Oakwood Health and Rehab Center in Bedford, VA has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing rating, even though quality measures are 5 stars. Reported nurse staffing is 3.49 hours per resident per day, below the 4.1-hour federal benchmark, and there were no fines in the last 24 months.
Last inspection: March 18, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4929.
Staffing detail
Registered nurses
0.70
Licensed practical nurses
0.93
Nurse aides
1.86
Weekend nursing
3.17
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 44%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16.9%Worsening
Residents with a fall causing major injury
7.2%Improving
Residents with pressure ulcers (bedsores)
5.3%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
10.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.8%Improving
Residents whose ability to walk got worse
8.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
23.6%Worsening
Short-stay residents newly given an antipsychotic
2.7%Worsening
Residents with a long-term catheter
0.3%Steady
Residents with new or worsening incontinence
11%Improving
Residents with depressive symptoms
16.9%Improving
Long-stay residents given the seasonal flu vaccine
97.4%Steady
Long-stay residents given the pneumonia vaccine
94.9%Worsening
Short-stay residents given the seasonal flu vaccine
74.8%Steady
Short-stay residents given the pneumonia vaccine
79.3%Improving
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2022 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: L
The nursing home failed to provide services that met professional standards of quality. Cited October 2023 — isolated incident, immediate jeopardy to residents.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited October 2023 — isolated incident, immediate jeopardy to residents.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited May 2022 — isolated incident, actual harm.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 4 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $15,593 in total fines.
Federal fine
Jul 26, 2023
$7,797
Federal fine
Jul 26, 2023
$7,796
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of HILL VALLEY HEALTHCARE · 44 homes · 2 stars avg
Occupancy
101.7 residents on an average day (92% of 111 beds)
Resident voice
Resident council
Medicare history
Certified for 59 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.