Woodstock Valley Health: CNA Review Failures - VA]
That finding sat at the center of a September 2025 complaint inspection at the 803 South Main Street facility, where federal inspectors reviewed performance records for five certified nursing assistants and found that four of them had gone more than a year without a required annual review.
The director of nursing, identified in inspection records only as ASM #2, had been in the role since April 2025. When inspectors sat down with her on the afternoon of September 25, she told them she had never held a director of nursing position before. She said she assumed the reviews should be completed each year based on each aide's hire date. She did not know who was responsible for making sure they actually happened.
Nobody, it turned out, had been making sure.
CNA #3 was hired in August 2023. Her most recent performance review on record was completed in August 2024, more than a year before the September 2025 inspection. CNA #4 had been with the facility since June 2023, with her last review completed in July 2024. CNA #5, who had worked at the facility since July 2021, was last reviewed in July 2024. CNA #6, hired in February 2023, had a review on file from July 2024.
All four were past due. The fifth CNA reviewed by inspectors was current.
The facility's own written policy on its nurse aide training program stated that a review of each employee's attendance and completion of mandatory training should be performed at least annually, typically at the time of a performance review. The policy placed responsibility for attending that training on the aides themselves. It said nothing, apparently, about who was responsible for ensuring the reviews that would catch any gaps actually took place.
Shortly before 5 p.m. on September 25, the facility's executive director, identified as ASM #1, was informed of the deficiency. No additional information was provided to inspectors before they completed the survey the following day.
Inspectors tagged the violation as causing minimal harm or potential for actual harm, a designation that places it among the less severe findings on the federal scale. But the deficiency points to something structural: a nursing home where the person overseeing frontline care workers didn't have a clear picture of her own administrative responsibilities, and where four aides providing hands-on care to residents went through an entire calendar year without anyone formally evaluating their job performance.
Performance reviews for nursing aides aren't paperwork for its own sake. They're the mechanism by which supervisors are supposed to catch problems, correct techniques, and verify that training requirements are being met. When that process breaks down, and stays broken for a year or more, the gap belongs to management, not to the aides.
The director of nursing at Woodstock Valley has held that title for roughly five months. She walked into a system where the accountability structure for one of her core responsibilities had already gone quiet. Whether anyone above her knew, or asked, the inspection record doesn't say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Woodstock Valley Health and Rehabilitation from 2025-09-26 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 27, 2026 · Our methodology
Woodstock Valley Health and Rehabilitation in WOODSTOCK, VA was cited for violations during a health inspection on September 26, 2025.
The director of nursing, identified in inspection records only as ASM #2, had been in the role since April 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.