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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.

Abuse Icon Special Focus Status 3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
116
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
SurveyF-TagViolationSeveritySource
Sep 26, 2025F880Provide and implement an infection prevention and control program.DComplaint
Sep 26, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFComplaint
Sep 26, 2025F843Have 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.FComplaint
Sep 26, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Sep 26, 2025F840Employ 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.EComplaint
Sep 26, 2025F836Ensure 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.DComplaint
Sep 26, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Sep 26, 2025F809Ensure 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.EComplaint
Sep 26, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Sep 26, 2025F803Ensure 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.EComplaint
Sep 26, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Sep 26, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Sep 26, 2025F732Post nurse staffing information every day.CComplaint
Sep 26, 2025F730Observe each nurse aide's job performance and give regular training.EComplaint
Sep 26, 2025F727Have 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.EComplaint
Sep 26, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Sep 26, 2025F697Provide safe, appropriate pain management for a resident who requires such services.EComplaint
Sep 26, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Sep 26, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Sep 26, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Sep 26, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Sep 26, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Sep 26, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Sep 26, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Sep 26, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint
Sep 26, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Sep 26, 2025F584Honor 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.EComplaint
Sep 26, 2025F583Keep residents' personal and medical records private and confidential.DComplaint
Sep 26, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint
Sep 26, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Sep 26, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 23, 2024F880Provide and implement an infection prevention and control program.DComplaint
May 23, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 23, 2024F758Implement 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.DComplaint
May 23, 2024F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint
May 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint
May 23, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
May 23, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
May 23, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 23, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
May 23, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
May 23, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
May 23, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
May 23, 2024F610Respond appropriately to all alleged violations.EComplaint
May 23, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
May 23, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
May 23, 2024F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint
May 23, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
May 23, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint
May 23, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.DStandard
May 23, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
May 23, 2024F946Provide training in compliance and ethics.DStandard
May 23, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard
May 23, 2024F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DStandard
May 23, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.DStandard
May 23, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EStandard
May 23, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 23, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
May 23, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
May 23, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
May 23, 2024F730Observe each nurse aide's job performance and give regular training.DStandard
May 23, 2024F727Have 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.EStandard
May 23, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard
May 23, 2024F700Try 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.DStandard
May 23, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 23, 2024F679Provide activities to meet all resident's needs.DStandard
May 23, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
May 23, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
May 23, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
May 23, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Dec 19, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint
Dec 19, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Dec 19, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 20, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Apr 20, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Apr 20, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Apr 20, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint
Apr 20, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EComplaint
Apr 20, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Apr 20, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Apr 20, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Apr 20, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Apr 20, 2023F888Ensure staff are vaccinated for COVID-19DStandard
Apr 20, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Apr 20, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 20, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 20, 2023F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Apr 20, 2023F578Honor 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.DStandard
Oct 26, 2021F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Oct 26, 2021F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
Oct 26, 2021F886Perform COVID19 testing on residents and staff.EStandard
Oct 26, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Oct 26, 2021F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Oct 26, 2021F760Ensure that residents are free from significant medication errors.DStandard
Oct 26, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Oct 26, 2021F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.KStandard
Oct 26, 2021F732Post nurse staffing information every day.CStandard
Oct 26, 2021F730Observe each nurse aide's job performance and give regular training.DStandard
Oct 26, 2021F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard
Oct 26, 2021F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard

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.

DateTypeFinePayment denial
May 29, 2024Fine$97,714
May 29, 2024Payment DenialSep 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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