How many deficiencies did Gretna Health and Rehabilitation Center get at its last inspection?

4 health deficiencies at the standard inspection on July 27, 2023. The Virginia average is 14.3.

Has Gretna Health and Rehabilitation Center been fined?

CMS lists no fines in the last three years.

Does Gretna Health and Rehabilitation Center accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Gretna Health and Rehabilitation Center?

CMS lists 15 owners and managers, and links the home to Lifeworks Rehab. Legal business name: GRETNA OPERATIONS LLC.

Gretna Health and Rehabilitation Center: Inspections

The record in brief

At its most recent standard inspection, on July 27, 2023, inspectors cited 4 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 12 health citations since August 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.56 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.

37.0% of nursing staff left within the year CMS measured (Virginia average 48.1%).

CMS links it to Lifeworks Rehab, an affiliated group of 64 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

008/19

510/21

407/23

203/26

104/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

April 30, 2026Complaint inspection · 1 citation

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 5, 2026

Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to follow the provider orders for wound care and failed to obtain provider orders for a fracture for 1 of 5 closed record reviews, Resident #94.

March 12, 2026Complaint inspection · 2 citations

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 27, 2026

Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to ensure resident treatment and care in accordance with professional standards of practice for (1) one of (4) four sampled residents, Resident #1.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 27, 2026

Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to utilize appropriate personal protective equipment (PPE) prior to entrance into a resident room identified for contact precautions.

July 27, 2023Standard inspection · 4 citations

E

Make sure that a working call system is available in each resident's bathroom and bathing area.

F919 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 5, 2023

Inspectors wroteBased on observations, interviews, and facility document review, the facility staff failed to ensure 1. the resident communication system relayed calls directly to a staff person or to a centralized staff work area from all residents' rooms and 2 of 2 bathing areas, and 2. call light pull cords were in working order in 2 of 2 bathing areas.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2023

Inspectors wroteBased on staff interview and clinical record review, facility staff failed to administer a diuretic medication per physician orders for 1 of 18 residents in the survey sample (Resident #20). Resident #20 was admitted to the facility with diagnoses including atherosclerotic heart disease, congestive heart failure, presence of implanted defibrillator, pulmonary hypertension, long-term use of insulin and anticoagulants, Parkinson's disease, type 2 diabetes mellitus, chronic respiratory failure, and essential hypertension. On the Minimum Data Set assessment with assessment reference date 6/5/2023, the resident scored 15/15 on the brief interview for mental status and was assessed as without signs of delirium, psychosis, or behaviors affecting care. [...]
D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2023

Inspectors wroteBased on staff interview, clinical record review and facility document review the facility staff failed to act upon pharmacist recommendations for 1 of 18 residents, Resident #40.
D

Ensure medication error rates are not 5 percent or greater.

F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2023

Inspectors wroteBased on observation, staff interview, clinical record review, facility document review and during a medication pass and pour observation the facility staff failed to ensure a medication error rate of less than 5 %. There were two errors in 28 opportunities for a medication error rate of 7.14%. These errors affected Resident #60.

October 21, 2021Standard inspection · 5 citations

E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · deficient, provider has December 3, 2021

Inspectors wrote3. For Resident #22, facility staff failed to ensure a physician ordered supplement was available for administration. Resident #22 was admitted to the facility with diagnoses including atherosclerotic heart disease, traumatic amputation of right lower leg, methicillin resistant staphylococcus aureus, diabetes mellitus, hypertension, heart failure, gastroesophageal reflux disease, and dysphagia. On the Minimum Data Set Assessment with Assessment Reference Date 8/25/21, the resident scored 10/15 on the Brief Interview for Mental Status and was assessed as without signs of delirium or psychosis. The resident exhibited physical behaviors directed toward others 1-3 days of the week prior to the assessment. Clinical record review revealed a physician order dated 6/9/2021 for Prostat SF 30 ml one time a day for wound healing and skin integrity. [...]
E

Perform COVID19 testing on residents and staff.

F886 · Infection Control · No actual harm, potential for more than minimal harm, pattern · deficient, provider has December 3, 2021

Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to consistently document the results of COVID-19 tests in the (EHR) electronic health record for 23 of 26 residents. Resident's #6, #11, #16, #18, #19, #22, #24, #28, #34, #37, #42, #44, #45, #46, #51, #54, #61, #67, #71, #73, #75, #77, and #79.
D

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · deficient, provider has December 3, 2021

Inspectors wroteBased on staff interview, employee record review, and facility document review, the facility staff failed to implement written policies and procedures that prohibit and prevent abuse, neglect, and exploitation of resident and misappropriation of resident property as evidenced by failure to pre-screen 2 of 25 new hire employees, #16 and #19.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · deficient, provider has December 3, 2021

Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure that residents receive treatment and care by not following physician's orders for 1 of 26 residents in the survey sample, Resident #11.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · deficient, provider has December 3, 2021

Inspectors wroteBased on observation, staff interview, facility document review and clinical record review the facility staff failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, specifically COVID-19, for one of one COVID unit.

August 29, 2019Standard inspection · 0 citations

Fire safety inspections

18 fire safety citations on file: 6 on July 27, 2023, 8 on October 21, 2021, 4 on August 29, 2019.

Every fire safety citation18 citations

F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · July 27, 2023 · Corrected (the home has a date of correction)
E
Have exits that are accessible at all times.

K 271 · July 27, 2023 · Corrected (the home has a date of correction)
E
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · July 27, 2023 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · July 27, 2023 · Corrected (the home has a date of correction)
D
Install proper backup exit lighting.

K 281 · July 27, 2023 · Corrected (the home has a date of correction)
D
Have properly located and lighted "Exit" signs.

K 293 · July 27, 2023 · Corrected (the home has a date of correction)
F
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · October 21, 2021 · Corrected (the home has a date of correction)
F
Conform to length requirements for dead end corridors.

K 251 · October 21, 2021 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · October 21, 2021 · Corrected (the home has a date of correction)
F
Have properly installed electrical wiring and gas equipment.

K 511 · October 21, 2021 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · October 21, 2021 · Corrected (the home has a date of correction)
E
Have properly located and lighted "Exit" signs.

K 293 · October 21, 2021 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · October 21, 2021 · Corrected (the home has a date of correction)
E
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · October 21, 2021 · Corrected (the home has a date of correction)
F
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · August 29, 2019 · Corrected (the home has a date of correction)
F
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · August 29, 2019 · Corrected (the home has a date of correction)
F
Ensure proper usage of power strips and extension cords.

K 920 · August 29, 2019 · Corrected (the home has a date of correction)
F
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · August 29, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Virginia	United States
All nursing staff (RN, LPN and aides)	3.56	3.76	3.86
Registered nurses	0.37	0.69	0.69
All nursing staff on weekends	2.96	3.29	3.42
Nurse aides	2.05
Licensed practical nurses	1.14
Nursing staff turnover (share who left in a year)	37.0%	48.1%	45.8%
Registered nurse turnover	41.7%	48.2%	42.9%
Administrators who left	0

CMS expects 4.27 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.80 on weekdays and 2.96 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.70 in April to June 2025 to 3.56 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.56	0.37	3.80	2.96	0.2%	0 of 90	88
Oct to Dec 2025	3.57	0.40	3.80	2.98	0.0%	0 of 92	86
Jul to Sep 2025	3.52	0.56	3.74	2.96	0.0%	0 of 92	88
Apr to Jun 2025	3.70	0.67	3.93	3.14	0.0%	0 of 91	89
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Virginia, Jan to Mar 2026	3.58	0.56	3.76	3.12	5.7%	0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Virginia

Job	Median	Middle half	Employed
Virginia, all employers
CNAs (nursing assistants)	$20.77	$17.80 to $22.56	40,580
LPNs and LVNs	$31.21	$28.66 to $35.84	15,550
Registered nurses	$45.00	$38.51 to $49.53	77,490
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Virginia	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	15.2	14.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.4	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.8	1.6	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	4.8	3.6	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	2.2	1.3	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	21.7	15.6	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.9	4.7	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	21.7	14.2	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	25.1	22.3	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	21.5	11.5	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.7	1.5	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.7	1.5	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Gretna Health and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (58.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

58.2% this home

Better than the national rate

US median of homes 51.5% · Virginia: 101 better, 22 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 238 eligible stays.

Potentially preventable readmissions

12.4% this home

No different from the national rate

US median of homes 10.7% · Virginia: 1 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 228 eligible stays.

Infections that led to a hospital stay

8.9% this home

No different from the national rate

US median of homes 7.1% · Virginia: 2 better, 8 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 146 eligible stays.

Self-care and mobility at discharge

27.5% this home

Median of homes: Virginia60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 69 residents counted.

Falls with major injury

1.0% this home

Median of homes: Virginia0.7% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 99 residents counted.

New or worsened pressure ulcers

2.8% this home

Median of homes: Virginia2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 99 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Virginia97.8% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 46 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: GRETNA OPERATIONS LLC. CMS links this home to Lifeworks Rehab, a group of 64 nursing homes averaging 2.1 stars overall.

Name	Role	Type	Share	Since
Gretna Holdings I LLC	5% or greater direct ownership interest	Organization	100%	05/28/2021
America West LLC	5% or greater indirect ownership interest	Organization		05/28/2021
Charles 1994 & Family LLC	5% or greater indirect ownership interest	Organization		05/28/2021
Charles 1994 Family Grantor Trust	5% or greater indirect ownership interest	Organization		05/28/2021
Charles 1994 LLC	5% or greater indirect ownership interest	Organization		05/28/2021
Edward 1998 Family Grantor Trust	5% or greater indirect ownership interest	Organization		05/28/2021
Edward 1998 LLC	5% or greater indirect ownership interest	Organization		05/28/2021
Kss 2000 Family Trust	5% or greater indirect ownership interest	Organization		05/28/2021
Ml 2000 Family Trust	5% or greater indirect ownership interest	Organization		05/28/2021
Mrv West LLC	5% or greater indirect ownership interest	Organization		05/28/2021
Redrock West LLC	5% or greater indirect ownership interest	Organization		05/28/2021
Saul 2012 Family Grantor Trust	5% or greater indirect ownership interest	Organization		05/28/2021
Saul 2012 LLC	5% or greater indirect ownership interest	Organization		05/28/2021
Powers, Amanda	W-2 managing employee	Individual		09/11/2023
Rczbm West Manager LLC	Operational/managerial control	Organization		05/28/2021

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on April 30, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on March 12, 2026: "Provide and implement an infection prevention and control program."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on July 27, 2023: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on July 27, 2023: "Make sure that a working call system is available in each resident's bathroom and bathing area."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.96 hours per resident per day, below the Virginia average of 3.29.

Other nursing homes nearby

Chatham Health & Rehabilitation Center
Chatham, 10.1 mi · 4 of 5 stars · 24 citations
Autumn Care of Altavista
Altavista, 12.6 mi · 4 of 5 stars · 19 citations
Roman Eagle Rehabilitation and Health Care Center
Danville, 23 mi · 4 of 5 stars · 29 citations
Piney Forest Health and Rehabilitation Center
Danville, 24.1 mi · 3 of 5 stars · 28 citations
Riverside Health & Rehab Cntr
Danville, 24.8 mi · 3 of 5 stars · 22 citations

Virginia contacts for a concern about a nursing home

These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.

Common questions

What is Gretna Health and Rehabilitation Center's Medicare star rating?: CMS rates Gretna Health and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Gretna Health and Rehabilitation Center get at its last inspection?: 4 health deficiencies at the standard inspection on July 27, 2023. The Virginia average is 14.3.
Has Gretna Health and Rehabilitation Center been fined?: CMS lists no fines in the last three years.
Does Gretna Health and Rehabilitation Center accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Gretna Health and Rehabilitation Center?: CMS lists 15 owners and managers, and links the home to Lifeworks Rehab. Legal business name: GRETNA OPERATIONS LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.