Federal inspection record · CMS data as of October 1, 2026
Woodstock Valley Health and Rehabilitation
803 South Main St, Woodstock, VA · (540) 459-5676
- Cited for abuse (CMS abuse icon)
- Certified beds
- 88
- Residents per day
- 72
- Ownership
- For-Profit
- Chain
- Avardis Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 17, 1997
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Virginia homes
Woodstock Valley Health and Rehabilitation carries 485.25 inspection points. That is fewer than 3% of Virginia's 287 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–45 pts
- 3★ 45–76.5 pts
- 2★ 76.5–168.75 pts
- 1★ over 168.75 pts
Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
115 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
K
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Everything else, by area of care
Quality of Life and Care23E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Resident Rights19E
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Keep residents' personal and medical records private and confidential.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Assessment and Care Planning18E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nursing and Physician Services13E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- E
Observe each nurse aide's job performance and give regular training.
- C
Post nurse staffing information every day.
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Observe each nurse aide's job performance and give regular training.
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Observe each nurse aide's job performance and give regular training.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- C
Post nurse staffing information every day.
Administration11F
- F
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- E
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
- D
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- E
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- D
Provide training in compliance and ethics.
- D
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Pharmacy Service7E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation7E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nutrition and Dietary6E
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Ensure staff are vaccinated for COVID-19
- E
Perform COVID19 testing on residents and staff.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2024-05-23
39 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2023-04-20
45 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (9 deficiencies)
2021-10-26
31 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 56 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
2 h 56 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 80% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$144,587 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-26 | Fine | $49,797 |
| 2024-05-29 | Fine | $94,790 |
| 2024-05-29 | Payment Denial · 54 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.3 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days3.2 pts worse | 4.6 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine19.6 pts worse | 71.6% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.5 pts worse | 84.8% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury8.9 pts worse | 12.4% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.3 pts better | 10.2% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.5 pts worse | 7.8% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9 pts worse | 29.7% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication16 pts worse | 30.2% | 14.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.9 pts worse | 16.1% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.7 pts worse | 15.2% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.3% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 1.5% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.9 pts worse | 25.2% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts worse | 6.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.7 pts worse | 64.5% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit14.9 pts worse | 26.4% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts worse | 2.6% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.4 pts worse | 72.9% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.4 pts worse | 25.4% | 22.0% | 23.4% |
·
Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Shenandoah Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 1 facilities |
| Woodstock Parentco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Afzal, Ahsan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Afzal, Ahsan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Clark, Alyssa | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Clark, Alyssa | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Clark, Alyssa | Adp Of The SNF · Individual | 0% | 9 facilities |
| Greenwalt, Jessica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Greenwalt, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hoback, Tiffany | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Hoback, Tiffany | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Hoback, Tiffany | Adp Of The SNF · Individual | 0% | 45 facilities |
| Jones, Tequilla | Operational/Managerial Control · Individual | 0% | 40 facilities |
| Jones, Tequilla | Adp Of The SNF · Individual | 0% | 40 facilities |
| Snf Mgr LLC | Operational/Managerial Control · Organization | 0% | 43 facilities |
| Snf Mgr LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Snyder, Troy | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Snyder, Troy | Adp Of The SNF · Individual | 0% | 2 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- C
Establish staff and initial training requirements.
Egress1D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke1D
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
-
Skyline Terrace Conv Home
Woodstock, VA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 41 min
- Fines
- $0
-
Skyview Springs Rehab And Nursing Center
Luray, VA · Hill Valley Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 40 min
- Fines
- $0
-
Heritage Hall Front Royal
Front Royal, VA · Heritage Hall
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 30 min
- Fines
- $0