A list of the most recent deficiencies for The Woods, A Nightingale Community. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-29 | 2023-05-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-30 | 2023-04-28 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-03-30 | 2023-04-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-30 | 2023-04-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-30 | 2023-04-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-30 | 2023-04-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-30 | 2023-04-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-30 | 2023-04-28 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-03-30 | 2023-04-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-30 | 2023-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-30 | 2023-04-28 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-03-30 | 2023-04-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-30 | 2023-04-28 | N |
| Report COVID19 data to residents and families. | Health | 2023-03-30 | 2023-04-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-30 | 2023-04-26 | N |
| 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. | Health | 2023-03-30 | 2023-04-26 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-29 | 2023-04-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-15 | 2021-11-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-15 | 2021-11-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-15 | 2021-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-15 | 2021-11-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-10-12 | 2021-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-12 | 2021-11-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-12 | 2021-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-14 | 2021-07-07 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-07-14 | 2020-10-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-07-17 | 2020-08-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-07-17 | 2020-08-14 | N |
| 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. | Health | 2020-07-17 | 2020-08-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-07-17 | 2020-08-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-07-17 | 2020-08-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-07-17 | 2020-08-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-07-17 | 2020-08-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-07-17 | 2020-08-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-07-17 | 2020-08-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-07-14 | 2020-08-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-07-14 | 2020-08-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-07-14 | 2020-08-14 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2020-07-17 | 2020-07-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-07-14 | 2020-07-14 | N |
