D64

OAKWOOD HEALTH AND REHAB CENTER

Grade D 64/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
4/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

111

Ownership

For profit - Corporation

Total Fines

$15,593

Last Survey

N/A

1613 OAKWOOD STREET, BEDFORD, VA 24523
5404257800

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.70h
LPN
0.84h
CNA
1.74h
Total
3.29h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

BEDFORD SNF HOLDINGS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Nov 2021

100%

DELILAH 2626 HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2021

LION 26 HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2021

SABRINA 1818 HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2021

SAESSY IRREVOCABLE TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2021

TATIRIQ IRREVOCABLE TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2021

TIMBERLAKE OPERATIONS HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2021

HVH TIMBERLAKE MANAGEMENT LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Nov 2021

IDELS, SHIMON

IndividualCORPORATE OFFICERSince Nov 2021

WADE, JOYCE

IndividualW-2 MANAGING EMPLOYEESince Nov 2021

Penalties & Fines (2)

$15,593total fines
DateTypeDescriptionAmount
Jul 26, 2023Fine$7,796
Jul 26, 2023Fine$7,797

Health Inspection Deficiencies (41)

November 28, 2023Health1 deficiency
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Dec 6, 2023
October 26, 2023Health4 deficiencies2 severe
0658JImmediate jeopardy, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 19, 2023
0684EMinimal harm, Pattern

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Dec 1, 2023
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Dec 1, 2023
0760JImmediate jeopardy, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Oct 19, 2023
July 26, 2023Health7 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 31, 2023
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 31, 2023
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Aug 31, 2023
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Aug 31, 2023
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Aug 31, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Aug 31, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 31, 2023
February 13, 2023Health2 deficiencies
0883EMinimal harm, Pattern

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Mar 24, 2023
0887DMinimal harm, Isolated

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Infection Control Deficiencies

Corrected Mar 24, 2023
May 19, 2022Health24 deficiencies2 severe
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Jun 21, 2022
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 21, 2022
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 21, 2022
0635DMinimal harm, Isolated

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 21, 2022
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 21, 2022
0655EMinimal harm, Pattern

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Jun 21, 2022
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 21, 2022
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 21, 2022
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 2, 2022
0684EMinimal harm, Pattern

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Aug 2, 2022
0686EMinimal harm, Pattern

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jun 21, 2022
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jun 21, 2022
0697GActual harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Jun 21, 2022
0725LImmediate jeopardy, Widespread

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Jun 21, 2022
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Aug 2, 2022
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jun 21, 2022
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Aug 2, 2022
0801FMinimal harm, Widespread

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Nutrition and Dietary Deficiencies

Corrected Jun 21, 2022
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 21, 2022
0835FMinimal harm, Widespread

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administration Deficiencies

Corrected Jun 21, 2022
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 21, 2022
0849DMinimal harm, Isolated

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Administration Deficiencies

Corrected Jun 21, 2022
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 21, 2022
0908CNo harm, Widespread

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Jun 21, 2022
February 6, 2020Health3 deficiencies
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Mar 18, 2020
0638DMinimal harm, Isolated

Assure that each resident’s assessment is updated at least once every 3 months.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 18, 2020
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 18, 2020

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Frequently Asked Questions

What is the CareGrader rating for OAKWOOD HEALTH AND REHAB CENTER?

OAKWOOD HEALTH AND REHAB CENTER in BEDFORD, Virginia has a CareGrader grade of D (Below Average), with a composite score of 64.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for OAKWOOD HEALTH AND REHAB CENTER?

OAKWOOD HEALTH AND REHAB CENTER has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does OAKWOOD HEALTH AND REHAB CENTER have?

OAKWOOD HEALTH AND REHAB CENTER has 41 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has OAKWOOD HEALTH AND REHAB CENTER been fined?

Yes. OAKWOOD HEALTH AND REHAB CENTER has $15,593 in total fines from CMS enforcement actions across 2 penalties.

How many beds does OAKWOOD HEALTH AND REHAB CENTER have?

OAKWOOD HEALTH AND REHAB CENTER has 111 certified beds with approximately 97 current residents (87% occupancy). The facility is located at 1613 OAKWOOD STREET, BEDFORD, Virginia 24523. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.