Home / Virginia / Fredericksburg
Woodmont Center
11 Dairy Lane, Fredericksburg, VA 22405 · Stafford County · (540) 371-9414
118 certified beds, about 94 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495246 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 24, 2026, inspectors cited 27 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 74 health citations since August 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $75,712 in the last three years; the largest was $75,712, and the latest is dated August 27, 2025.
Nurses and nurse aides worked 2.90 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.32 of those hours.
54.8% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Genesis Healthcare, an affiliated group of 184 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.
1508/21
1601/23
1608/25
2704/26
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 74 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
42D
28E
3F
Potential for minimal harm
0A
0B
0C
April 24, 2026Standard inspection, Complaint inspection · 27 citations
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to maintain one of one facility dumpster area in a sanitary manner.
- F Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on staff interview and facility document review, it was determined that the facility staff failed to ensure attendance of the required staff for two of nine QAPI (quality assurance performance improvement) meetings reviewed.
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility failed to assist residents to exercise the right to vote for one of 50 residents in the survey sample. Resident #43 and one of one facility.
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on staff interview, Resident Council meeting interviews and facility documentation, the facility staff failed to respond to concerns expressed in Resident Council for five of six months reviewed: October through December 2025 and January through February 2026.
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to follow their police to screen potential employees in order to prevent resident abuse for 22 of 25 employee records reviewed, Staff #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, and #22.
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide evidence of required clinical documentation after a resident is transferred to the hospital for four of 50 residents in the survey sample, Resident #7, Resident #2, Resident #1 and Resident #91.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility document review, facility staff failed to develop and/or implement the comprehensive care plan for nine of 50 residents in the survey sample, Residents #6, #18, #4, #2, #5, #43, #67, #77 and #96.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, resident and responsible party interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to provide ADL (activities of daily living) care to dependent residents for five of 50 residents in the survey sample, Residents #96, #77, #5, #43 and #105.
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility failed to provide a resident with preferred activities for one of 50 residents, Resident #43.
- E Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to implement interventions to maintain a residents level of mobility for two of 50 residents in the survey sample, Resident #77 and Resident #67.
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on staff interview, resident interview, facility document review and clinical record review, it was determined the facility staff failed to monitor fluid intake for one of 80 residents, Resident #2.
- E Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on staff interview, clinical record review and facility document review, the facility staff failed to implement a complete pain management program for one of 14 residents in the survey sample, Residents #6 and #18.
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on resident and staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide dialysis care and services for two of 50 residents in the survey sample, Resident #2 and Resident #67.
- E Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on staff interview and employee record review it was determined that the facility staff failed to ensure CNAs (certified nursing assistants) completed the required annual training hours.
- E Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on clinical record review, facility document review, staff interview, facility staff failed to ensure a resident was free of unnecessary medications for three of 50 residents in the survey sample, Resident # 6, #18 and #7.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, it was determined the facility staff failed to maintain a medication error rate of less than 5% (five percent). Four residents were observed during the medication administration observation. There were three errors out of 27 opportunities resulting in a medication error rate of 11.11 percent error rate. These errors had the potential to increase or decrease the effectiveness of these medications.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on resident interview, staff interview, and clinical document review, the facility staff failed to serve food at a palatable temperature for six of 50 residents in the survey sample, Residents #4, #10, #67, #8, #77, and #18; and in one of one facility.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and facility document review, it was determined that the facility staff failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety on one of six hallways, the Cardinal hallway and in one of one kitchen.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility document review and staff interview, it was determined the facility staff failed to implement a complete infection control tracking program in one of one facility.
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on observations, resident review, and record review the facility failed to promote dignity for one of 50 residents in the survey sample, Resident #43
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to follow professional standards of practice for two of 50 residents in the residents in the survey sample, Residents #6 and #18.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on resident interview, staff interview and clinical record review, the facility staff failed to provide ADL (activities of daily living) for one of 50 residents, Resident #11.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide a safe environment for one of 50 residents, Residents #49The
- 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.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to provide care and services for an indwelling urinary catheter for two of 50 residents in the survey sample, Residents #4 and #2.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, clinical record review and staff interview, the facility staff failed to provide respiratory care and services for two of 50 residents in the survey sample, Residents #106 and #107.
- D 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.
Inspectors wroteBased on clinical record review, staff interview, and facility document review, it was determined the facility staff failed to implement a complete immunization program for three of five record reviews for immunizations, Residents #12, #36 and #43.
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to complete annual performance evaluations for five of five CNA (certified nursing assistant) records reviewed, CNAs #6, #8, #9, #10, #11.
August 27, 2025Complaint inspection · 16 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on staff interviews, facility document review and clinical record review, the facility staff failed to implement interventions for the prevention of falls for two of 10 residents in the survey sample, Resident #3 and Resident #9. Resident #3 was assisted by one staff member on 9/24/23 at 2:00 a.m. Resident #3 was turned over in bed and rolled off the bed, suffering a right distal femoral fracture on the leg with a below the knee amputation, thus causing harm to the resident.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to develop and/or implement the comprehensive care plan for three of ten residents in the survey sample, Resident #3, Resident #1, and Resident #8.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to review and revise the comprehensive care plan for four of ten residents, Residents #5, # 9, #1, and #10.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to provide ADL (activities of daily living) care for dependent residents to two of 10 residents in the survey sample, Residents #1 and #2.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to serve food in a sanitary manner in one of one facility kitchens.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, resident interview, and facility document review, it was determined that facility staff failed to promote resident's dignity for one of 10 residents in the survey sample, Resident #8 (R8).
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, resident interview, and staff interview, the facility staff failed to provide accommodation of needs for one of ten residents in the survey sample, Resident #6 (R6).
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on staff interview, clinical record review and facility document review, the facility staff failed to notify the responsible party as required for one of 10 current residents in the survey sample, Resident #8 (R8).
- D 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.
Inspectors wroteBased on observation, staff interview, facility document review, the facility staff failed to maintain a clean and comfortable environment for one of ten residents in the survey sample, Resident #4
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to evidence efforts to resolve a grievance for one of ten residents in the survey sample, Resident #1.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to submit an MDS (minimum data set) assessment in the required timeframe for one of ten residents in the survey sample, Resident #7.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observations, staff/resident interview, clinical record review and facility document review, it was determined that the facility failed to provide an accurate MDS (minimum data set) assessment for one of nine residents in the survey sample, Resident 105 (R105).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on clinical record review, staff interview and facility document review, the facility staff failed to develop and implement a baseline care plan for two of 10 residents in the survey sample, Resident #2 (R2) and R7.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to provide care and services to promote healing of a pressure injury for two of 10 residents in the survey sample, Residents #1 and #7.
- 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.
Inspectors wroteBased on observation and clinical record review, facility staff failed to provide care and services for an indwelling catheter for one of ten residents in the survey sample, Resident #8 (R8).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to maintain a complete and accurate medical record for one of ten residents in the survey sample, Resident #1.
January 25, 2023Standard inspection · 16 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview and facility document review, it was determined that the facility staff failed to store, prepare and serve food in a sanitary manner in one of one facility kitchens and two of two facility unit pantries.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to implement the comprehensive care plan for 4 of 29 residents in the survey sample; Residents #47, #43, #4, and #51.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to review and revise the comprehensive care plan for three of 29 residents in the survey sample, Residents #49, #11 and #78.
- D 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.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to periodically review advance directives for two of 29 residents in the survey sample, Residents #51 (R51) and #2 (R2).
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to notify the physician of a significant change in health for one of 29 residents in the survey sample, Resident #49.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to implement the facility abuse policy for reporting the final results of an allegation of abuse to the State Agency (SA) for one of 29 residents in the survey sample, Resident #11.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to report the final results of an allegation of abuse to the State Agency (SA) within 5 working days, for one of 29 residents in the survey sample, Resident #11.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide evidence that bed hold notification was provided when two out of 29 residents in the survey sample were transferred to the hospital; Resident #18 and Resident #11.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to develop a baseline care plan for an indwelling urinary catheter (1) for one of 29 residents in the survey sample, Resident #245 (R245).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to obtain weights as ordered for one of 29 residents in the survey sample, Resident #11.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to implement physician-ordered fall interventions per the plan of care for one of 29 residents in the survey sample; Resident #47.
- 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.
Inspectors wroteBased on observation, clinical record review, staff interview and facility document review, it was determined that the facility staff failed to provide care and services for an indwelling urinary catheter (1) for one of 29 residents in the survey sample, Resident #245 (R245).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to provide respiratory care and services per physician's order, for one of 29 residents in the survey sample, Resident #4.
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on observation, resident interview, facility document review and clinical record review, the facility staff failed to provide food to accommodate a resident's preferences for one of 29 residents in the survey sample, Resident #43.
- D Employ staff that are licensed, certified, or registered in accordance with state laws.
Inspectors wroteBased on staff interview, facility document review and employee record review, it was determined that the facility staff failed to evidence maintenance of required certification for one of 25 employee record reviews. The facility staff failed to provide the evidence of required certification for one CNA (certified nursing assistant) that was hired within the last two years, CNA #2.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to ensure a complete and accurate clinical record for one of 29 residents in the survey sample; Resident #78.
August 18, 2021Standard inspection · 15 citations
- E Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide written notification to the resident and/or resident representative and ombudsman, upon transfer to the hospital for eight of 31 residents in the survey sample, (Resident #29, Resident #38, Resident #26, Resident #25, Resident #43, Resident #71, Resident #91 and Resident #81). The facility staff failed to evidence that a written notification was provided to the resident and or the resident representative and ombudsman upon hospital transfers for Resident #29, Resident #38, Resident #26, Resident #25, Resident #43, Resident #71, Resident #91 and Resident #81
- E Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide a written bed hold notice prior to an or upon a facility initiated transfer for eight of 31 residents in the survey sample, Resident #29, Resident #38, Resident #26, Resident #25, Resident #43, Resident #71, Resident #91 and Resident #81.
- E Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, it was determined the facility staff failed to implement bed rail requirements for four of 31 residents in the survey sample, Residents # 68, #252, #250 and # 92.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview and facility document review, it was determined that the facility staff failed to store food in a sanitary manner. The facility staff failed to discard two (five pound) plastic containers of low fat cottage cheese with a manufacturer's best if used by date of 7/31/21, failed to cover and label a metal pan of mixed vegetables with broccoli, cauliflower and carrots, and failed to ensure a scoop was not stored in a bin of flour.
- E Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on staff interview and facility document review, it was determined that the facility staff failed to maintain an effective Quality Assurance program.
- D 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.
Inspectors wroteBased on resident interview, staff interview, facility document review, and clinical record review, it was determined the facility staff failed to implement the facility policies for advanced directives one of 31 residents in the survey sample, Resident #251. The facility staff failed to evidence documentation Resident #251 was provided an opportunity formulate an advance directive and failed to verify the residents wishes with the regards to the residents code status (full code [the decision if the resident would like to have cardiopulmonary resuscitation in the event their heart stops or they stop breathing), or DNR [do not resuscitate]) upon admission.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to develop a baseline care plan to address physician ordered antianxiety medication for one of 31 residents in the survey sample, Resident #252.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, staff interview, clinical record review, it was determined that the facility staff failed to implement the comprehensive care plan for three of 31 residents in the survey sample, Residents #81, #250 and #252. The facility staff failed to implement the comprehensive pain care plans for Residents #81, #250 and #252. The facility staff failed to assess the pain location, intensity and pain level rating and failed to attempt/ provide non-pharmacological pain interventions prior to administering physician prescribed as needed pain medications to Residents: #81, #250 and #252.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to review and revise the comprehensive care plan for one of 31 residents in the survey sample, Residents #30 and #87. The facility staff failed to review and revise Resident #30's comprehensive care plan when the resident fell on 6/8/21, 7/17/21 and 8/3/21.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, and during the course of a complaint investigation it was determined the facility staff failed to ensure the provision of care per professional standards for one of 31 residents in the survey sample, Resident #81. The facility staff failed obtain physician orders for treatment of Resident #81's left ankle pressure injury for prior to performing the treatment.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, staff interview, facility document review, clinical record review, and in the course of a complaint investigation, it was determined the facility staff failed to provide treatment and services consistent with professional standards of practice, to promote healing, prevent infection of pressure injuries for one of 31 residents in the survey sample, Resident #81. A. The facility staff failed to administer treatment to Resident #81's pressure injuries in a manner to prevent infection, and performed dressing changes to a pressure injury without a physician order. B. The facility staff failed to administer treatments per the physician order for Resident #81.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on staff interview, resident interview, facility document review and clinical record review, it was determined the facility staff failed to provide respiratory care consistent with professional standards for three of 31 residents, Resident #19, Resident #25 and Resident #252. The facility staff failed to store Resident #19 and Resident #25's nasal cannula oxygen tubing in a sanitary manner when not in use, Resident #19's and #25's nasal cannula oxygen tubing laying over the oxygen concentrators uncovered when not in use and the facility staff administered oxygen to Resident #252 without a physician's order.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review it was determined the facility staff failed to ensure implementation of a complete pain management program for three of 31 residents in the survey sample, Residents # 252, # 81, and # 250. The facility staff failed to assess the location of pain, pain level/intensity and failed to attempting/ offering non-pharmacological interventions prior to administering as needed narcotic pain medications to Resident #252, #81 and #250 on multiple dates in August 2021.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide dialysis services, consistent with professional standards of practice, the comprehensive person-centered care plan for two of 31 residents, Resident #29 and Resident #38. The facility staff failed to evidence of ongoing communication and collaboration with the dialysis facility for eight dialysis dates during May, June, and July 2021, for Resident #29 and for six dialysis dates during May and June 2021, for Resident #38.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, it was determined the facility staff failed to ensure one of 31 residents was free of unnecessary psychotropic medications, Resident #252. There was no documentation as to why the medication Ativan was administered and no documentation any non-pharmacological interventions were attempted or provided prior to the administration of the medication to Resident #252.
Fire safety inspections
8 fire safety citations on file: 7 on April 24, 2026, 1 on January 25, 2023.
Every fire safety citation8 citations
- F Establish policies and procedures including evacuation.
- F Establish policies and procedures for sheltering.
- F Establish policies and procedures for volunteers.
- F Provide family notifications of emergency plan.
- D 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.
- D Inspect, test, and maintain automatic sprinkler systems.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Provide properly protected cooking facilities.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 27, 2025 | Fine | $75,712 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 2.90 | 3.76 | 3.86 |
| Registered nurses | 0.32 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.50 | 3.29 | 3.42 |
| Nurse aides | 1.51 | ||
| Licensed practical nurses | 1.06 | ||
| Nursing staff turnover (share who left in a year) | 54.8% | 48.1% | 45.8% |
| Registered nurse turnover | 57.1% | 48.2% | 42.9% |
| Administrators who left | 3 |
CMS expects 4.12 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 3.06 on weekdays and 2.50 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.16 in April to June 2025 to 2.90 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 | 2.90 | 0.32 | 3.06 | 2.50 | 0.2% | 0 of 90 | 94 |
| Oct to Dec 2025 | 2.81 | 0.32 | 2.93 | 2.52 | 1.8% | 0 of 92 | 96 |
| Jul to Sep 2025 | 2.93 | 0.22 | 3.05 | 2.63 | 0.0% | 0 of 92 | 100 |
| Apr to Jun 2025 | 3.16 | 0.29 | 3.29 | 2.81 | 0.0% | 0 of 91 | 98 |
| 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.
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 | 10.4 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.7 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.8 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 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 | 12.7 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.3 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.1 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.2 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.7 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.5 | 1.8 |
Owners and operators
Legal business name: 11 DAIRY LANE OPERATIONS LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Genesis VA Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 04/01/2011 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Gen Operations I LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Gen Operations II LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Healthcare Inc. (publicly Traded) | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Operations LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Ghc Holdings LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Whitman, Arnold | 5% or greater indirect ownership interest | Individual | 02/02/2015 | |
| Berg, Michael | Corporate officer | Individual | 03/02/2015 | |
| Threatt, Nicole | Operational/managerial control | Individual | 10/25/2021 | |
| Tompkins, Paul | Operational/managerial control | Individual | 05/01/2020 | |
| Genesis Operations LLC | Adp of the SNF | Organization | 01/29/2025 | |
| Threatt, Nicole | Adp of the SNF | Individual | 01/29/2025 | |
| Tompkins, Paul | Adp of the SNF | Individual | 01/29/2025 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 23 problems in this area, most recently on April 24, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- When is the care plan meeting, and can family attend it?Inspectors cited 16 problems in this area, most recently on April 24, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 15 problems in this area, most recently on April 24, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 7 problems in this area, most recently on April 24, 2026: "Dispose of garbage and refuse properly."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.50 hours per resident per day, below the Virginia average of 3.29.
- How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.
Other nursing homes nearby
- Fredericksburg Health and Rehab Fredericksburg, 4.3 mi · 2 of 5 stars · 46 citations
- Carriage Hill Health & Rehab Center Fredericksburg, 5.4 mi · 3 of 5 stars · 42 citations
- Falls Run Nursing and Rehabilitation Fredericksburg, 5.5 mi · 4 of 5 stars · 28 citations
- Berea Health & Rehab Center Fredericksburg, 5.6 mi · 2 of 5 stars · 33 citations
- Heritage Hall King George King George, 13.9 mi · 2 of 5 stars · 53 citations
- Bowling Green Health & Rehabilitation Center Bowling Green, 18.4 mi · 3 of 5 stars · 53 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 Woodmont Center's Medicare star rating?
- CMS rates Woodmont Center 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Woodmont Center get at its last inspection?
- 27 health deficiencies at the standard inspection on April 24, 2026. The Virginia average is 14.3.
- Has Woodmont Center been fined?
- Yes. CMS lists 1 fine totaling $75,712 in the last three years.
- Does Woodmont 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 Woodmont Center?
- CMS lists 17 owners and managers, and links the home to Genesis Healthcare. Legal business name: 11 DAIRY LANE OPERATIONS 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.