Hearth Record

Wythe County Community Hospital

An acute care hospital in Wytheville, Virginia 24382

600 West Ridge Road, Wytheville, Virginia 24382. (276) 228-0200.

CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 20, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Mar 2025. Most serious: Standard-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean3
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.

What did inspectors find?

The last inspection on record was on Jan 22, 2026: a complaint inspection.

1 deficiency cited in the last three years.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

1 deficiency in 1 month of the last 36. Last cited Mar 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

1 deficiency by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Mar 18, 2025: complaint inspection1 deficiency

  • Infection Control Program

    The inspectors’ words, 895 words

    “INFECTION CONTROL PROGRAM CFR(s): 482.42(a)(1) The hospital infection prevention and control program, as documented in its policies and procedures, employs methods for preventing and controlling the transmission of infections within the hospital and between the hospital and other institutions and settings; This Standard is not met as evidenced by: 33906 Based on observations, interviews and document review, it was determined the hospital staff failed to a) utilize infection control methods that prevent and control the transmission of infection within the hospital by contaminating clean supplies and incorrectly handling contaminated linen and b) develop and implement a procedure for visual monitoring and/or verification of negative pressure rooms. The findings include: a) Failure to follow infection control practices Review of hospital policy “Hand Hygiene” effective 02/2025 indicates hand hygiene should be performed before touching a patient, before a clean procedure, after contact with bodily fluid occurred or possible risk was present, after touching a patient and after touching patient surroundings. Review of CDC “2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings” last updated September 2024 reveals under Personal Protective Equipment “Gowns IV.B.3.a. Wear a gown, that is appropriate to the task, to protect skin and prevent soiling or contamination of clothing during procedures and patient-care activities when contact with blood, body fluids, secretions, or excretions is anticipated” https://www.cdc.gov/infection-control/media/pdfs/Guideline-Isolation-H.pdf retrieved March 21, 2025 12:33 PM During observations on March 17, 2025, the surveyor noted the following breaks in infection control practice by staff providing care to a patients while in the ED: Patient #2’s shoes were placed on the counter adjacent to a hand washing sink and below clean supplies. Clean supplies were placed next to the Patient’s shoes creating potential for contamination. When providing care for a patient whose ostomy bag had leaked the contents on the patient and bed linens, Staff #16 when cleaning the patient, changing their brief, and changing bed linens on more than one occasion accessed clean supplies (gloves and linens) while wearing contaminated gloves. Staff #16 failed to wear PPE to protect their clothing when providing care to a patient with a known risk for exposure to bodily fluids. When placing soiled linens in the hamper, Staff #16 carried linens against their body contaminating their clothing, identification badge and a stethoscope worn around their neck. After removing dirty gloves, Staff #16 failed to perform hand hygiene before donning clean gloves. Staff #16 failed to clean the stethoscope after leaving Exam room 8 and before entering Exam room 7. While in room 7, Staff #16 failed to perform hand hygiene after removing dirty gloves and before accessing clean supplies. The surveyor noted Staff #16’s stethoscope fall to the floor. The stethoscope was not cleaned prior to Staff #16 entering Exam room 4. On March 18, 2025, Staff #19 was observed to carry the drawer, from the medication storage unit, into Patient #5’s room to administer medications. The storage unit was potentially contaminating when the drawer was returned to the unit without any disinfection. During the patient care observation periods on March 17th and 18th, multiple staff members were noted to enter patient area and donning gloves before performing hand hygiene, potentially contaminating the glove supply. b, Failure to visually monitor/verify negative pressure rooms Review of hospital policy “Isolation Procedures” effective 02/2025 indicates patients requiring airborne isolation should be placed in an airborne infection isolation room (AIIR), in the event a patient is admitted to an AIIR, the AIIR will be turned on and “verified” for negative pressure, and staff or maintenance will check the negative pressure monitor daily for all patient’s in AIIR. Review of CDC (Centers for Disease Control and Prevention) guidance reveals under V.D.2 Patient Placement “V.D.2.a.iii. Whenever an AIIR is in use for a patient on Airborne Precautions, monitor air pressure daily with visual indicators (e.g., smoke tubes, flutter strips), regardless of the presence of differential pressure sensing devices (e.g., manometers).” https://www.cdc.gov/infection-control/media/pdfs/Guideline-Isolation-H.pdf retrieved March 21, 2025 at 11:44 AM. During review of airborne isolation protocols it was determined that the hospital was relying solely on the pressure alarm to verify the AIIR (airborne infection isolation room) or negative pressure isolation system was working properly. Interviews with hospital staff on March 17, 2025 and March 18, 2025 indicate there is no protocol in place to verify the AIIR room is working correctly other than the pressure alarm and staff had not been trained to perform a manual visual check of the system as recommended by the CDC. Staff #3 and Staff #4 explained on March 18, 2025 at 1:00 PM during the discussion of observation findings that the expectation is that staff would only access clean supplies with clean hands or clean gloves; soiled linen should not be carried in a way that could contaminate staff clothing; the medication “drawer” should not be taken to the patient’s room; hand hygiene is expected between glove changes and when entering and leaving the patient’s room. Staff #3 and Staff #4 indicated during an interview on March 18, 2025 at 1:00 PM that they were unaware of a need to perform a visual check to validate the negative pressure room is working and were unable to provide a date when the AIIR rooms were used for true airborne isolation. There are two AIIR rooms in the hospital, one in the emergency department and one in the intensive care unit.”

    Rule A0749. Standard-level. From a complaint.

All 2 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Jan 22, 2026Complaint inspectionNo deficiencies cited
Mar 18, 2025Complaint inspection1 deficiency cited

How do patients fare?

  • CMS’s overall for it is 3 of 5.
  • Of the measures behind its , CMS counts against the national value: mortality, 0 better and 0 worse of 5; safety of care, 0 better and 0 worse of 2; readmission, 0 better and 0 worse of 6.
  • Patients rate it 4 of 5 in CMS’s patient survey (254 surveys completed, Oct 1, 2024 to Sep 30, 2025): 71% rated it 9 or 10 out of 10, and 64% would definitely recommend it.
  • Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): C. diff infections, no different than national benchmark.
  • CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
  • Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart failure 11.3%, pneumonia 17.6%, COPD 13.1%, stroke 12.7%. CMS gives no comparison with the national rate for them in this release.
  • Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart failure 19.8%, pneumonia 16.4%, COPD 20.2%. CMS gives no comparison with the national rate for them in this release.
  • After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
  • Emergency department patients spent a median of 148 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
  • 66% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
  • Medicare’s spending per patient here is 0.92 times the national median (Jan 1, 2024 to Dec 31, 2024).
Source:

CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.

CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Overall ratingCMS’s overall hospital quality star rating, 1 to 53 of 5
Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 54 of 5

Is it certified, and in good standing?

  • Medicare-certified acute care hospital since Jul 15, 1972.
  • Ownership: proprietary.
  • It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
  • No deficiency on record in the last three years.
  • Proprietary.
Source:

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Has it been penalized?

  • CMS doesn’t publish fines or other penalties for hospitals.
  • Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
  • 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
Source:

CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

What do patients say about their care?

  • CMS doesn’t publish staffing levels for hospitals.
  • In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
  • 78% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
Source:

CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.

Who owns it?

  • Lifepoint Holdings 2 LLC owns 100% directly since Jun 1, 2005.
  • Lifepoint Corporate Services General Partnership runs it.
  • 7 owners or officers are people: William Haugh (corporate officer); Daniel Davis (corporate officer); Marcus B Poppell (corporate officer); Charlotte E Lawrence (corporate officer, 0%); Elliott Brown (corporate officer); Anthony Young (managing employee (under contract), 0%); Christopher J Monte (corporate officer).
  • CMS’s Provider of Services file records 1 change of ownership, the latest on Jun 1, 2005.
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Lifepoint Holdings 2 LLCOwns 5% or more directly100%Jun 1, 2005
Dsb Acquisition LLCOwns 5% or more through other companies100%Nov 16, 2018
Lifepoint Hospitals Holdings LLCOwns 5% or more through other companies100%Jun 1, 2006
Historic Lifepoint Hospitals LLCOwns 5% or more through other companies100%Jun 1, 2005
Lifepoint Health Inc.Owns 5% or more through other companies100%Nov 16, 2018
Legacy Lifepoint Health LLCOwns 5% or more through other companies100%Jun 1, 2005
Lifepoint Corporate Services General PartnershipRuns it (operational or managerial control)Jun 1, 2005

How does it compare nearby?

  • No other hospital CMS lists is in Wythe County.
Source:

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
  • QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
  • CMS doesn’t publish staffing levels for hospitals.
  • In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the hospital

The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

Sign in

A free account keeps your watch list, shortlists, comparisons and saved searches on every device, and can email you when something you watch changes. Browsing never needs one.