Woodstock Valley Health: Patient Record Breach - VA
That sequence of events, documented in a September 2025 federal inspection of Woodstock Valley Health and Rehabilitation, cost Resident #1 the privacy of at least one clinical record during what inspectors described as an open internal investigation at the facility.
The incident started on the morning of August 22, 2025. LPN #5 was at her medication cart preparing for morning med pass when a certified nursing assistant approached her. LPN #6, the CNA said, wanted a progress note printed — something related to Resident #1. LPN #5 went looking for LPN #6 and found her gone. She stopped to talk with the former staffing coordinator, OSM #2, about her schedule. At the end of that conversation, she asked where LPN #6 had gone and whether she was coming back.
OSM #2 told her what LPN #6 needed. OSM #2 said she couldn't print it herself because the new company that had taken over the facility had cut off her records access. LPN #6 couldn't print it either, she said. It was fine, OSM #2 told LPN #5, to print the note and hand it over. LPN #6 needed it to take to human resources.
LPN #5 printed it.
In an email she sent to the executive director that same day, LPN #5 described the moment plainly: "I did feel hesitant to print this but felt as though I didn't have an out." She walked the document from the nurses' station down to the Rosewood unit and put it directly into LPN #6's hands. LPN #6 wanted a second copy for HR. As LPN #5 walked back down the hallway, LPN #6 called after her that she was covering herself, that there was an open investigation, and that people were sweeping things under the rug.
LPN #5 wrote that she had not known any of that. She had not known there was an investigation. She had not known Resident #1 was no longer even a resident at the facility. "Had I been aware of the severity of the situation," she wrote, "I would not have printed this."
When inspectors interviewed LPN #5 on September 25, she added a detail she had apparently left out of the August email. The progress note, she said, involved backdated medication orders for Resident #1. The orders were dated August 10, 2025, but had been entered into the system several days after that date. She couldn't remember the exact date they were created.
The director of nursing, ASM #2, told inspectors she confronted LPN #6 the same day the printing came to light. LPN #6 said she didn't have any of Resident #1's documents. Later that day, ASM #2 heard LPN #6 at the nurses' station saying the documents were not in her shoe. The implication, ASM #2 understood, was that they were.
LPN #6 texted ASM #2 after leaving the facility. A printed copy of that message was reviewed by inspectors. It read, in part: "i did have a paper that (LPN #5) printed out but I had tore it up and threw it away hours before yall had asked me about it. I am guilty of that."
LPN #6 was not available for interview during the inspection.
The executive director, ASM #1, told inspectors she had been confused from the start about why LPN #6 needed someone else to print the document at all, since LPN #6 could presumably print records herself. That question was never resolved in the inspection report. What the report does establish is that OSM #2 — the former staffing coordinator who no longer had system access — was the one who directed LPN #5 to print the record and told her it was acceptable to do so. OSM #2 does not appear to have been interviewed.
The note passed through at least three sets of hands, was hidden, was lied about, and was then torn up and discarded — all in the context of an internal investigation whose subject, according to LPN #6's own words in the hallway, people were trying to bury.
Inspectors cited the facility for failing to maintain the confidentiality of Resident #1's clinical records. The violation was rated as minimal harm or potential for actual harm, affecting few residents.
Resident #1 had already left the building before the document was destroyed. Whether they ever learned their record had been printed, passed around, and shredded is not recorded in the inspection report.
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: 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.
The incident started on the morning of August 22, 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.