Woodstock Valley Health: Missing Care Plan on Admission - VA
The inspection, conducted September 24 through 26, 2025, was triggered by a complaint. Inspectors reviewed clinical records and interviewed staff. What they found for the resident identified in the report as Resident 3 was straightforward: the nursing admission assessment, dated January 23, 2025, documented every one of those conditions on arrival. The record contained no baseline care plan developed within 48 hours of that admission. Or within any hours, as far as inspectors could determine.
A baseline care plan is the document that tells nurses and aides, from the moment a resident arrives, what that person needs and how to provide it. It is the first answer to the question: how do we take care of this specific human being?
On September 24, a licensed practical nurse at the facility described exactly what that document is supposed to do. She said the admitting nurse creates it, and it covers things like diet, mobility, behaviors, catheters, and colostomy care. "The purpose of the care plan was to give them a place to go to see how to take care of the residents," she told inspectors. She acknowledged she was not certain whether a PICC line would appear on a baseline care plan, but said it should be "a quick overview of what they need to take care of the resident."
A PICC line is not a minor detail. It is a catheter inserted into a peripheral vein and advanced until the tip sits in a large vein close to the heart, used to deliver medications, fluids, or nutrition over extended periods. Infection, clotting, and improper flushing are among the complications that can follow mismanagement. For a new nursing staff member encountering Resident 3 for the first time, a care plan noting the line's existence is not a formality. It is the difference between knowing and not knowing.
The administrator, identified in the report as Administrative Staff Member 1, told inspectors on the morning of September 25 that the facility did not have a baseline care plan for Resident 3 to provide. That afternoon, at 4:58 p.m., inspectors formally made the administrator aware of the deficiency. The report notes that no further information was provided before inspectors completed their review.
The facility's own written policy, dated June 1, 2025, five months after Resident 3's admission, states that a baseline care plan will be developed within 48 hours of a resident's admission and will include initial goals based on admission orders, physician orders, and dietary orders. The policy was written after the window for Resident 3's care plan had already closed.
Inspectors cited the deficiency at a level of minimal harm or potential for actual harm, affecting a small number of residents. One resident was identified in the survey sample of 16.
What the inspection record does not answer is what happened during the months between January and September. Who cared for Resident 3, and what guided them? Whether a nurse familiar with the resident's needs was always present, or whether someone new encountered that PICC line without any written instruction to consult, the report does not say. The administrator had no care plan to hand over. That much was confirmed.
Resident 3 arrived needing a great deal. The facility's own nurse described the care plan as the place staff go to learn how to help someone. For eight months, that place 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.
The inspection, conducted September 24 through 26, 2025, was triggered by a complaint.
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.