Gretna Health and Rehabilitation Center
595 Vaden Drive, Gretna, VA 24557
Gretna Health and Rehabilitation Center is a nursing home in Gretna, Virginia. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating4 of 5
- Last standard health inspectionJuly 27, 2023 (3 years ago)
- Health citations since October 21, 202112 (Virginia average 39)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health inspection on April 30, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on June 5, 2026.
CMS has cited this home for F0684 4 times since 2021.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Health inspection on March 12, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on March 27, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 27, 2026.
CMS has cited this home for F0880 2 times since 2021.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Ownership
CMS lists this home under a new chain.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on July 27, 2023
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0919. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS lists it as corrected on September 5, 2023.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on September 5, 2023.
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on September 5, 2023.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on September 5, 2023.
Fire safety inspection on July 27, 2023
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on October 24, 2023.
CMS has cited this home for K0761 2 times since 2021.
Citation K0271. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have exits that are accessible at all times.
CMS lists it as corrected on September 18, 2023.
Citation K0345. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on September 18, 2023.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 18, 2023.
CMS has cited this home for K0353 2 times since 2021.
Citation K0281. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install proper backup exit lighting.
CMS lists it as corrected on September 18, 2023.
Citation K0293. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on September 18, 2023.
CMS has cited this home for K0293 2 times since 2021.
Health inspection on October 21, 2021
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on December 3, 2021.
Citation F0886. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Perform COVID19 testing on residents and staff.
CMS lists it as corrected on December 3, 2021.
Citation F0607. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on December 3, 2021.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on December 3, 2021.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 3, 2021.
Fire safety inspection on October 21, 2021
8 citationsCMS lists this as a standard inspection.
Show the 8 citations
Citation K0211. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on December 10, 2021.
CMS has cited this home for K0211 2 times since 2019.
Citation K0251. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conform to length requirements for dead end corridors.
CMS lists it as corrected on December 10, 2021.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on December 10, 2021.
Citation K0511. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on December 10, 2021.
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on December 10, 2021.
Citation K0293. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on December 10, 2021.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on December 10, 2021.
Citation K0918. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on December 10, 2021.
Fire safety inspection on August 29, 2019
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0211. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on September 19, 2019.
Citation K0355. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on September 19, 2019.
Citation K0920. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on September 19, 2019.
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on September 19, 2019.
CMS star ratings
- 4 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (434) 656-1206
- Last standard health inspection
- July 27, 2023 (3 years ago)
- Certified beds
- 90
- Residents per day, on average
- 87.1
- Ownership type
- For profit - Corporation
- Legal business name
- Gretna Operations LLC
- Chain
- Lifeworks Rehab
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Virginia average (12 vs 39).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- GRETNA HOLDINGS I LLC5% or greater direct ownership interest · 100% · since 05/28/2021
- AMERICA WEST LLC5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- CHARLES 1994 & FAMILY LLC5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- CHARLES 1994 FAMILY GRANTOR TRUST5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- CHARLES 1994 LLC5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
Show 9 more
- EDWARD 1998 FAMILY GRANTOR TRUST5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- EDWARD 1998 LLC5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- KSS 2000 FAMILY TRUST5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- ML 2000 FAMILY TRUST5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- MRV WEST LLC5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- REDROCK WEST LLC5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- SAUL 2012 FAMILY GRANTOR TRUST5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- SAUL 2012 LLC5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- RCZBM WEST MANAGER LLCOperational/managerial control · not applicable · since 05/28/2021
Questions
When was Gretna Health and Rehabilitation Center last inspected?
CMS lists July 27, 2023 as the date of its most recent standard health inspection.
How many citations (violations) does Gretna Health and Rehabilitation Center have?
CMS lists 12 health citations since October 21, 2021. CMS also calls these deficiencies.
Has Gretna Health and Rehabilitation Center been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Gretna Health and Rehabilitation Center?
Its CMS overall star rating is 4 of 5.
Is Gretna Health and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.