Cycle 1
Health 2025-04-17 · Fire 2025-04-17
4 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Ashland, KY
Woodland Oaks
1-star overall rating with 3-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1820 Oakview Road, Ashland, KY
(606) 325-5200
Overall
1 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
110
Certified beds
Average residents
106
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Bluegrass Health Ky
Operator or chain grouping
Approved since
1994-01-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 facilities
Chain averages 3 overall / 3 health / 1 staffing / 3 quality stars
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
0.50
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.20
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.70
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.32
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.26
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
2.96
CMS adjusted total nurse staffing hours
Case-mix index
1.71
Higher values indicate more complex resident acuity
RN turnover
37%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,928
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
9.57
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.04% · Performance 24.47% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.44% · Performance 8.01% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.84
Baseline 68.75% · Performance 54.07% · Measure score 2.84 · Achievement 2.35 · Improvement 2.84
Adjusted total nurse staffing
0.98
Baseline 2.91 hours · Performance 3.34 hours · Measure score 0.98 · Achievement 0.92 · Improvement 0.98
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.48% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 188 · Observed rate 13.3% · Lower 95% interval 8.81% |
| Discharge to community | 44.07% |
50.57%
6.5 pts worse
|
Worse than the National Rate · Eligible stays 179 · Observed rate 36.87% · Lower 95% interval 36.64% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 97.01% |
95.27%
1.7 pts better
|
Numerator 130 · Denominator 134 |
| Falls with major injury | 2.24% |
0.77%
1.5 pts worse
|
Numerator 3 · Denominator 134 |
| Discharge self-care score | 30.49% |
53.69%
23.2 pts worse
|
Numerator 25 · Denominator 82 |
| Discharge mobility score | 18.29% |
50.94%
32.6 pts worse
|
Numerator 15 · Denominator 82 |
| Pressure ulcers or injuries, new or worsened | 5.22% |
2.29%
2.9 pts worse
|
Numerator 7 · Denominator 134 · Adjusted rate 3.87% |
| Healthcare-associated infections requiring hospitalization | 8.01% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 116 · Observed rate 8.62% · Lower 95% interval 5.07% |
| Staff COVID-19 vaccination coverage | 0.69% |
8.2%
7.5 pts worse
|
Numerator 1 · Denominator 144 |
| Staff flu vaccination coverage | 4.14% |
42%
37.9 pts worse
|
Numerator 6 · Denominator 145 |
| Discharge function score | 30.49% |
56.45%
26 pts worse
|
Numerator 25 · Denominator 82 |
| Transfer of health information to provider | 98.36% |
95.95%
2.4 pts better
|
Numerator 60 · Denominator 61 |
| Transfer of health information to patient | 95% |
96.28%
1.3 pts worse
|
Numerator 38 · Denominator 40 |
| Resident COVID-19 vaccinations up to date | 15.28% |
25.2%
9.9 pts worse
|
Numerator 11 · Denominator 72 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
1.9
0.7 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.8 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
2.2
0.2 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.3 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.2% |
94.3%
4.1 pts worse
|
93.4%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 89.0% · Q2 87.2% · Q3 90.2% · Q4 94.4% · 4Q avg 90.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.8% |
96.2%
0.6 pts better
|
95.5%
1.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% |
3.8%
0.7 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 4.7% · Q3 4.3% · Q4 3.4% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 30.0% |
15.2%
14.8 pts worse
|
11.4%
18.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 28.6% · Q3 26.5% · Q4 38.6% · 4Q avg 30.0% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
6.7%
0.8 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 11.2% · Q3 3.7% · Q4 6.2% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 44.5% |
29.6%
14.9 pts worse
|
19.6%
24.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.2% · Q2 42.0% · Q3 45.3% · Q4 48.2% · 4Q avg 44.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.3% |
17.6%
0.7 pts worse
|
16.7%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 18.5% · Q3 12.9% · Q4 25.4% · 4Q avg 18.3% · 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 | 30.2% |
17.3%
12.9 pts worse
|
16.3%
13.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 35.0% · Q3 39.0% · Q4 30.1% · 4Q avg 30.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.3% |
15.6%
4.7 pts worse
|
14.9%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 25.3% · Q3 26.5% · Q4 20.5% · 4Q avg 20.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 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 | 1.4% |
1.7%
0.3 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.2% · Q3 1.1% · Q4 1.2% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.8% |
19.8%
3 pts worse
|
19.8%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 28.3% · Q3 21.3% · Q4 27.0% · 4Q avg 22.8% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
5.5%
1.9 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 5.6% · Q3 2.3% · Q4 0.8% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.8% |
83.8%
2 pts worse
|
81.7%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 70.3% · Q2 82.1% · Q3 87.4% · Q4 87.1% · 4Q avg 81.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.1% |
13.9%
0.2 pts worse
|
12.0%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 12.4% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.8%
1 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 2.1% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.8% |
83.6%
1.8 pts worse
|
79.7%
2.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.4% |
24.5%
0.9 pts worse
|
23.9%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 27.4% · Expected 25.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-11-14 · Fire 2019-11-14
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2018-09-27 · Fire 2018-09-27
4 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-17
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-05-09
F · Potential for more than minimal harm
2024-07-16
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-08-07
D · Potential for more than minimal harm
2019-11-14
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-12-23
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-04-17
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 2025-05-15
E · Potential for more than minimal harm
2025-04-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-15
D · Potential for more than minimal harm
2025-04-17
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 2025-05-15
D · Potential for more than minimal harm
2025-04-17
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-15
E · Potential for more than minimal harm
2019-11-14
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-12-23
D · Potential for more than minimal harm
2018-09-27
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2018-10-12
D · Potential for more than minimal harm
2018-09-27
F659 · Resident Assessment and Care Planning Deficiencies
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2018-10-12
D · Potential for more than minimal harm
2018-09-27
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 2018-10-12
D · Potential for more than minimal harm
2018-09-27
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 2018-10-12
Penalties and ownership
What sits behind the stars
Ownership
Landa, Benjamin
5% Or Greater Direct Ownership Interest · Individual
Ky Equity Partners LLC
5% Or Greater Direct Ownership Interest · Organization
Grinspan, Eli
5% Or Greater Direct Ownership Interest · Individual
Kennedy Ky Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Fischl, Mayer
5% Or Greater Direct Ownership Interest · Individual
Fischl, Mayer
Operational/Managerial Control · Individual
Fischl, Mayer
Corporate Officer · Individual
Greystone Servicing Company, LLC, A Delaware Limited Liability Company
5% Or Greater Mortgage Interest · Organization
Grinspan, Eli
Operational/Managerial Control · Individual
Grinspan, Eli
Corporate Officer · Individual
Skaggs, Jessica
Operational/Managerial Control · Individual
Valley Stream Operator I LLC
Operational/Managerial Control · Organization
Woodland Oaks Realty LLC
5% Or Greater Mortgage Interest · Organization
Nearby options
Other facilities in reach
#1
Sanctuary At Ohio Valley
Ironton, OH
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Harbor Healthcare Of Ironton
Ironton, OH
3-star overall rating with 3-star inspections with $75,265 in total fines with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Kingsbrook Lifecare Center
Ashland, KY
4-star overall rating with 3-star inspections with $11,154 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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