Facility profile · CCN 495315
Woodstock Valley Health And Rehabilitation
116 federal citations on record , including 3 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $97,714.
Record summary
Federal record · Q1 2026116
Total citations
73
Last 3 years
5
Actual harm+
2
Federal penalties
$97,714
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
116 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 26, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Sep 26, 2025 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Complaint |
| Sep 26, 2025 | F843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | F | Complaint |
| Sep 26, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Sep 26, 2025 | F840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | E | Complaint |
| Sep 26, 2025 | F836 | 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. | D | Complaint |
| Sep 26, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Sep 26, 2025 | F809 | 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. | E | Complaint |
| Sep 26, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Sep 26, 2025 | F803 | 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. | E | Complaint |
| Sep 26, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint |
| Sep 26, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Sep 26, 2025 | F732 | Post nurse staffing information every day. | C | Complaint |
| Sep 26, 2025 | F730 | Observe each nurse aide's job performance and give regular training. | E | Complaint |
| Sep 26, 2025 | F727 | 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. | E | Complaint |
| Sep 26, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Sep 26, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Complaint |
| Sep 26, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Sep 26, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Sep 26, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint |
| Sep 26, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Sep 26, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Sep 26, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| Sep 26, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Sep 26, 2025 | F627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint |
| Sep 26, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Sep 26, 2025 | F584 | 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. | E | Complaint |
| Sep 26, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Sep 26, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint |
| Sep 26, 2025 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Sep 26, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| May 23, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| May 23, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| May 23, 2024 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Complaint |
| May 23, 2024 | F710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Complaint |
| May 23, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint |
| May 23, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| May 23, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| May 23, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| May 23, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| May 23, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint |
| May 23, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| May 23, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| May 23, 2024 | F610 | Respond appropriately to all alleged violations. | E | Complaint |
| May 23, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| May 23, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint |
| May 23, 2024 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Complaint |
| May 23, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| May 23, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint |
| May 23, 2024 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Standard |
| May 23, 2024 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard |
| May 23, 2024 | F946 | Provide training in compliance and ethics. | D | Standard |
| May 23, 2024 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Standard |
| May 23, 2024 | F942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Standard |
| May 23, 2024 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Standard |
| May 23, 2024 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Standard |
| May 23, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| May 23, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| May 23, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| May 23, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| May 23, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| May 23, 2024 | F727 | 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. | E | Standard |
| May 23, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard |
| May 23, 2024 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard |
| May 23, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| May 23, 2024 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| May 23, 2024 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| May 23, 2024 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| May 23, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| May 23, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Dec 19, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint |
| Dec 19, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint |
| Dec 19, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Apr 20, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Apr 20, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Apr 20, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Apr 20, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint |
| Apr 20, 2023 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Complaint |
| Apr 20, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Apr 20, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Apr 20, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Apr 20, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Apr 20, 2023 | F888 | Ensure staff are vaccinated for COVID-19 | D | Standard |
| Apr 20, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Apr 20, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Apr 20, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Apr 20, 2023 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| Apr 20, 2023 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Oct 26, 2021 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard |
| Oct 26, 2021 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard |
| Oct 26, 2021 | F886 | Perform COVID19 testing on residents and staff. | E | Standard |
| Oct 26, 2021 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Oct 26, 2021 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Oct 26, 2021 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Oct 26, 2021 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Oct 26, 2021 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | K | Standard |
| Oct 26, 2021 | F732 | Post nurse staffing information every day. | C | Standard |
| Oct 26, 2021 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Oct 26, 2021 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard |
| Oct 26, 2021 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $97,714 and 1 payment-denial actions spanning 54 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 29, 2024 | Fine | $97,714 | — |
| May 29, 2024 | Payment Denial | — | Sep 11, 2024 · 54 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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