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Complaint Investigation

Gretna Health And Rehabilitation Center

April 30, 2026 · Gretna, VA · 595 Vaden Drive
Citations 1
CMS Rating 4/5
Beds 90
Provider ID 495202
Healthcare Facility
Gretna Health And Rehabilitation Center
Gretna, VA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

GRETNA HEALTH AND REHABILITATION CENTER in GRETNA, VA — inspection on April 30, 2026.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0684
Quality of Life and Care Deficiencies

the right pinky finger.

The MP recalled he saw Resident #94's bandaged finger at the facility and it

On 4/30/26 at 8:56 AM, the Wound Care Nurse (WCN) was interviewed and stated she was not

care/treatment of a fractured finger, the WCN stated she would ask the medical provider for orders about a splint and/or treatment of a fractured finger.

On 4/30/26 at 9:14 AM, the Interim Director of Nursing (IDON) was interviewed and stated she did not recall a splint being on Resident #94's fractured right pinky finger. A nursing progress note dated 5/29/26 written by the IDON was reviewed and the IDON stated she did not recall documenting the information.

When asked what the protocol is for an admission with a fractured finger, the IDON stated the protocol would be to notify the medical provider to make them aware and to wait for an order.

On 4/30/26 at 10:34 AM, the TCU (transitional care unit) UM (Unit Manager) was interviewed and stated she looked at Resident #94's picture in the clinical record but could not recall the resident.

When asked what the protocol was if a new admission entered the facility with a fractured finger, the UM stated she would review the admission paperwork and look for any recommendations from ortho and would look for any follow-up ortho appointments related to the fracture.

The UM stated she would call ortho if it was not clear for a treatment plan to make sure the fracture was treated/cared for appropriately.

Four other nurses who were identified that cared for Resident #94 were no longer employed at the facility and were not available for interviews.

This concern was discussed at the end of day meeting on 04/29/26 at 5:00 PM with the Interim Administrator, Assistant Administrator, Interim Director of Nursing, Regional Director of Clinical Services, and the Regional [NAME] President of Operations.

Requested and received a facility policy titled, Physician's Orders with an effective date of 1/29/24 which read in part, .admission Physician's Orders must be provided for every patient at the time of admission.to activate a medical plan of care.1.

Upon every patient's admission.a licensed nurse will notify the physician requesting.physician's orders.2.b. admission orders should include.10.

Other orders as indicated by patient's condition with specific directions.

No further information was provided prior to exit on 4/30/26.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GRETNA, VA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GRETNA HEALTH AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.