The Woodlands Health and Rehab Center: Data Analysis and Ratings

CMS Five Star Rating(5 out of 5):

 1000 FAIRVIEW HEIGHTS CLIFTON FORGE, VA 24422

  540-863-4096

Data date: January 01, 2023

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The Most Important Data about The Woodlands Health and Rehab Center

We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)

There is no indication of abuse occuring at The Woodlands Health and Rehab Center. (CMS flags facilities where abuse has either happened or is very likely.)

CMS 5-Star Overall Rating: (5 out of 5):
(The national average overall star rating is 3 stars.)

Current Trend: Improving

Total Nursing Hours Spent Per Resident Per Day: 2.99
(The national average is 3.75 )

Best Nursing Homes in VA

According to our analysis, The Woodlands Health and Rehab Center is ranked #2 out of 7 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near The Woodlands Health and Rehab Center.

What is this page all about?

Below is everything shred of information that we can find about The Woodlands Health and Rehab Center, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.

General Data Card

These are the basic data points for the facility.

Data date: January 01, 2023

Address: 1000 FAIRVIEW HEIGHTS

CLIFTON FORGE, VA 24422

Phone: 540-863-4096

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Ranking: The Woodlands Health and Rehab Center is ranked #2 out of 3 facilities within a 10 mile radius and #2 out of 7 facilities within a 25 mile radius.

Medicare Provider Number: 495360

Participating in Medicare Since: May 01, 2002

No. of Certified Beds: 60

No. of Residents: 54

Occupancy: 90.00 % (as of 01/01/2023 )

Amount fined in recent period: $0.00

Complaints filed: 0

Review of The Woodlands Health and Rehab Center Ratings and Inspection Scores

CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.

Ratings

Overall Rating 5:
Health Inspection Rating 5:
Quality Rating 3:
Staffing Rating 2:

Inspection Scores

Cycle 1 Score (as of July 28, 2021) 12
Cycle 2 Score (as of April 03, 2019) 8
Cycle 3 Score (as of March 22, 2018) 40
Weighted All Cycles Score 15

It has been 17 months since the most recent inspection.

What Goes Into the Nursing Home's 5-Star Rating

CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.

The rating system has five separate ratings including:

  • Overall rating
  • Health Inspection rating
  • Staff rating
  • RN Staffing rating
  • Quality Measures rating

Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.

Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :

  1. Begin with the Health Inspection Rating
  2. Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
  3. Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
  4. Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
  5. Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.

Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)

Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.

Most Recent Nursing Home Inspections

CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for The Woodlands Health and Rehab Center including health, fire, and inspection control inspections:

Inspection Type Inspection Date
Fire Safety Standard August 03, 2021
Fire Safety Standard April 17, 2019
Fire Safety Standard April 03, 2018
Health Standard July 28, 2021
Health Standard April 03, 2019
Health Standard March 22, 2018
Infection Control November 17, 2020
Infection Control November 02, 2020
Infection Control June 05, 2020

Owner and Operator Information for The Woodlands Health and Rehab Center

Our database of owners and operators shows all directo owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.

Business Entity Name:

CLIFTON FORGE HEALTH CARE LLC

Owners:

Managers and Directors:

Analysis of Nursing Hours Spent Per Patient

CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.

The nursing staff of The Woodlands Health and Rehab Center spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing homes spent per resident.

Type Facility State / National Avg
Registered Nurse (RN)
Hours 0.73 0.62 / 0.66
Case Mix 0.38 0.40 / 0.38
Adjusted 0.73 NA / NA
Licensed Practical Nurse (LPN)
Hours 0.65 1.02 / 0.88
Case Mix 0.78 NA / NA
Adjusted 0.61 NA / NA
Certified Nursing Assistants (CNA)
Hours 1.61 1.95 / 2.22
Case Mix 2.16 NA / NA
Adjusted 1.52 NA / NA
Total Licensed Staff
Hours 1.37 1.63 / 1.53
Physical Therapist (PT)
Hours 0.03 0.08 / 0.07
Total Nursing Homes Spent per Resident on Average
Hours 2.99 3.59 / 3.75
Case Mix 3.33 3.22 / 3.16
Adjusted 2.83 NA / NA

Quality Measures

Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.

Desc. Perc. State Avg. / Comparison
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) 18.1% 21.5%
Better
Percentage of short-stay residents who had an outpatient emergency department visit (qm522) 15.8% 12.4%
Worse
Number of hospitalizations per 1000 long-stay resident days (qm551) 1.5% 1.4%
Worse
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) 1.8% 1.0%
Worse
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) 11.0% 17.1%
Better
Percentage of long-stay residents who lose too much weight (qm404) 7.9% 7.2%
Worse
Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) 79.6% 52.7%
Worse
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) 0.0% 1.1%
Better
Percentage of long-stay residents with a urinary tract infection (qm407) 1.9% 2.6%
Better
Percentage of long-stay residents who have depressive symptoms (qm408) 1.7% 4.4%
Better
Percentage of long-stay residents who were physically restrained (qm409) 0.0% 0.1%
Better
Percentage of long-stay residents experiencing one or more falls with major injury (qm410) 0.0% 3.5%
Better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) 96.2% 88.5%
Better
Percentage of long-stay residents who received an antipsychotic medication (qm419) 21.3% 13.8%
Worse
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) 74.0% 71.0%
Better
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) 3.9% 1.6%
Worse
Percentage of long-stay residents whose ability to move independently worsened (qm451) 13.1% 19.6%
Better
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) 25.7% 20.3%
Worse
Percentage of high risk long-stay residents with pressure ulcers (qm453) 5.8% 8.7%
Better
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) 98.9% 94.4%
Better
Percentage of short-stay residents who made improvements in function (qm471) 73.9% 75.0%
Worse
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) 81.2% 72.2%
Better

The Woodlands Health and Rehab Center Violations, Complaints and Fines

These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.

Amount fined in recent period: $0.00, Complaints filed: 0

Deficiency Deficiency Date / Date Corrected
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
(Health)
03-22-2018 / 05-01-2018
Provide activities to meet all resident's needs.
(Health)
03-22-2018 / 05-01-2018
Provide appropriate treatment and care according to orders, resident?s preferences and goals.
(Health)
03-22-2018 / 05-01-2018
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
(Health)
03-22-2018 / 05-01-2018
Develop and implement policies and procedures for flu and pneumonia vaccinations.
(Health)
03-22-2018 / 05-01-2018
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
(Health)
03-22-2018 / 05-01-2018
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
(Fire Safety)
04-03-2018 / 05-18-2018
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
(Fire Safety)
04-03-2018 / 05-18-2018
Have simulated fire drills held at unexpected times.
(Fire Safety)
04-03-2018 / 05-18-2018
Have generator or other power source capable of supplying service within 10 seconds.
(Fire Safety)
04-03-2018 / 05-18-2018
Have proper medical gas storage and administration areas.
(Fire Safety)
04-03-2018 / 05-18-2018
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
(Health)
04-03-2019 / 04-19-2019
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
(Health)
04-03-2019 / 04-19-2019
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
(Fire Safety)
04-17-2019 / 04-30-2019
Have approved installation, maintenance and testing program for fire alarm systems.
(Fire Safety)
04-17-2019 / 04-30-2019
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
(Fire Safety)
04-17-2019 / 04-30-2019
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.
(Health)
07-28-2021 / 08-31-2021
Provide safe and appropriate respiratory care for a resident when needed.
(Health)
07-28-2021 / 08-31-2021
Post nurse staffing information every day.
(Health)
07-28-2021 / 08-31-2021
Provide and implement an infection prevention and control program.
(Health)
07-28-2021 / 08-31-2021
Have proper power supply for life support equipment.
(Fire Safety)
08-03-2021 / 08-25-2021
Have a battery powered remote alarm panel in a location accessible by operating personnel.
(Fire Safety)
08-03-2021 / 08-25-2021

Hospitals Near The Woodlands Health and Rehab Center

Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near The Woodlands Health and Rehab Center.

This information is based on the most recent Hospital data. Historical data is not available.

Hospital 5-Star Overall Rating
CARILION STONEWALL JACKSON HOSPITAL
1 HEALTH CIRCLE
LEXINGTON, VA 24450
2
LEWISGALE HOSPITAL ALLEGHANY
ONE ARH LANE - PO BOX 7
LOW MOOR, VA 24457
5
BATH COMMUNITY HOSPITAL
106 PARK DRIVE- PO DRAWER Z
HOT SPRINGS, VA 24445
Not Available

Medical Professionals Associated with The Woodlands Health and Rehab Center

These are the doctors who are affiliated with The Woodlands Health and Rehab Center. The data is from the most recent period. Historical data is not available.

Detailed Analysis Pages:

Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.

CMS Five Star Ratings and Quality Measures for The Woodlands Health and Rehab Center

Five different rating results plus detailed inspection numbers and quality measures for The Woodlands Health and Rehab Center.

Covid Infections at The Woodlands Health and Rehab Center

This report is updated weekly and shows new and historical infection levels.

Nursing Hours Analysis for The Woodlands Health and Rehab Center

How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.

Ownership Details for The Woodlands Health and Rehab Center

A list of all of the registered owners for The Woodlands Health and Rehab Center. This includes direct and indirect owners and managers.

Noted Deficiencies for The Woodlands Health and Rehab Center

A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.

Comparison Ranking of Nearby Skilled Nursing Facilities

How does The Woodlands Health and Rehab Center compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.

Best Nursing Homes in CLIFTON FORGE, VA

Homes that you should consider. A list ranking the best skilled nursing facilities in CLIFTON FORGE based on their weighted inspection score as of January 01, 2023.

Worst Nursing Homes in CLIFTON FORGE, VA

Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in CLIFTON FORGE based on their weighted inspection score as of January 01, 2023.