Cycle 1
Health 2025-05-16 · Fire 2025-05-16
14 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Naples, FL
Woodside Health And Rehabilitation Center
1-star overall rating with 1-star inspections with abuse icon flag with $56,166 in total fines with 14 recent health deficiencies
3601 Lakewood Blvd, Naples, FL
(239) 775-7757
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
87
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1982-10-22
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
0.51
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.70
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.04
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.24
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.21
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.03
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
3.45
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
86%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,850
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.53
Composite VBP score used to determine payment impact.
Payment multiplier
0.9866
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.68
Baseline 21.53% · Performance 20.19% · Measure score 2.68 · Achievement 2.68 · Improvement 2.48
Healthcare-associated infections
5.33
Baseline 8.94% · Performance 6.64% · Measure score 5.33 · Achievement 3.98 · Improvement 5.33
Total nurse turnover
2.84
Baseline 37.18% · Performance 52.08% · Measure score 2.84 · Achievement 2.84 · Improvement 0
Adjusted total nurse staffing
1.77
Baseline 3.71 hours · Performance 3.58 hours · Measure score 1.77 · Achievement 1.77 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.86% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 194 · Observed rate 11.34% · Lower 95% interval 8.02% |
| Discharge to community | 45.98% |
50.57%
4.6 pts worse
|
No Different than the National Rate · Eligible stays 160 · Observed rate 37.5% · Lower 95% interval 38.08% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 94 · Denominator 94 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 94 |
| Discharge self-care score | 67.74% |
53.69%
14 pts better
|
Numerator 42 · Denominator 62 |
| Discharge mobility score | 48.39% |
50.94%
2.5 pts worse
|
Numerator 30 · Denominator 62 |
| Pressure ulcers or injuries, new or worsened | 4.26% |
2.29%
2 pts worse
|
Numerator 4 · Denominator 94 · Adjusted rate 3.45% |
| Healthcare-associated infections requiring hospitalization | 6.64% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 90 · Observed rate 6.67% · Lower 95% interval 3.64% |
| Staff COVID-19 vaccination coverage | 100% |
8.2%
91.8 pts better
|
Numerator 75 · Denominator 75 |
| Staff flu vaccination coverage | 47.41% |
42%
5.4 pts better
|
Numerator 64 · Denominator 135 |
| Discharge function score | 51.61% |
56.45%
4.8 pts worse
|
Numerator 32 · Denominator 62 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 38 · Denominator 38 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 7.5% |
25.2%
17.7 pts worse
|
Numerator 3 · Denominator 40 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.1
0.6 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.6 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.2
0.6 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.6% |
97.8%
2.2 pts worse
|
93.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.3% · Q2 95.3% · Q3 94.3% · Q4 97.6% · 4Q avg 95.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
99.2%
0.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
2.6%
0.8 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.2% · Q3 2.3% · Q4 1.2% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
3.7%
3.7 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 | 8.3% |
5.9%
2.4 pts worse
|
5.4%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 8.5% · Q3 2.5% · Q4 4.1% · 4Q avg 8.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.3% |
15.7%
2.6 pts worse
|
19.6%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 18.4% · Q3 16.0% · Q4 21.6% · 4Q avg 18.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.5% |
9.8%
0.3 pts better
|
16.7%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 8.8% · Q3 8.8% · Q4 9.2% · 4Q avg 9.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
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 | 8.0% |
11.7%
3.7 pts better
|
16.3%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.9% · Q2 3.0% · Q3 8.8% · Q4 0.0% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.0% |
9.8%
2.2 pts worse
|
14.9%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 9.3% · Q3 8.0% · Q4 7.4% · 4Q avg 12.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.4%
0.2 pts worse
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 27.4% |
12.5%
14.9 pts worse
|
19.8%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 37.3% · Q3 31.7% · Q4 17.1% · 4Q avg 27.4% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
5.1%
0.1 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 4.5% · Q3 6.9% · Q4 3.4% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 64.1% |
94.3%
30.2 pts worse
|
81.7%
17.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 76.6% · Q2 52.5% · Q3 56.3% · Q4 75.0% · 4Q avg 64.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.8% |
9.3%
0.5 pts better
|
12.0%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.8% · Observed 9.1% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.5%
0.5 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 62.2% |
94.7%
32.5 pts worse
|
79.7%
17.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 62.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.6% |
26.2%
3.6 pts better
|
23.9%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.6% · Observed 22.7% · Expected 24.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-01 · Fire 2023-09-01
12 health deficiencies
Top issue: Resident Rights (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2021-10-21 · Fire 2021-10-21
9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-09-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-01
F · Potential for more than minimal harm
2023-09-01
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-10-01
F · Potential for more than minimal harm
2023-09-01
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-01
F · Potential for more than minimal harm
2023-09-01
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-10-01
F · Potential for more than minimal harm
2023-09-01
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-01
F · Potential for more than minimal harm
2023-09-01
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-10-01
E · Potential for more than minimal harm
2023-09-01
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-10-01
D · Potential for more than minimal harm
2023-09-01
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-01
F · Potential for more than minimal harm
2021-10-21
E35 · Emergency Preparedness Deficiencies
Fire Safety
Provide family notifications of emergency plan.
Corrected 2021-11-23
F · Potential for more than minimal harm
2021-10-21
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-11-23
F · Potential for more than minimal harm
2021-10-21
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2021-11-23
D · Potential for more than minimal harm
2021-10-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-11-23
D · Potential for more than minimal harm
2021-10-21
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-11-23
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-12-01
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2026-01-01
E · Potential for more than minimal harm
2025-12-01
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2026-01-01
E · Potential for more than minimal harm
2025-12-01
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-01-01
D · Potential for more than minimal harm
2025-12-01
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2026-01-01
D · Potential for more than minimal harm
2025-12-01
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 2026-01-01
D · Potential for more than minimal harm
2025-05-28
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 2025-06-12
J · Immediate jeopardy
2025-05-16
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-12
J · Immediate jeopardy
2025-05-16
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 2025-06-12
J · Immediate jeopardy
2025-05-16
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-06-12
D · Potential for more than minimal harm
2025-05-16
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-06-12
D · Potential for more than minimal harm
2025-05-16
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-12
D · Potential for more than minimal harm
2025-05-16
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-06-12
D · Potential for more than minimal harm
2025-05-16
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2025-06-12
D · Potential for more than minimal harm
2025-05-16
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 2025-06-12
E · Potential for more than minimal harm
2024-07-11
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-08-13
E · Potential for more than minimal harm
2024-07-11
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 2024-08-13
E · Potential for more than minimal harm
2024-07-11
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-08-13
E · Potential for more than minimal harm
2023-09-01
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-10-01
E · Potential for more than minimal harm
2023-09-01
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-10-01
D · Potential for more than minimal harm
2023-09-01
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-10-01
D · Potential for more than minimal harm
2023-09-01
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-10-01
D · Potential for more than minimal harm
2023-09-01
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-10-01
D · Potential for more than minimal harm
2023-09-01
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-10-01
D · Potential for more than minimal harm
2023-09-01
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-10-01
D · Potential for more than minimal harm
2023-09-01
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-10-01
D · Potential for more than minimal harm
2023-09-01
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 2023-10-01
D · Potential for more than minimal harm
2021-10-21
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-11-30
D · Potential for more than minimal harm
2021-10-21
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-11-23
D · Potential for more than minimal harm
2021-10-21
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2021-11-23
D · Potential for more than minimal harm
2021-10-21
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-11-23
D · Potential for more than minimal harm
2021-10-21
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 2021-11-23
D · Potential for more than minimal harm
2021-10-21
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 2021-11-12
D · Potential for more than minimal harm
2021-10-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-11-23
D · Potential for more than minimal harm
2021-10-21
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2021-11-23
D · Potential for more than minimal harm
2021-10-21
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2021-11-12
Penalties and ownership
What sits behind the stars
$56,166
2025-05-16
Fine
Fine · fine $56,166
Fine
Ownership
Woodside Rehab Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Bp Birchwood Trust
5% Or Greater Indirect Ownership Interest · Organization
Lf Woodside Trust
5% Or Greater Indirect Ownership Interest · Organization
Alonso, Ricardo
Operational/Managerial Control · Individual
Nordine, Tammy
Operational/Managerial Control · Individual
Petrosini, Vincent
Operational/Managerial Control · Individual
Wallace, Paige
Operational/Managerial Control · Individual
Wildes, Donna
Operational/Managerial Control · Individual
Wildes, Donna
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Gardens At Terracina Health & Rehabilitation
Naples, FL
5-star overall rating with 4-star inspections with $10,881 in total fines with 1 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Solaris Healthcare Lely Palms
Naples, FL
1-star overall rating with 1-star inspections with abuse icon flag with $114,714 in total fines with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Oakton Place Health And Rehabilitation At The Arli
Naples, FL
2-star overall rating with 1-star inspections with $173,963 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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