Woodstock Valley Health and Rehabilitation

803 South Main St · Woodstock, VA · 22664 · 5404595676

88 certified beds For profit - Corporation Chain: Avardis Health

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

$76,610 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

RN staffing in the bottom 10% nationally

0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.68 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 0
Serious harm & abuse 20% 0
Staffing 20% 39
Federal penalties 15% 24
Trend 10% 18
Context 5% 0

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day2.683.48 min · 4.1 strong
RN hours / resident-day0.260.55–0.75
Weekend hours / resident-day2.24≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)2 · $174,324

Inspection citations (115 in the current record)

  • Immediate jeopardy · J September 26, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 1, 2025 · Quality of Life and Care

  • Actual harm · G September 26, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected December 1, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 26, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 1, 2025 · Resident Rights

  • Potential for harm · D September 26, 2025 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected December 1, 2025 · Resident Rights

  • Potential for harm · E September 26, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected December 23, 2025 · Resident Rights

  • Potential for harm · D September 26, 2025 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected December 1, 2025 · Resident Rights

  • Potential for harm · E September 26, 2025 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected December 23, 2025 · Resident Rights

  • Potential for harm · D September 26, 2025 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected December 1, 2025 · Resident Rights

  • Potential for harm · D September 26, 2025 · found via complaint

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected December 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E September 26, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 23, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 26, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E September 26, 2025 · found via complaint

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

    Corrected December 23, 2025 · Quality of Life and Care

  • Potential for harm · E September 26, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected December 23, 2025 · Quality of Life and Care

  • Potential for harm · D September 26, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 23, 2025 · Quality of Life and Care

  • Potential for harm · E September 26, 2025 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected December 23, 2025 · Quality of Life and Care

  • Potential for harm · E September 26, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected December 1, 2025 · Nursing and Physician Services

  • Potential for harm · E September 26, 2025 · found via complaint

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected December 23, 2025 · Nursing and Physician Services

  • Potential for harm · E September 26, 2025 · found via complaint

    Observe each nurse aide's job performance and give regular training.

    Corrected December 1, 2025 · Nursing and Physician Services

  • Potential for harm · E September 26, 2025 · found via complaint

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

    Corrected December 23, 2025 · Pharmacy Service

  • Potential for harm · D September 26, 2025 · found via complaint

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected December 1, 2025 · Pharmacy Service

  • Potential for harm · E September 26, 2025 · found via complaint

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected December 23, 2025 · Nutrition and Dietary

  • Potential for harm · E September 26, 2025 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected December 1, 2025 · Nutrition and Dietary

  • Potential for harm · E September 26, 2025 · found via complaint

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Corrected December 23, 2025 · Nutrition and Dietary

  • Potential for harm · E September 26, 2025 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 1, 2025 · Nutrition and Dietary

  • Potential for harm · D September 26, 2025 · found via complaint

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    Corrected December 1, 2025 · Administration

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
September 26, 2025Fine$76,610
May 29, 2024Fine$97,714
May 29, 2024Payment Denial54 days

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495315 · certified since February 17, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.