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

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 1 April 2024 to 31 March 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 11 September 2025.

Revenue and expenses, fiscal year 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%).

Beds, days and discharges, fiscal year 2025
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 31 March 2024

Cost report for 28 December 2023 to 31 March 2024 — a reporting period of 94 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 8 April 2025.

Revenue and expenses, fiscal year 2024
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%).

Beds, days and discharges, fiscal year 2024
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 27 December 2023

Cost report for 1 January 2023 to 27 December 2023 — a reporting period of 360 days, on form CMS-2540-10, settled, processed by CMS on 9 February 2026.

Revenue and expenses, fiscal year 2023
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%).

Beds, days and discharges, fiscal year 2023
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 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2024.

Revenue and expenses, fiscal year 2022
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%).

Beds, days and discharges, fiscal year 2022
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 31 August 2021

Cost report for 1 January 2021 to 31 August 2021 — a reporting period of 242 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 3 May 2023.

Revenue and expenses, fiscal year 2021
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%).

Beds, days and discharges, fiscal year 2021
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 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.

Revenue and expenses, fiscal year 2020
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%).

Beds, days and discharges, fiscal year 2020
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 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 December 2021.

Revenue and expenses, fiscal year 2019
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%).

Beds, days and discharges, fiscal year 2019
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 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 March 2020.

Revenue and expenses, fiscal year 2018
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%).

Beds, days and discharges, fiscal year 2018
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 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 December 2019.

Revenue and expenses, fiscal year 2017
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%).

Beds, days and discharges, fiscal year 2017
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 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 4 December 2018.

Revenue and expenses, fiscal year 2016
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%).

Beds, days and discharges, fiscal year 2016
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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 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 1 August 2026 (Medicare enrollment ownership), under the enrollment of WYTHE VA OPCO LLC (enrollment ID O20240220004275).

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	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
APEX GLOBAL SOLUTIONS LLC	Organization	INDIRECT OWNERSHIP INTEREST	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AARON HARTMAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AKIVA SHAPIRO	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AMIR HAJIMOMENIAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CAPITAL FUNDING GROUP	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2023	Private equity company: No Real estate investment trust: No Holding company: No
NECHAMA SOMMER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VA SNF MASTER CONSULTING LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2023	Private equity company: No Real estate investment trust: No Holding company: No
YDI EASTERN HOLDCO LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2023	Private equity company: No Real estate investment trust: No Holding company: No
YEHUDA GITTLESON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
YEHUDA GITTLESON	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 April 2025: NECHAMA SOMMER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: APEX GLOBAL SOLUTIONS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: CAPITAL FUNDING GROUP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: CAPITAL FUNDING GROUP appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: LAYLA GITTLESON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: VA SNF MASTER CONSULTING LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: YEHUDA GITTLESON appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: YEHUDA GITTLESON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: YEHUDA GITTLESON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: VA SNF OPERATIONS HOLDINGS 3 LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: AKIVA SHAPIRO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: AKIVA SHAPIRO appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: AARON HARTMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: YDI EASTERN HOLDCO LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: YDI EASTERN HOLDCO LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: YDI IRREVOCABLE TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: YDI IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: AMIR HAJIMOMENIAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: LYAM FAMILY TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: VA SNF OPERATIONS HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 November 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
1 November 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
1 November 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
1 November 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
1 November 2024: RYAN OSTROW no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 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
1 November 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
1 November 2024: CONCETTO RUTA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 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

9 February 2026: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
11 September 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
8 April 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 April 2025: NECHAMA SOMMER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: APEX GLOBAL SOLUTIONS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: CAPITAL FUNDING GROUP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: CAPITAL FUNDING GROUP appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: LAYLA GITTLESON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: VA SNF MASTER CONSULTING LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: YEHUDA GITTLESON appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: YEHUDA GITTLESON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: YEHUDA GITTLESON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: VA SNF OPERATIONS HOLDINGS 3 LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: AKIVA SHAPIRO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: AKIVA SHAPIRO appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: AARON HARTMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: YDI EASTERN HOLDCO LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: YDI EASTERN HOLDCO LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: YDI IRREVOCABLE TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: YDI IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: AMIR HAJIMOMENIAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: LYAM FAMILY TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: VA SNF OPERATIONS HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 November 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
1 November 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
1 November 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
1 November 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
1 November 2024: RYAN OSTROW no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 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
1 November 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
1 November 2024: CONCETTO RUTA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 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
25 July 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
3 May 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
16 September 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
1 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
23 December 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
13 March 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
11 December 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
4 December 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	8 April 2025	8 April 2025	56	5
2	14 August 2023	14 August 2023	20	1
3	1 July 2021	1 July 2021	11	9

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 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
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	24 June 2025
8 April 2025	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	No	Deficient, Provider has date of correction	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	24 June 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	24 June 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	24 June 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	24 June 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 2025	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	24 June 2025
8 April 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	15 May 2025
8 April 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	24 June 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	15 May 2025
8 April 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	15 May 2025
8 April 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	24 June 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	24 June 2025
8 April 2025	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	E	No	Deficient, Provider has date of correction	15 May 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 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	24 June 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
8 April 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	24 June 2025
8 April 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	15 May 2025
8 April 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	15 May 2025
4 December 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	Yes	Deficient, Provider has date of correction	31 January 2025
4 December 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	31 January 2025
4 December 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	31 January 2025
4 December 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	23 January 2025
4 December 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	31 January 2025
4 December 2024	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	23 January 2025
4 December 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	31 January 2025
14 August 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	13 September 2023
14 August 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	Yes	Deficient, Provider has date of correction	13 September 2023
14 August 2023	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	13 September 2023
14 August 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	13 September 2023
14 August 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	13 September 2023
14 August 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	13 September 2023
14 August 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	13 September 2023
14 August 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	13 September 2023
14 August 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	13 September 2023
14 August 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	13 September 2023
14 August 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	13 September 2023
14 August 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	13 September 2023
14 August 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	13 September 2023
1 July 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	31 July 2021
1 July 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	31 July 2021
1 July 2021	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	No	Deficient, Provider has date of correction	31 July 2021
1 July 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	31 July 2021
1 July 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	31 July 2021
1 July 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	31 July 2021
1 July 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	31 July 2021
1 July 2021	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	31 July 2021
1 July 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	31 July 2021
1 July 2021	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	31 July 2021
1 July 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	31 July 2021

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Fine ID
8 April 2025	Fine	$170,017	8307
4 December 2024	Fine	$8,357	8287
25 September 2023	Fine	$4,235	8083
18 September 2023	Fine	$3,882	8080
11 September 2023	Fine	$3,529	8077
5 September 2023	Fine	$3,176	8071
28 August 2023	Fine	$2,823	8064
21 August 2023	Fine	$2,470	8061

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 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	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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