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Nursing HomeMedicaid Investigative

Als Woodstock INC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1649 Park Rd, Woodstock, OH 4308442 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 5 Google reviews

5
4
3
2
1
Als Woodstock INC Nursing Home in Woodstock, OH — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (9 vs median 8.0)
  • High staff turnover (68%)
  • High RN turnover (70%)

Bottom 25% in OH · Below recommended RN staffing · Worst in LIONSTONE CARE chain · $42,094 in fines

Source: Medicare data

What this means for your family

While some families have appreciated the small, welcoming environment, the recent reports of severe structural issues like a caving roof are deeply concerning. We strongly recommend scheduling an in-person tour to inspect the current state of the building and asking administration directly about their maintenance and safety protocols.

Google Reviews

Google Reviews

5 reviews on Google
Reviews for ALS WOODSTOCK INC are highly polarized, ranging from praise for the staff's dedication to severe criticism regarding the facility's physical condition. While some visitors appreciate the welcoming atmosphere, recent reports highlight critical infrastructure failures and administrative concerns.

Quality Themes

Tap a score for details
FoodN/AStaff7.0Clean1.0ActivitiesN/AMedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Welcoming and approachable staff
  • Small, character-filled facility environment
  • Focus on resident-centered care

Concerns

  • Poor facility maintenance and structural integrity (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02022(1)5.02023(2)3.02025(2)

Distribution · 5 analyzed

5
4
4
0
3
0
2
0
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1With a smaller capacity of 42 residents, how does your team ensure consistent communication with families regarding daily updates and changes in care?
  • 2I noticed some areas of the building seem to need a little extra attention; what is your current plan for facility maintenance and addressing structural repairs?
  • 3Given the current staffing levels, how do you ensure that residents receive prompt assistance and personalized attention throughout the day?
  • 4What specific protocols are in place to maintain a high standard of cleanliness and hygiene throughout the facility?
  • 5Could you walk me through your process for handling medical emergencies and how quickly you involve family members when a health concern arises?
  • 6What does a typical daily activity schedule look like to keep residents engaged and connected within this smaller, close-knit community?

Personalized based on this facility's data


Key Review Excerpts

The staff cares about the residents and building and working hard to care for the residents the best they can focusing on what is best for the residents.

Visitor · 2023★★★★★

Terrible place. Not sure how they are still open. Literally roof caving in. Administration is a joke.

Local Guide · 2025☆☆☆☆
Source: 5 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.48hrs
64%
Registered nurses for medical care
Total Nursing
3.23hrs
79%
All nurses + aides combined
Staff Turnover
60%
Lower is better (< 30% = good)
RN Turnover
67%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility39.9%
Worse than Avg
Here
39.9%
US
12.1%
OH
28.2%
Champaign
26.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility1.8%
Better than Avg
Here
1.8%
US
15.3%
OH
6.9%
Champaign
19.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility76.8%
Worse than Avg
Here
76.8%
US
93.4%
OH
92.6%
Champaign
93.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.7%
Better than Avg
Here
8.7%
US
19.4%
OH
21.6%
Champaign
23.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility2.2%
Better than Avg
Here
2.2%
US
14.4%
OH
5.8%
Champaign
13.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.5%
Worse than Avg
Here
21.5%
US
15.5%
OH
9.4%
Champaign
15.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility42.6%
Worse than Avg
Here
42.6%
US
81.8%
OH
78.4%
Champaign
85.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility7.7%
Worse than Avg
Here
7.7%
US
1.6%
OH
1.2%
Champaign
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
7penalties
Near state avg (10.1)
21 complaint-triggered
$42,094 in fines

This facility shows concerning patterns with 21 complaint-driven deficiencies indicating families have filed reports about problems. The most recurring issues involve fire safety and emergency preparedness, resident care planning, and medication management. While all documented deficiencies show correction dates, the high number of complaints spanning multiple years suggests ongoing quality concerns that families should carefully investigate before considering placement.

Sep 10, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 17, 2025Complaint
1
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jan 22, 2025Complaint
3
0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0680Minimal · WidespreadCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

Oct 31, 2024Routine
12
0790Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide routine and 24-hour emergency dental care for each resident.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

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.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jun 27, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jan 25, 2024Complaint
7
0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

0810Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Federal Penalties

Fine

Feb 20, 2024

$4,938

Fine

Feb 12, 2024

$4,938

Fine

Jan 22, 2024

$13,674

Fine

Jan 8, 2024

$3,764

Fine

Dec 18, 2023

$8,469

Fine

Nov 20, 2023

$2,117

Fine

Oct 30, 2023

$4,194

Ownership & Operations

Who Operates This Facility

Owner / Operator

Als Woodstock INC

Organization Type

for profit

Chain Affiliation

Chain Name

Lionstone Care

Chain Size

22 facilities nationwide

Chain avg rating: 2.6/5 · Rank 19 of 22 (Worst)

Ownership & Management

Owners

Lionstone Als Opco Holdings LLC

Owner · Organization

100%

Kazarnovsky, Solomon

Owner (parent company)

50%

Stein, Abba

Owner (parent company)

50%

Key personnel

Cusner, AdamOfficer / DirectorDegyansky, JeffreyOfficer / DirectorCusner, AdamManagerDegyansky, JeffreyManagerGoldish, EliezerManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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