Woodstock Valley Health: Missing Care Plan at Admission - VA
Not within 48 hours of admission. Not within a week. Not at all.
When state inspectors arrived eight months later, on September 25, 2025, the administrator confirmed it plainly: there was no baseline care plan for this resident to provide. The administrator, identified in the inspection report as Administrative Staff Member 1, said it directly and offered nothing further before inspectors left the building.
The baseline care plan is the most basic document in a nursing home's clinical record. It is supposed to be created within 48 hours of a resident's arrival and is meant to give every staff member who walks into that room a working map: what the person needs, how to keep them safe, what orders the physician has given, what they eat, how they move, what medical devices are in place. For a resident arriving with a PICC line, a colostomy, active wounds, and insulin-dependent diabetes, that document is not a formality.
A PICC line, a catheter that runs from the arm into a large vein near the heart, requires careful maintenance. An infection introduced through that line can reach the bloodstream in minutes. A colostomy requires consistent management. Wounds on admission need to be tracked so staff can tell whether they are healing or worsening. Insulin dosing must be coordinated with meals and monitored for hypoglycemic episodes. These are not conditions that allow for improvisation by staff who have never been briefed on the patient.
LPN 2, a licensed practical nurse interviewed on September 24, described what the baseline care plan is supposed to accomplish. She said the admitting nurse typically enters information about diet, mobility, behaviors, catheters, and colostomy. She said the purpose was to give staff "a place to go to see how to take care of the residents." When asked whether a PICC line would appear on the baseline care plan, she said she was not sure, but that it "should be a quick overview of what they need to take care of the resident."
The facility's own policy, last updated June 1, 2025, states that a baseline care plan must be developed within 48 hours of admission and must include initial goals, physician orders, and dietary orders, at minimum. That policy was on paper. For this resident, it was never applied.
Inspectors flagged the deficiency as causing minimal harm or potential for actual harm, the lower end of the harm scale used in federal nursing home inspections. The facility was one of 16 residents reviewed during the complaint inspection, and this was the finding.
What the inspection does not answer is what staff actually did when they entered that resident's room during the eight months between January and September. With no baseline care plan in the record, there was no centralized document telling staff about the PICC line, the colostomy, the wounds, or the insulin. Whether individual nurses and aides pieced together that information through verbal handoffs, through scattered clinical notes, or through trial and error, the record does not say.
The administrator was notified of the concern at 4:58 p.m. on September 25. No further information was provided before inspectors completed their visit the following day.
The resident identified in the report, listed only as Resident 3, was admitted on January 23, 2025. The inspection was completed September 26, 2025. For the duration of that time, the most basic document meant to guide their care did not exist.
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.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 12, 2026 · Our methodology
Woodstock Valley Health and Rehabilitation in WOODSTOCK, VA was cited for violations during a health inspection on September 26, 2025.
Not within 48 hours of admission.
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.