Williamsburg, VA

Woodhaven Hall At Williamsburg Landing

3-star overall rating with 3-star inspections with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

5500 Williamsburg Landing Dr, Williamsburg, VA

(757) 258-2196

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

73

Certified beds

Average residents

38

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1988-11-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.95

Registered nurse staffing

LPN hours / resident day

1.15

Licensed practical nurse staffing

Aide hours / resident day

2.50

Nurse aide staffing

Weekend hours

4.08

Weekend nurse staffing

RN turnover

81%

Annual RN turnover

Total nurse turnover

34%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.7
1.5
0.2 pts worse
1.9
0.2 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.6
1.4
1.2 pts worse
1.8
0.8 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 83.3%
91.2%
7.9 pts worse
93.4%
10.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 72.7%
94.0%
21.3 pts worse
95.5%
22.8 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 8.8%
3.6%
5.2 pts worse
3.3%
5.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
15.7%
15.7 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.6%
5.7%
3.1 pts better
5.4%
2.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.0%
20.2%
10.2 pts better
19.6%
9.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 4.3%
15.0%
10.7 pts better
16.7%
12.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 23.1%
17.5%
5.6 pts worse
16.3%
6.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 17.1%
15.7%
1.4 pts worse
14.9%
2.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.5%
0.5 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 5.5%
1.6%
3.9 pts worse
1.7%
3.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.9%
22.2%
2.7 pts worse
19.8%
5.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.8%
5.2%
2.4 pts better
5.1%
2.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 71.6%
74.6%
3 pts worse
81.7%
10.1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 12.1%
11.7%
0.4 pts worse
12.0%
0.1 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.8%
1.2%
0.4 pts better
1.6%
0.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 81.1%
73.6%
7.5 pts better
79.7%
1.4 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.0%
22.0%
3 pts worse
23.9%
1.1 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-08-19 · Fire 2022-08-19

12 health deficiencies

Top issue: Infection Control (5 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2019-05-31 · Fire 2019-05-31

14 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2018-04-13 · Fire 2018-04-13

7 health deficiencies

Top issue: Resident Rights (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2022-08-19

K400 · Miscellaneous Deficiencies

Fire Safety

Meet fire sprinkler requirement for tall buildings.

Corrected 2023-01-16

D · Potential for more than minimal harm 2022-08-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-01-16

C · Minimal harm 2022-08-19

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-09-20

D · Potential for more than minimal harm 2018-04-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-09-05

Inspection history

Recent health citations

F · Potential for more than minimal harm 2022-08-19

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2022-09-20

E · Potential for more than minimal harm 2022-08-19

F888 · Infection Control Deficiencies

Health

Ensure staff are vaccinated for COVID-19

Corrected 2022-09-20

D · Potential for more than minimal harm 2022-08-19

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2022-09-20

D · Potential for more than minimal harm 2022-08-19

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2022-09-20

D · Potential for more than minimal harm 2022-08-19

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-09-20

D · Potential for more than minimal harm 2022-08-19

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-09-20

D · Potential for more than minimal harm 2022-08-19

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 2022-09-20

D · Potential for more than minimal harm 2022-08-19

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 2022-09-20

D · Potential for more than minimal harm 2022-08-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-09-20

D · Potential for more than minimal harm 2022-08-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-09-20

D · Potential for more than minimal harm 2022-08-19

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-09-20

D · Potential for more than minimal harm 2022-08-19

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 2022-09-20

E · Potential for more than minimal harm 2019-05-31

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2019-07-12

E · Potential for more than minimal harm 2019-05-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-07-12

D · Potential for more than minimal harm 2019-05-31

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2019-07-12

D · Potential for more than minimal harm 2019-05-31

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2019-07-12

D · Potential for more than minimal harm 2019-05-31

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-07-12

D · Potential for more than minimal harm 2019-05-31

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2019-07-12

D · Potential for more than minimal harm 2019-05-31

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-07-12

D · Potential for more than minimal harm 2019-05-31

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-07-12

D · Potential for more than minimal harm 2019-05-31

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2019-07-12

D · Potential for more than minimal harm 2019-05-31

F730 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2019-07-12

D · Potential for more than minimal harm 2019-05-31

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2019-07-12

D · Potential for more than minimal harm 2019-05-31

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2019-07-12

D · Potential for more than minimal harm 2019-05-31

F801 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2019-07-12

B · Minimal harm 2019-05-31

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2019-07-12

E · Potential for more than minimal harm 2018-04-13

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2018-05-27

D · Potential for more than minimal harm 2018-04-13

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2018-05-27

D · Potential for more than minimal harm 2018-04-13

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2018-05-20

D · Potential for more than minimal harm 2018-04-13

F580 · Resident Rights Deficiencies

Health

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

Corrected 2018-05-27

D · Potential for more than minimal harm 2018-04-13

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2018-05-04

D · Potential for more than minimal harm 2018-04-13

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2018-05-04

D · Potential for more than minimal harm 2018-04-13

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2018-05-15

Penalties and ownership

What sits behind the stars

Ownership

Adams, Vonnie

W-2 Managing Employee · Individual

0% 1 facilities 2022-01-01
Bates, Lisa

W-2 Managing Employee · Individual

0% 1 facilities 2014-09-01
Becke, Rachel

W-2 Managing Employee · Individual

0% 1 facilities 2024-04-01
Brody, Allison

Corporate Director · Individual

0% 1 facilities 2022-01-01
Buckless, Donald

Corporate Director · Individual

0% 1 facilities 2022-01-01
Canfield, Louise

Corporate Director · Individual

0% 1 facilities 2022-01-01
Davis, Elizabeth

Corporate Director · Individual

0% 1 facilities 2014-09-01
Driscoll, Edward

Corporate Officer · Individual

0% 1 facilities 2024-01-01
Fox, Michael

Corporate Officer · Individual

0% 1 facilities 2024-01-01
Geddy, Vernon

Corporate Director · Individual

0% 1 facilities 2022-01-01
Gerhardt, Paul

Corporate Director · Individual

0% 1 facilities 2009-09-01
Harshaw, Connie

Corporate Director · Individual

0% 1 facilities 2022-01-01
Hill, Terry

Corporate Officer · Individual

0% 1 facilities 2024-01-01
Knudson, Judy

Corporate Officer · Individual

0% 1 facilities 2024-01-01
Lambert, Matthew

Corporate Director · Individual

0% 1 facilities 2022-01-01
Mills, Timothy

Corporate Officer · Individual

0% 1 facilities 2024-01-01
Parks, Juanita

Corporate Director · Individual

0% 2 facilities 2022-01-01
Parks, Juanita

W-2 Managing Employee · Individual

0% 2 facilities 2014-09-01
Pittman, Carlane

Corporate Officer · Individual

0% 1 facilities 2024-01-01
Randall, Brandon

Corporate Officer · Individual

0% 1 facilities 2024-01-01
Smith, Christopher

Corporate Officer · Individual

0% 2 facilities 2024-01-01
Stabler, Scott

Corporate Officer · Individual

0% 1 facilities 2024-01-01
Storer, Greg

Corporate Director · Individual

0% 1 facilities 2022-01-01
Underwood, Robert

Corporate Officer · Individual

0% 1 facilities 2024-01-01
Williams, Mike

Corporate Director · Individual

0% 1 facilities 2021-05-17
Williams, Mike

W-2 Managing Employee · Individual

0% 1 facilities 2021-05-17
Williams, Suzanne

W-2 Managing Employee · Individual

0% 1 facilities 2024-01-22
Wolfe, Sally

W-2 Managing Employee · Individual

0% 1 facilities 2009-09-01
Zeidler, Jeanne

Corporate Director · Individual

0% 6 facilities 2022-01-01

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Williamsburg, VA

4-star overall rating with 3-star inspections with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
3 / 5
Staffing
2 / 5
Fines
$0

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