How many deficiencies did The Woodlands Health and Rehab Center get at its last inspection?

6 health deficiencies at the standard inspection on April 13, 2023. The Virginia average is 14.3.

Has The Woodlands Health and Rehab Center been fined?

CMS lists no fines in the last three years.

Does The Woodlands Health and Rehab Center accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns The Woodlands Health and Rehab Center?

CMS lists 8 owners and managers, and links the home to Commonwealth Care of Roanoke. Legal business name: CLIFTON FORGE HEALTH CARE LLC.

The Woodlands Health and Rehab Center: Inspections & Ratings

The record in brief

At its most recent standard inspection, on April 13, 2023, inspectors cited 6 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 12 health citations since April 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.39 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.

51.9% of nursing staff left within the year CMS measured (Virginia average 48.1%).

CMS links it to Commonwealth Care of Roanoke, an affiliated group of 12 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

204/19

407/21

604/23

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

April 13, 2023Standard inspection · 6 citations

D

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

F635 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 12, 2023

Inspectors wroteBased on clinical record review, the facility staff failed to obtain physician orders for the care of an implanted cardiac defibrillator for one of 21 residents, Resident #153.
D

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

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 12, 2023

Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to provide a baseline care plan for one of 21 residents in the survey sample. Resident #53 was not presented with a completed copy of the baseline care plan. This was a closed record review. The Findings Include: Diagnoses for Resident #53 included; Dementia, anxiety, depression, epilepsy, insomnia, and muscle wasting. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 11/19/21. Resident #53 was assessed with a cognitive score of 15 indicating cognitively intact. On 4/12/23 review of Resident #53's clinical record evidenced that a baseline care plan was completed on 8/14/21 after the admission on [DATE]. [...]
D

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

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 12, 2023

Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to develop comprehensive care plans for two of 21 residents. Resident # 153 did not have a care plan in place for nutrition and a physician ordered treatment was not listed on the care plan for pressure ulcers. Resident #119 did not have a care plan for the use of a life vest.
D

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

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 12, 2023

Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to review and revise the comprehensive care plan for one of 21 residents. Resident # 14's care plan was not updated to include the use of a specialty mattress.
D

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

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 12, 2023

Inspectors wroteBased on medication pass and pour observation, staff interview, and facility document review, the facility staff failed to follow professional standards of nursing practice during medication pass on the back hall.
D

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

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 12, 2023

Inspectors wroteBased on closed clinical record review, and staff interview, the facility failed to maintain a complete and accurate clinical record for one of 21 residents in the survey sample (Resident # 54). Facility staff failed to document the resident's bathing for the period [DATE] through [DATE].

July 28, 2021Standard inspection · 4 citations

E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 31, 2021

Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to follow infection control practices to prevent the potential spread of COVID-19 on one of two units, the west unit. Droplet precautions were not implemented at the time of entry for an unvaccinated new admission, facility staff was not aware of the proper PPE (personal protective equipment) to wear while in contact with a resident on droplet precautions, and one staff member was not aware of where to find proper PPE.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2021

Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to administer oxygen per physician order for one of 15 residents in the survey sample: Resident # 29. Resident # 29's oxygen was observed being administered above the parameters ordered by the physician.
C

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) August 31, 2021

Inspectors wroteBased on observation and staff interview, the facility staff failed to post daily staffing in a prominent area visible to all residents and visitors. The facility staff also failed to post correct information on the daily staffing sheet.
B

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.

F584 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) August 31, 2021

Inspectors wroteBased on observation and staff interview, the facility staff failed to ensure the wall in one of sixteen rooms was in good repair promoting a homelike environment. The wall in room [ROOM NUMBER] had two areas of white dry wall patch beside the resident's bed. The rest of the wall and room were painted yellow.

April 3, 2019Standard inspection · 2 citations

D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 19, 2019

Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, facility staff failed to provide care and services for use of an indwelling catheter for one of 17 residents in the survey sample, Resident #203. Facility staff failed to ensure Resident #203 had an acceptable diagnosis for use of an indwelling catheter (Foley) and failed to provide privacy for resident's urinary drainage bag.
D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 19, 2019

Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to ensure Tuberculin PPD (purified protein derivative) solution was dated when opened and stored per pharmacy recommendation in the refrigerator of the facility's medication room. One multi-dose vial of PPD solution was observed opened and stored in the top of a medication cart on the front hall of the facility. The vial was not labeled with the date that it had been opened.

Fire safety inspections

14 fire safety citations on file: 9 on April 13, 2023, 2 on July 28, 2021, 3 on April 3, 2019.

Every fire safety citation14 citations

F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · April 13, 2023 · Corrected (the home has a date of correction)
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · April 13, 2023 · Waiver
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · April 13, 2023 · Waiver
E
Have properly located and lighted "Exit" signs.

K 293 · April 13, 2023 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · April 13, 2023 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · April 13, 2023 · Corrected (the home has a date of correction)
E
Have properly installed electrical wiring and gas equipment.

K 511 · April 13, 2023 · Corrected (the home has a date of correction)
E
Have a battery powered remote alarm panel in a location accessible by operating personnel.

K 916 · April 13, 2023 · Waiver
D
Provide properly protected cooking facilities.

K 324 · April 13, 2023 · Corrected (the home has a date of correction)
D
Have proper power supply for life support equipment.

K 915 · July 28, 2021 · Corrected (the home has a date of correction)
D
Have a battery powered remote alarm panel in a location accessible by operating personnel.

K 916 · July 28, 2021 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · April 3, 2019 · Corrected (the home has a date of correction)
D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

K 223 · April 3, 2019 · Corrected (the home has a date of correction)
D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · April 3, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Virginia	United States
All nursing staff (RN, LPN and aides)	3.39	3.76	3.86
Registered nurses	0.67	0.69	0.69
All nursing staff on weekends	3.01	3.29	3.42
Nurse aides	2.07
Licensed practical nurses	0.65
Nursing staff turnover (share who left in a year)	51.9%	48.1%	45.8%
Registered nurse turnover	33.3%	48.2%	42.9%
Administrators who left	0

CMS expects 3.81 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.54 on weekdays and 3.01 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.39 in April to June 2025 to 3.39 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.39	0.67	3.54	3.01	3.1%	0 of 90	55
Oct to Dec 2025	3.32	0.59	3.50	2.86	4.5%	0 of 92	55
Jul to Sep 2025	3.18	0.69	3.34	2.76	1.2%	0 of 92	57
Apr to Jun 2025	3.39	0.54	3.55	3.01	0.0%	1 of 91	58
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Virginia, Jan to Mar 2026	3.58	0.56	3.76	3.12	5.7%	0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Virginia

Job	Median	Middle half	Employed
Virginia, all employers
CNAs (nursing assistants)	$20.77	$17.80 to $22.56	40,580
LPNs and LVNs	$31.21	$28.66 to $35.84	15,550
Registered nurses	$45.00	$38.51 to $49.53	77,490
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Virginia	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	8.9	14.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.4	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	1.6	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	4.1	3.6	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.6	1.3	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	18.8	15.6	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.7	4.7	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	18.0	14.2	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	20.2	22.3	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	11.2	11.5	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.3	1.5	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.8	1.5	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for The Woodlands Health and Rehab Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (56.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

56.5% this home

No different from the national rate

US median of homes 51.5% · Virginia: 101 better, 22 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 80 eligible stays.

Potentially preventable readmissions

10.3% this home

No different from the national rate

US median of homes 10.7% · Virginia: 1 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 89 eligible stays.

Infections that led to a hospital stay

6.1% this home

No different from the national rate

US median of homes 7.1% · Virginia: 2 better, 8 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 58 eligible stays.

Self-care and mobility at discharge

73.8% this home

Median of homes: Virginia60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 42 residents counted.

Falls with major injury

0.0% this home

Median of homes: Virginia0.7% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 57 residents counted.

New or worsened pressure ulcers

1.3% this home

Median of homes: Virginia2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 57 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Virginia97.8% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 5 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: CLIFTON FORGE HEALTH CARE LLC. CMS links this home to Commonwealth Care of Roanoke, a group of 12 nursing homes averaging 3.6 stars overall.

Name	Role	Type	Since
Baldwin, Angela	W-2 managing employee	Individual	01/01/2002
Goodall, Lury	Corporate director	Individual	01/01/2002
Petrine, Deborah	Corporate director	Individual	01/01/2002
Stallard, Patricia	Corporate director	Individual	01/01/2002
Alesantrino, Joe	Corporate officer	Individual	06/01/2019
Tucker, David	Corporate officer	Individual	07/01/2006
Commonwealth Care of Roanoke Inc	Operational/managerial control	Organization	06/14/2007
Dj Petrine LLC	Operational/managerial control	Organization	01/01/2002

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on April 13, 2023: "Provide doctor's orders for the resident's immediate care at the time the resident was admitted."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on July 28, 2021: "Provide safe and appropriate respiratory care for a resident when needed."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on July 28, 2021: "Provide and implement an infection prevention and control program."
How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on July 28, 2021: "Post nurse staffing information every day."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.01 hours per resident per day, below the Virginia average of 3.29.

Other nursing homes nearby

Alleghany Health and Rehab
Clifton Forge, 0.4 mi · 1 of 5 stars · 59 citations
Brian Center of Alleghany
Low Moor, 4.4 mi · 5 of 5 stars · 12 citations
The Springs Nursing & Rehab Center
Hot Springs, 10.9 mi · 5 of 5 stars · 16 citations
Kendal at Lexington
Lexington, 19.5 mi · 4 of 5 stars · 23 citations
Heritage Hall Lexington
East Lexington, 20.5 mi · 4 of 5 stars · 19 citations
Brian Center of Fincastle
Fincastle, 20.9 mi · 4 of 5 stars · 21 citations
White Sulphur Springs Center
White Sulphur Spring, 24.4 mi · 3 of 5 stars · 45 citations

Virginia contacts for a concern about a nursing home

These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.

Common questions

What is The Woodlands Health and Rehab Center's Medicare star rating?: CMS rates The Woodlands Health and Rehab Center 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Woodlands Health and Rehab Center get at its last inspection?: 6 health deficiencies at the standard inspection on April 13, 2023. The Virginia average is 14.3.
Has The Woodlands Health and Rehab Center been fined?: CMS lists no fines in the last three years.
Does The Woodlands Health and Rehab Center accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns The Woodlands Health and Rehab Center?: CMS lists 8 owners and managers, and links the home to Commonwealth Care of Roanoke. Legal business name: CLIFTON FORGE HEALTH CARE LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.