EASTERN HOLDCO LLC | Organization | INDIRECT OWNERSHIP INTEREST | 99 | 12/28/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| YDI IRREVOCABLE TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 99 | 12/28/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| YEHUDA GITTLESON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 12/28/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AARON HARTMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/28/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AKIVA SHAPIRO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/28/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMIR HAJIMOMENIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/28/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAPITAL FUNDING GROUP | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/28/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| NECHAMA SOMMER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/28/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VA SNF MASTER CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/28/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| VA SNF OPERATIONS HOLDINGS 3 LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/28/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| YDI EASTERN HOLDCO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/28/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| YEHUDA GITTLESON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/28/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YEHUDA GITTLESON | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 12/28/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- April 1, 2025: NECHAMA SOMMER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: APEX GLOBAL SOLUTIONS LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: CAPITAL FUNDING GROUP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: CAPITAL FUNDING GROUP (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: LAYLA GITTLESON (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: VA SNF MASTER CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: YEHUDA GITTLESON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: YEHUDA GITTLESON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: YEHUDA GITTLESON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: VA SNF OPERATIONS HOLDINGS 3 LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: AKIVA SHAPIRO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: AKIVA SHAPIRO (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: AARON HARTMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: YDI EASTERN HOLDCO LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: YDI EASTERN HOLDCO LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: YDI IRREVOCABLE TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: YDI IRREVOCABLE TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: AMIR HAJIMOMENIAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: LYAM FAMILY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: VA SNF OPERATIONS HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- November 1, 2024: LAURA WILEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: LAURA WILEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: RYTHM HEATHCARE MANGEMENT LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: RYAN OSTROW no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: RYAN OSTROW no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: RYAN OSTROW no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: CONCETTO RUTA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: CONCETTO RUTA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: CONCETTO RUTA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
Recent changes on this record
- February 9, 2026: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 11, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- April 8, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- April 1, 2025: NECHAMA SOMMER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: APEX GLOBAL SOLUTIONS LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: CAPITAL FUNDING GROUP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: CAPITAL FUNDING GROUP (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: LAYLA GITTLESON (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: VA SNF MASTER CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: YEHUDA GITTLESON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: YEHUDA GITTLESON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: YEHUDA GITTLESON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: VA SNF OPERATIONS HOLDINGS 3 LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: AKIVA SHAPIRO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: AKIVA SHAPIRO (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: AARON HARTMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: YDI EASTERN HOLDCO LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: YDI EASTERN HOLDCO LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: YDI IRREVOCABLE TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: YDI IRREVOCABLE TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: AMIR HAJIMOMENIAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: LYAM FAMILY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: VA SNF OPERATIONS HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- November 1, 2024: LAURA WILEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: LAURA WILEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: RYTHM HEATHCARE MANGEMENT LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: RYAN OSTROW no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: RYAN OSTROW no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: RYAN OSTROW no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: CONCETTO RUTA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: CONCETTO RUTA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: CONCETTO RUTA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- July 25, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- May 3, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 16, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- August 1, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- December 23, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- March 13, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- December 11, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- December 4, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 8, 2025 | April 8, 2025 | 56 | 5 |
| 2 | August 14, 2023 | August 14, 2023 | 20 | 1 |
| 3 | July 1, 2021 | July 1, 2021 | 11 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
87 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 8, 2025 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0578 | Resident Rights Deficiencies | 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. | E | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | June 24, 2025 |
| April 8, 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0584 | Resident Rights Deficiencies | 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. | E | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | No | Deficient, Provider has date of correction | June 24, 2025 |
| April 8, 2025 | Health | F 0625 | Resident Rights Deficiencies | 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. | E | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0635 | Resident Assessment and Care Planning Deficiencies | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Yes | Deficient, Provider has date of correction | June 24, 2025 |
| April 8, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0675 | Quality of Life and Care Deficiencies | Honor each resident's preferences, choices, values and beliefs. | G | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Deficient, Provider has date of correction | June 24, 2025 |
| April 8, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | June 24, 2025 |
| April 8, 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0710 | Nursing and Physician Services Deficiencies | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0711 | Nursing and Physician Services Deficiencies | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0742 | Quality of Life and Care Deficiencies | 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. | J | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | June 24, 2025 |
| April 8, 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | June 24, 2025 |
| April 8, 2025 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0770 | Administration Deficiencies | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | No | Deficient, Provider has date of correction | June 24, 2025 |
| April 8, 2025 | Health | F 0773 | Administration Deficiencies | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0776 | Administration Deficiencies | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | G | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0777 | Administration Deficiencies | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | G | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | June 24, 2025 |
| April 8, 2025 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | E | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0840 | Administration Deficiencies | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0841 | Nursing and Physician Services Deficiencies | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Yes | Deficient, Provider has date of correction | June 24, 2025 |
| April 8, 2025 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 24, 2025 |
| April 8, 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 8, 2025 | Health | F 0944 | Administration Deficiencies | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | No | Deficient, Provider has date of correction | May 15, 2025 |
| December 4, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | January 31, 2025 |
| December 4, 2024 | Health | F 0584 | Resident Rights Deficiencies | 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. | D | Yes | Deficient, Provider has date of correction | January 31, 2025 |
| December 4, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | January 31, 2025 |
| December 4, 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | G | Yes | Deficient, Provider has date of correction | January 23, 2025 |
| December 4, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | January 31, 2025 |
| December 4, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | January 23, 2025 |
| December 4, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | January 31, 2025 |
| August 14, 2023 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | No | Deficient, Provider has date of correction | September 13, 2023 |
| August 14, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | September 13, 2023 |
| August 14, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | September 13, 2023 |
| August 14, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | September 13, 2023 |
| August 14, 2023 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | September 13, 2023 |
| August 14, 2023 | Health | F 0710 | Nursing and Physician Services Deficiencies | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | No | Deficient, Provider has date of correction | September 13, 2023 |
| August 14, 2023 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | No | Deficient, Provider has date of correction | September 13, 2023 |
| August 14, 2023 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | E | No | Deficient, Provider has date of correction | September 13, 2023 |
| August 14, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | September 13, 2023 |
| August 14, 2023 | Health | F 0839 | Administration Deficiencies | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | No | Deficient, Provider has plan of correction | September 13, 2023 |
| August 14, 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | No | Deficient, Provider has date of correction | September 13, 2023 |
| August 14, 2023 | Health | F 0851 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | No | Deficient, Provider has date of correction | September 13, 2023 |
| August 14, 2023 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | No | Deficient, Provider has date of correction | September 13, 2023 |
| July 1, 2021 | Health | F 0578 | Resident Rights Deficiencies | 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. | D | No | Deficient, Provider has date of correction | July 31, 2021 |
| July 1, 2021 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | July 31, 2021 |
| July 1, 2021 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | July 31, 2021 |
| July 1, 2021 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | July 31, 2021 |
| July 1, 2021 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | July 31, 2021 |
| July 1, 2021 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | July 31, 2021 |
| July 1, 2021 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | July 31, 2021 |
| July 1, 2021 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | July 31, 2021 |
| July 1, 2021 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | July 31, 2021 |
| July 1, 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | July 31, 2021 |
| July 1, 2021 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | July 31, 2021 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 8, 2025 | Fine | $170,017 | 8307 | ||
| December 4, 2024 | Fine | $8,357 | 8287 | ||
| September 25, 2023 | Fine | $4,235 | 8083 | ||
| September 18, 2023 | Fine | $3,882 | 8080 | ||
| September 11, 2023 | Fine | $3,529 | 8077 | ||
| September 5, 2023 | Fine | $3,176 | 8071 | ||
| August 28, 2023 | Fine | $2,823 | 8064 | ||
| August 21, 2023 | Fine | $2,470 | 8061 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | WYTHE VA OPCO LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2015-01-29 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Wythe |
| Telephone Number | 2766867000 |
| Chain Name | EASTERN HEALTHCARE GROUP |
| Chain ID | 608 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 101.7 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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The citable document for MOUNTAIN LAUREL REHABILITATION AND NURSING
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Virginia at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 495417.