Federal inspection record · CMS data as of October 1, 2026

Oakwood Health And Rehab Center

1613 Oakwood Street, Bedford, VA · (540) 425-7800

CMS overall rating

2 of 5

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Certified beds
111
Residents per day
99
Ownership
For-Profit
Chain
Hill Valley Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 1, 1967

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Virginia homes

Oakwood Health And Rehab Center carries 179.25 inspection points. That is fewer than 18% of Virginia's 287 rated homes.

5★4★3★2★1★+9 homes above 494.7505102550100200400inspection points → fewer is better on the leftThis home · 179.25 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–16 pts
  • 4★ 16–45 pts
  • 3★ 45–76.5 pts
  • 2★ 76.5–168.75 pts
  • 1★ over 168.75 pts

Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

41 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 0 100 pts
L 1 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 21 4 pts
E 11 8 pts
F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (4)

  1. J

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

    October 26, 2023 · Complaint inspection · Resident Assessment and Care Planning · F658 · Corrected October 19, 2023

  2. J

    Ensure that residents are free from significant medication errors.

    October 26, 2023 · Complaint inspection · Pharmacy Service · F760 · Corrected October 19, 2023

  3. L

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

    May 19, 2022 · Standard inspection · Nursing and Physician Services · F725 · Corrected June 21, 2022

  4. G

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

    May 19, 2022 · Standard inspection · Quality of Life and Care · F697 · Corrected June 21, 2022

Everything else, by area of care

Resident Assessment and Care Planning13E
  1. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    March 18, 2026 · Complaint · F842 · Corrected April 10, 2026

  2. D

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

    November 28, 2023 · Complaint · F655 · Corrected December 6, 2023

  3. D

    Ensure each resident receives an accurate assessment.

    July 26, 2023 · Standard · F641 · Corrected August 31, 2023

  4. D

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

    July 26, 2023 · Standard · F656 · Corrected August 31, 2023

  5. E

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

    May 19, 2022 · Standard · F655 · Corrected June 21, 2022

  6. E

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

    May 19, 2022 · Standard · F656 · Corrected June 21, 2022

  7. D

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    May 19, 2022 · Standard · F635 · Corrected June 21, 2022

  8. D

    Ensure each resident receives an accurate assessment.

    May 19, 2022 · Standard · F641 · Corrected June 21, 2022

  9. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    May 19, 2022 · Standard · F657 · Corrected June 21, 2022

  10. D

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

    May 19, 2022 · Standard · F658 · Corrected August 2, 2022

  11. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    May 19, 2022 · Standard · F842 · Corrected June 21, 2022

  12. E

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

    February 6, 2020 · Standard · F656 · Corrected March 18, 2020

  13. D

    Assure that each resident’s assessment is updated at least once every 3 months.

    February 6, 2020 · Standard · F638 · Corrected March 18, 2020

Pharmacy Service6E
  1. D

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

    October 26, 2023 · Complaint · F755 · Corrected December 1, 2023

  2. D

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

    July 26, 2023 · Standard · F755 · Corrected August 31, 2023

  3. D

    Ensure medication error rates are not 5 percent or greater.

    July 26, 2023 · Standard · F759 · Corrected August 31, 2023

  4. E

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

    May 19, 2022 · Standard · F755 · Corrected August 2, 2022

  5. E

    Ensure medication error rates are not 5 percent or greater.

    May 19, 2022 · Standard · F759 · Corrected June 21, 2022

  6. E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    May 19, 2022 · Standard · F761 · Corrected August 2, 2022

Quality of Life and Care5E
  1. E

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

    October 26, 2023 · Complaint · F684 · Corrected December 1, 2023

  2. D

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

    July 26, 2023 · Standard · F689 · Corrected August 31, 2023

  3. E

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

    May 19, 2022 · Standard · F684 · Corrected August 2, 2022

  4. E

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

    May 19, 2022 · Standard · F686 · Corrected June 21, 2022

  5. E

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

    May 19, 2022 · Standard · F689 · Corrected June 21, 2022

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Respond appropriately to all alleged violations.

    March 18, 2026 · Complaint · F610 · Corrected April 10, 2026

  2. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    May 19, 2022 · Standard · F607 · Corrected June 21, 2022

  3. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    May 19, 2022 · Standard · F609 · Corrected June 21, 2022

Nutrition and Dietary3F
  1. F

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

    July 26, 2023 · Standard · F812 · Corrected August 31, 2023

  2. F

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    May 19, 2022 · Standard · F801 · Corrected June 21, 2022

  3. E

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

    May 19, 2022 · Standard · F812 · Corrected June 21, 2022

Infection Control2F
  1. D

    Provide and implement an infection prevention and control program.

    July 26, 2023 · Standard · F880 · Corrected August 31, 2023

  2. F

    Provide and implement an infection prevention and control program.

    May 19, 2022 · Standard · F880 · Corrected June 21, 2022

Administration2F
  1. F

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    May 19, 2022 · Standard · F835 · Corrected June 21, 2022

  2. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    May 19, 2022 · Standard · F849 · Corrected June 21, 2022

Resident Rights2D
  1. D

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

    May 19, 2022 · Standard · F580 · Corrected June 21, 2022

  2. D

    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.

    February 6, 2020 · Standard · F578 · Corrected March 18, 2020

Environmental1C
  1. C

    Keep all essential equipment working safely.

    May 19, 2022 · Standard · F908 · Corrected June 21, 2022

Inspection history

  1. 2023-07-26

    9 health deficiencies · 5 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  2. 2022-05-19

    24 health deficiencies · 5 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (7 deficiencies)

  3. 2020-02-06

    8 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 34 min of nursing staff time a day, 33 min of it from a registered nurse.

This home

3 h 34 min

Virginia average

3 h 53 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 51% of nursing staff and 57% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts better1.11.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse1.81.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better94.5%91.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.1 pts worse88.2%93.3%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse3.9%3.5%3.2%
Percentage of long-stay residents who have depressive symptoms2.9 pts better17.6%20.5%13.5%
Percentage of long-stay residents who lose too much weight4.3 pts worse9.6%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication11.2 pts worse31.9%20.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.9 pts worse19.1%14.2%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.1 pts better8.1%14.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.5 pts better11.0%14.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better0.0%0.4%0.7%
Percentage of long-stay residents with a urinary tract infection1.3 pts better0.3%1.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts better21.0%21.3%18.3%
Percentage of long-stay residents with pressure ulcers1.8 pts better2.6%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better81.5%74.2%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.9 pts better9.6%11.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication2.3 pts worse3.6%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.4 pts worse68.9%73.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.4 pts better16.6%22.0%23.4%

·

Who owns and runs it

5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Bedford SNF Holdings LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Timberlake Operations Holdings LLC5% Or Greater Indirect Ownership Interest · Organization100%4 facilities
Hvh Timberlake Management LLCOperational/Managerial Control · Organization0%4 facilities
Idels, ShimonCorporate Officer · Individual0%49 facilities
Wade, JoyceW-2 Managing Employee · Individual0%1 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke4F
  1. E

    Have properly installed hallway dispensers for alcohol-based hand rub.

    July 26, 2023 · K325 · Corrected September 11, 2023

  2. F

    Install corridor and hallway doors that block smoke.

    May 19, 2022 · K363 · Corrected July 15, 2022

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    May 19, 2022 · K353 · Corrected July 15, 2022

  4. F

    Install an approved automatic sprinkler system.

    February 6, 2020 · K351 · Corrected November 12, 2020

Miscellaneous3E
  1. E

    Provide a written emergency evacuation plan.

    July 26, 2023 · K711 · Corrected September 11, 2023

  2. E

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    July 26, 2023 · K761 · Corrected October 24, 2023

  3. D

    Provide a written emergency evacuation plan.

    May 19, 2022 · K711 · Corrected July 15, 2022

Services1D
  1. D

    Have elevators that firefighters can control in the event of a fire.

    July 26, 2023 · K531 · Corrected September 11, 2023

Gas, Vacuum, and Electrical Systems1D
  1. D

    Have generator or other power source capable of supplying service within 10 seconds.

    July 26, 2023 · K918 · Corrected September 11, 2023

Construction1E
  1. E

    Use approved construction type or materials.

    May 19, 2022 · K161 · Corrected July 15, 2022

Egress1E
  1. E

    Have properly located and lighted "Exit" signs.

    May 19, 2022 · K293 · Corrected July 15, 2022

·

Other homes nearby

  1. Worst citation, 3 yrs
    D
    Nursing / resident / day
    3 h 50 min
    Fines
    $0
  2. Summit Health And Rehab Center

    Lynchburg, VA · Hill Valley Healthcare

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 43 min
    Fines
    $0
  3. Lynchburg Health & Rehabilitation Center

    Lynchburg, VA · Lifeworks Rehab

    Worst citation, 3 yrs
    F
    Nursing / resident / day
    3 h 35 min
    Fines
    $0