Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wythe Cnty Community Hosp Ecu during CMS and state inspections, most recent first.
Facility staff failed to provide a resident and/or the resident representative with a copy of the baseline care plan. Clinical record review did not show evidence that the baseline care plan was given to the resident or representative, and the DCEQRM stated the facility was unaware of this requirement and did not practice it. The facility policy on Interim Care/Interdisciplinary Care Plans did not address giving the resident or representative a summary of the baseline care plan.
Incorrect code status order for a resident. A resident with CHF, HTN, MI, and hyponatremia had an ECU admission history showing DNR with no advance directive, but the clinical record contained a full code order. An RN identified the discrepancy during interview and stated the resident should have been DNR, while later saying the physician entered the order and she did not know what caused the error.
Failure to Offer Pneumococcal Vaccine: A resident with CHF, HTN, MI, and hyponatremia had an admission history that only noted a pneumococcal vaccine after age 65, without the vaccine type or date documented. RN confirmed the record was incomplete, VIIS showed no prior pneumococcal vaccine, and the facility could not provide evidence that the resident was offered the vaccine after admission.
Failure to Provide Baseline Care Plan Copies
Penalty
Summary
Facility staff failed to provide residents and/or resident representatives with a copy of the baseline care plan. A review of residents' clinical records did not reveal evidence that the facility provided a copy of the baseline care plan to the resident and/or resident representative. On 11/25/25 at 12:24 PM, the Director of Clinical Effectiveness Quality and Risk Management stated they were unaware of the need to provide residents with a copy of the baseline care plan, and this was not a facility practice. The facility policy titled Interim Care/Interdisciplinary Care Plans did not address providing the resident and their representative with a summary of the baseline care plan.
Incorrect Code Status Order for a Resident
Penalty
Summary
Facility staff failed to ensure the correct code status was in place for one resident. The resident had diagnoses including congestive heart failure, hypertension, myocardial infarction, and hyponatremia. The ECU admission history dated 11/20/25 indicated the resident had no advance directive but was DNR, while the clinical record reviewed on 11/24/25 showed a current order dated 11/20/25 for full code resuscitation status. During interview on 11/24/25, the RN acknowledged the discrepancy, stated she would clarify it with the resident, then returned and stated the resident's code status was correct on the admission history and should be DNR. The code status order was changed to DNR on 11/24/25 at 3:30 PM. On 11/25/25, the RN stated the physician entered the code status order and she did not know what caused the error.
Failure to Offer Pneumococcal Vaccine
Penalty
Summary
The facility failed to offer a pneumococcal vaccine in accordance with nationally recognized standards for 1 of 5 sampled residents, Resident #1. Resident #1 had diagnoses including congestive heart failure, hypertension, myocardial infarction, and hyponatremia. The resident’s ECU admission history dated 11/20/25 indicated that he had received a pneumococcal vaccine after age 65, but the date and type of vaccine were not documented in the clinical record. During interview on 11/25/25, RN #1 confirmed the admission history only showed that a pneumococcal vaccine had been received after age 65 and did not identify the vaccine type or date. The Infection Preventionist provided the resident’s Official Immunization Record from VIIS, which indicated the resident had not received a pneumococcal vaccine in the past. The facility was unable to provide evidence that the resident was offered a pneumococcal vaccine after admission.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Wytheville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Holston Health & Rehabilitation | 1 mi | ★★★★★ | 0 | 0 |
| Mountain Laurel Rehabilitation And Nursing | 10.5 mi | ★★★★★ | 0 | 0 |
| Bland County Nursing & Rehab Center | 15.7 mi | ★★★★★ | 5 | 0 |
| Pulaski Hlth & Rehab Cntr | 20.2 mi | ★★★★★ | 2 | 0 |
| Mercer Healthcare Center | 21.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.