Woodstock, IL

Valley Hi Nursing Home

3-star overall rating with 2-star inspections with $65,556 in total fines with 15 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

2406 Hartland Road, Woodstock, IL

(815) 338-0312

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

128

Certified beds

Average residents

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1989-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.07

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.68

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.88

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

4.63

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.75

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

4.18

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

1.01

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

1.14

CMS adjusted RN staffing hours

Adjusted total hours

4.90

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

21%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,460

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

56.53

Composite VBP score used to determine payment impact.

Payment multiplier

1.0116

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.18

Baseline 21.60% · Performance 19.49% · Measure score 4.18 · Achievement 4.18 · Improvement 4.10

Healthcare-associated infections

6.12

Baseline 7.82% · Performance 6.00% · Measure score 6.12 · Achievement 6.12 · Improvement 5.93

Total nurse turnover

5.19

Baseline 36.91% · Performance 42.48% · Measure score 5.19 · Achievement 5.19 · Improvement 0

Adjusted total nurse staffing

7.12

Baseline 4.32 hours · Performance 5.10 hours · Measure score 7.12 · Achievement 7.12 · Improvement 4.85

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.99%	10.72% 1.3 pts worse	No Different than the National Rate · Eligible stays 237 · Observed rate 12.66% · Lower 95% interval 9.21%
Discharge to community	63.75%	50.57% 13.2 pts better	Better than the National Rate · Eligible stays 238 · Observed rate 60.08% · Lower 95% interval 57.89%
Medicare spending per beneficiary	0.92	1.02 0.1 pts better
Drug regimen review with follow-up	98.28%	95.27% 3 pts better	Numerator 114 · Denominator 116
Falls with major injury	0.86%	0.77% 0.1 pts worse	Numerator 1 · Denominator 116
Discharge self-care score	17.65%	53.69% 36 pts worse	Numerator 18 · Denominator 102
Discharge mobility score	42.16%	50.94% 8.8 pts worse	Numerator 43 · Denominator 102
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 116 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6%	7.12% 1.1 pts better	No Different than the National Rate · Eligible stays 127 · Observed rate 3.94% · Lower 95% interval 4.12%
Staff COVID-19 vaccination coverage	2.55%	8.2% 5.6 pts worse	Numerator 4 · Denominator 157
Staff flu vaccination coverage	22.12%	42% 19.9 pts worse	Numerator 46 · Denominator 208
Discharge function score	18.63%	56.45% 37.8 pts worse	Numerator 19 · Denominator 102
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	98.55%	96.28% 2.3 pts better	Numerator 68 · Denominator 69
Resident COVID-19 vaccinations up to date	9.84%	25.2% 15.4 pts worse	Numerator 6 · Denominator 61

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.5	2.0 1.5 pts worse	1.9 1.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 3.8 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	2.3 0.8 pts better	1.8 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	82.6%	89.6% 7 pts worse	93.4% 10.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 66.7% · Q2 82.8% · Q3 87.7% · Q4 93.4% · 4Q avg 82.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	85.9%	91.6% 5.7 pts worse	95.5% 9.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 85.9%
Percentage of long-stay residents experiencing one or more falls with major injury	0.4%	3.3% 2.9 pts better	3.3% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.8%	50.3% 44.5 pts better	11.4% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.2% · Q3 8.2% · Q4 3.6% · 4Q avg 5.8%
Percentage of long-stay residents who lose too much weight	3.7%	6.5% 2.8 pts better	5.4% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 0.0% · Q4 11.6% · 4Q avg 3.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.5%	18.5% 4 pts better	19.6% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 16.3% · Q3 18.4% · Q4 11.6% · 4Q avg 14.5%
Percentage of long-stay residents who received an antipsychotic medication	13.6%	22.8% 9.2 pts better	16.7% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 15.6% · Q3 11.1% · Q4 11.8% · 4Q avg 13.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	24.8%	17.2% 7.6 pts worse	16.3% 8.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 24.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	12.9%	15.0% 2.1 pts better	14.9% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 19.4% · Q3 16.7% · Q4 2.5% · 4Q avg 12.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.7%	1.1% 0.6 pts worse	1.0% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.8% · Q3 1.3% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	4.3%	1.7% 2.6 pts worse	1.7% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 6.9% · Q3 3.6% · Q4 4.9% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.7%	21.3% 1.6 pts better	19.8% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 25.7% · Q3 20.2% · Q4 17.8% · 4Q avg 19.7%
Percentage of long-stay residents with pressure ulcers	2.7%	5.2% 2.5 pts better	5.1% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.6% · Q3 3.6% · Q4 3.6% · 4Q avg 2.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	76.3%	68.8% 7.5 pts better	81.7% 5.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 48.9% · Q2 66.7% · Q3 86.9% · Q4 94.7% · 4Q avg 76.3%
Percentage of short-stay residents who had an outpatient emergency department visit	14.3%	14.0% 0.3 pts worse	12.0% 2.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.3% · Observed 12.3% · Expected 9.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	2.3% 1.4 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 1.8% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	66.4%	63.0% 3.4 pts better	79.7% 13.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 66.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.4%	26.2% 0.2 pts worse	23.9% 2.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.4% · Observed 24.0% · Expected 21.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-03-20 · Fire 2024-03-20

15 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

5 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2023-02-09 · Fire 2023-02-09

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2022-01-26 · Fire 2022-01-26

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

6 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-03-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-20

E · Potential for more than minimal harm 2024-03-20

K111 · Construction Deficiencies

Fire Safety

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2024-05-09

E · Potential for more than minimal harm 2024-03-20

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2024-05-01

E · Potential for more than minimal harm 2024-03-20

K791 · Miscellaneous Deficiencies

Fire Safety

Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.

Corrected 2024-05-09

E · Potential for more than minimal harm 2024-03-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-05-10

F · Potential for more than minimal harm 2023-02-09

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2023-04-05

F · Potential for more than minimal harm 2023-02-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-03-31

F · Potential for more than minimal harm 2023-02-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-04-05

E · Potential for more than minimal harm 2023-02-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-03-31

F · Potential for more than minimal harm 2022-01-26

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-06-15

F · Potential for more than minimal harm 2022-01-26

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2022-06-27

F · Potential for more than minimal harm 2022-01-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-04-01

E · Potential for more than minimal harm 2022-01-26

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-06-13

E · Potential for more than minimal harm 2022-01-26

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2022-06-09

E · Potential for more than minimal harm 2022-01-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-03-25

Inspection history

Recent health citations

G · Actual harm 2026-01-06

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-20

D · Potential for more than minimal harm 2024-09-16

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-04-08

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-04-16

J · Immediate jeopardy 2024-03-20

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-20

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-20

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-04-16