01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-04-08 | 56 | 2025-04-08 | 5 |
| Cycle 2 | 2023-08-14 | 20 | 2023-08-14 | 1 |
| Cycle 3 | 2021-07-01 | 11 | 2021-07-01 | 9 |
CMS CCN 4954172026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Mountain Laurel Rehabilitation And Nursing
514 North Main Street · Rural Retreat, VA 24368 · Wythe County
Certified beds120CMS provider file
Recent citation rows102current CMS citation release
Penalty rows8current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
102 rows in the current release
8 rows carry G–L scope/severity codes; 3 carry J–L. 18 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-04-08 · FIREE0037Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2025-05-152025-04-08 · HEALTHF0557Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Correction field: Deficient, Provider has date of correction · 2025-05-152025-04-08 · HEALTHF0565Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2025-05-152025-04-08 · HEALTHF0578Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-05-152025-04-08 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-06-242025-04-08 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2025-05-152025-04-08 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-05-152025-04-08 · HEALTHF0600Severity J · isolated immediate jeopardy
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.
Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint2025-04-08 · HEALTHF0607Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-05-152025-04-08 · HEALTHF0622Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint2025-04-08 · HEALTHF0623Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-06-242025-04-08 · HEALTHF0625Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-05-152025-04-08 · HEALTHF0635Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Correction field: Deficient, Provider has date of correction · 2025-05-152025-04-08 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-05-152025-04-08 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2025-05-152025-04-08 · HEALTHF0655Severity E · pattern; potential for more than minimal harm
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
Correction field: Deficient, Provider has date of correction · 2025-05-152025-04-08 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-06-24 · complaint2025-04-08 · HEALTHF0658Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-05-152025-04-08 · HEALTHF0661Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint2025-04-08 · HEALTHF0675Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint2025-04-08 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint2025-04-08 · HEALTHF0679Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint2025-04-08 · HEALTHF0684Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-06-24 · complaint2025-04-08 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-05-1503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-04-08 | Fine | $170,017 | 0 |
| 2024-12-04 | Fine | $8,357 | 0 |
| 2023-09-25 | Fine | $4,235 | 0 |
| 2023-09-18 | Fine | $3,882 | 0 |
| 2023-09-11 | Fine | $3,529 | 0 |
| 2023-09-05 | Fine | $3,176 | 0 |
| 2023-08-28 | Fine | $2,823 | 0 |
| 2023-08-21 | Fine | $2,470 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- VA SNF OPERATIONS HOLDINGS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 12/28/2023
- LYAM FAMILY TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST50% · since 12/28/2023
- APEX GLOBAL SOLUTIONS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/28/2023
- YDI EASTERN HOLDCO LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/28/2023
- YDI IRREVOCABLE TRUSTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/28/2023
- GITTLESON, LAYLAIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/28/2023
- CAPITAL FUNDING GROUPOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 12/28/2023
- GITTLESON, YEHUDAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/28/2023
- SHAPIRO, AKIVAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/28/2023
- CAPITAL FUNDING GROUPOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/28/2023
- VA SNF MASTER CONSULTING LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/28/2023
- VA SNF OPERATIONS HOLDINGS 3 LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/28/2023
- YDI EASTERN HOLDCO LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/28/2023
- GITTLESON, YEHUDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/28/2023
- HAJIMOMENIAN, AMIRIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/28/2023
- HARTMAN, AARONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/28/2023
- SHAPIRO, AKIVAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/28/2023
- SOMMER, NECHAMAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/28/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.14per resident day
RN hours0.43per resident day
Weekend nurse hours2.60per resident day
Staff turnover62.6%CMS reported field
06 / LOCAL RECORDS
Open the Virginia ledger →Other published facilities nearby
No second facility in the same city met the directory rule.