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

Changed ownership

No

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

0.95

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

1.15

Licensed practical nurse staffing · state 1.00 · national 0.87

Aide hours / resident day

2.50

Nurse aide staffing · state 2.12 · national 2.35

Total nurse hours

4.59

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

2.09

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

4.08

Weekend nurse staffing · state 3.31 · national 3.43

Weekend RN hours

0.80

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.20

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

1.01

CMS adjusted RN staffing hours

Adjusted total hours

4.92

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

81%

Annual RN turnover · state 49% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,263

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

Performance score

40.65

Composite VBP score used to determine payment impact.

Payment multiplier

0.9936

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 19.29% · Performance 21.80% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

3.74

Baseline 6.08% · Performance 6.72% · Measure score 3.74 · Achievement 3.74 · Improvement 0

Total nurse turnover

5.97

Baseline 59.09% · Performance 39.29% · Measure score 5.97 · Achievement 5.97 · Improvement 5.28

Adjusted total nurse staffing

6.55

Baseline 4.08 hours · Performance 4.94 hours · Measure score 6.55 · Achievement 6.55 · Improvement 4.57

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.32%
10.72%
0.4 pts better
No Different than the National Rate · Eligible stays 194 · Observed rate 8.25% · Lower 95% interval 7.54%
Discharge to community 61.62%
50.57%
11 pts better
Better than the National Rate · Eligible stays 182 · Observed rate 61.54% · Lower 95% interval 54.81%
Medicare spending per beneficiary 0.86
1.02
0.2 pts better
Drug regimen review with follow-up 96.15%
95.27%
0.9 pts better
Numerator 125 · Denominator 130
Falls with major injury 2.31%
0.77%
1.5 pts worse
Numerator 3 · Denominator 130
Discharge self-care score 29.59%
53.69%
24.1 pts worse
Numerator 29 · Denominator 98
Discharge mobility score 16.33%
50.94%
34.6 pts worse
Numerator 16 · Denominator 98
Pressure ulcers or injuries, new or worsened 3.08%
2.29%
0.8 pts worse
Numerator 4 · Denominator 130 · Adjusted rate 4.41%
Healthcare-associated infections requiring hospitalization 6.72%
7.12%
0.4 pts better
No Different than the National Rate · Eligible stays 122 · Observed rate 4.92% · Lower 95% interval 3.4%
Staff COVID-19 vaccination coverage 8.02%
8.2%
0.2 pts worse
Numerator 34 · Denominator 424
Staff flu vaccination coverage 17.88%
42%
24.1 pts worse
Numerator 91 · Denominator 509
Discharge function score 17.35%
56.45%
39.1 pts worse
Numerator 17 · Denominator 98
Transfer of health information to provider 76.67%
95.95%
19.3 pts worse
Numerator 23 · Denominator 30
Transfer of health information to patient 98.65%
96.28%
2.4 pts better
Numerator 73 · Denominator 74
Resident COVID-19 vaccinations up to date 51.95%
25.2%
26.8 pts better
Numerator 40 · Denominator 77

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 · Adjusted 1.7 · Observed 1.6 · Expected 1.7 · Used in QM five-star
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 · Adjusted 2.6 · Observed 2.2 · Expected 1.4 · Used in QM five-star
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 · Q1 89.7% · Q2 86.2% · Q3 80.0% · Q4 76.9% · 4Q avg 83.3%
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 · 4Q avg 72.7%
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 · Q1 3.4% · Q2 10.3% · Q3 10.0% · Q4 11.5% · 4Q avg 8.8% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
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 · Q1 0.0% · 4Q avg 2.6%
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 · Q1 13.6% · Q4 10.0% · 4Q avg 10.0%
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 · 4Q avg 4.3% · Used in QM five-star
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 · 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 23.1%
17.5%
5.6 pts worse
16.3%
6.8 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.1% · Used in QM five-star
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 · Q1 27.3% · 4Q avg 17.1% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
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 · Q1 17.2% · Q2 0.0% · Q3 3.4% · Q4 0.0% · 4Q avg 5.5% · Used in QM five-star
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 · Q1 30.7% · Q2 33.3% · Q3 19.1% · Q4 14.5% · 4Q avg 24.9%
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 · Q1 5.4% · Q2 2.8% · Q3 2.5% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star
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 · Q1 78.9% · Q2 75.0% · Q3 68.4% · Q4 64.5% · 4Q avg 71.6%
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 · Adjusted 12.1% · Observed 10.0% · Expected 9.2% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 1.6% · 4Q avg 0.8% · Used in QM five-star
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 · 4Q avg 81.1%
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 · Adjusted 25.0% · Observed 18.5% · Expected 17.6% · Used in QM five-star

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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Jamestown Health and Rehabilitation

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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