Oakwood Health and Rehab Center
1613 Oakwood Street · Bedford, VA · 24523 · 5404257800
111 certified beds For profit - Corporation Chain: Hill Valley Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.49 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.70 | 0.55–0.75 |
| Weekend hours / resident-day | 3.17 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 2 · $15,593 |
Inspection citations (41 in the current record)
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Potential for harm · D March 18, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 18, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 28, 2023 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 6, 2023 · Resident Assessment and Care Planning
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Immediate jeopardy · J October 26, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 19, 2023 · Resident Assessment and Care Planning
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Immediate jeopardy · J October 26, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected October 19, 2023 · Pharmacy Service
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Potential for harm · E October 26, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 1, 2023 · Quality of Life and Care
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Potential for harm · D October 26, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 1, 2023 · Pharmacy Service
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Potential for harm · D July 26, 2023
Ensure each resident receives an accurate assessment.
Corrected August 31, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 26, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 31, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 26, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 31, 2023 · Quality of Life and Care
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Potential for harm · D July 26, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 31, 2023 · Pharmacy Service
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Potential for harm · D July 26, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected August 31, 2023 · Pharmacy Service
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Potential for harm · F July 26, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 31, 2023 · Nutrition and Dietary
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Potential for harm · D July 26, 2023
Provide and implement an infection prevention and control program.
Corrected August 31, 2023 · Infection Control
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Immediate jeopardy · L May 19, 2022
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected June 21, 2022 · Nursing and Physician Services
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Actual harm · G May 19, 2022
Provide safe, appropriate pain management for a resident who requires such services.
Corrected June 21, 2022 · Quality of Life and Care
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Potential for harm · D May 19, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 21, 2022 · Resident Rights
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Potential for harm · D May 19, 2022
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 21, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 19, 2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 21, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 19, 2022
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected June 21, 2022 · Resident Assessment and Care Planning
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Potential for harm · D May 19, 2022
Ensure each resident receives an accurate assessment.
Corrected June 21, 2022 · Resident Assessment and Care Planning
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Potential for harm · E May 19, 2022
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 21, 2022 · Resident Assessment and Care Planning
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Potential for harm · E May 19, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 21, 2022 · Resident Assessment and Care Planning
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Potential for harm · D May 19, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 21, 2022 · Resident Assessment and Care Planning
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Potential for harm · D May 19, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 2, 2022 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 26, 2023 | Fine | $7,796 |
| July 26, 2023 | Fine | $7,797 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495046 · certified since May 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.