Woodstock Valley Health and Rehabilitation

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.

Rule F0557. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

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

Rule F0580. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2025.

Keep residents’ personal and medical records private and confidential.

Rule F0583. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

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.

Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2025.

Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.

Rule F0627. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

Rule F0655. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

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

Rule F0656. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2025.

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

Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

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

Rule F0684. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2025.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Rule F0686. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2025.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2025.

Provide safe, appropriate pain management for a resident who requires such services.

Rule F0697. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2025.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Rule F0725. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

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.

Rule F0727. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2025.

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

Rule F0730. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

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

Rule F0755. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2025.

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Rule F0757. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

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.

Rule F0803. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2025.

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Rule F0804. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

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.

Rule F0809. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2025.

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

Rule F0812. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

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.

Rule F0836. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

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.

Rule F0840. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

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

Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2025.

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.

Rule F0843. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Rule F0868. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2025.

Post nurse staffing information every day.

Rule F0732. C: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 1, 2025.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

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.

Rule F0622. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Rule F0676. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Provide activities to meet all resident’s needs.

Rule F0679. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 4, 2024.

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.

Rule F0700. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Rule F0725. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

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.

Rule F0727. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 4, 2024.

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

Rule F0730. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Rule F0745. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Ensure medication error rates are not 5 percent or greater.

Rule F0759. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Provide timely, quality laboratory services/tests to meet the needs of residents.

Rule F0770. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

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

Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Rule F0940. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Rule F0941. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Rule F0942. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Rule F0944. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Provide training in compliance and ethics.

Rule F0946. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Rule F0947. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Rule F0949. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. K: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Aug 7, 2024.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Rule F0686. G: actual harm. From a complaint. Correction date, as CMS recorded it: Nov 4, 2024.

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

Rule F0580. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 4, 2024.

Protect each resident from the wrongful use of the resident’s belongings or money.

Rule F0602. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 7, 2024.

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.

Rule F0605. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 7, 2024.

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

Rule F0607. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 7, 2024.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 7, 2024.

Respond appropriately to all alleged violations.

Rule F0610. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 7, 2024.

Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

Rule F0655. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 7, 2024.

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

Rule F0656. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 4, 2024.

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

Rule F0657. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 7, 2024.

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

Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 4, 2024.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 7, 2024.

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

Rule F0684. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 4, 2024.

Obtain a doctor’s order to admit a resident and ensure the resident is under a doctor’s care.

Rule F0710. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 7, 2024.

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.

Rule F0758. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 7, 2024.

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

Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 4, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 7, 2024.

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

Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 20, 2024.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Rule F0686. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 20, 2024.

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

Rule F0690. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 20, 2024.