Gretna Health and Rehabilitation Center
595 Vaden Drive, Gretna, VA 24557 · Pittsylvania County · 90 certified beds · avg 88 residents/day · certified since Oct 13, 1989
Part of chain: LIFEWORKS REHAB (64 facilities, chain avg rating 2.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 30, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jul 27, 2023 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Oct 21, 2021 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Oct 21, 2021 | E · Potential for harm, repeated | The facility did not perform required COVID-19 testing on residents and staff. |
| Oct 21, 2021 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Oct 21, 2021 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 21, 2021 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 5 | 0 | E |
| 2023 | 4 | 0 | E |
| 2026 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Virginia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.19 | 3.67 | 3.95 | bottom 38% in Virginia; bottom 21% in the U.S. |
| Registered Nurse hours | 0.33 | 0.66 | 0.69 | bottom 12% in Virginia; bottom 13% in the U.S. |
| Weekend total nurse staffing | 2.66 | 3.21 | 3.50 | bottom 30% in Virginia; bottom 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.18 | 0.46 | 0.48 | bottom 14% in Virginia; bottom 9% in the U.S. |
| Total nursing staff turnover (%) | 37.0 | 48.1 | 45.8 | top 23% in Virginia; top 29% in the U.S. |
| RN turnover (%) | 41.7 | 48.2 | 42.9 | top 36% in Virginia; top 50% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.56, RN 0.37, weekend 2.96. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| America West LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Charles 1994 & Family LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Charles 1994 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Charles 1994 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Edward 1998 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Edward 1998 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Gretna Holdings I LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/28/2021 |
| KSS 2000 Family Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| ML 2000 Family Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| MRV West LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Redrock West LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Saul 2012 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Saul 2012 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Powers, Amanda | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/11/2023 |
| RCZBM West Manager LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/28/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current policy for testing residents and staff when someone shows symptoms or there's an outbreak?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Chatham Health & Rehabilitation Center | 10.1 mi | Chatham, VA | ★★★★☆ | 4/5 | |
| Autumn Care of Altavista | 12.6 mi | Altavista, VA | ★★★★☆ | 4/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 495202.