A list of the most recent deficiencies for Woodland Care Center. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-15 | 2023-12-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-15 | 2023-12-01 | Y |
| 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. | Health | 2023-10-12 | 2023-11-10 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-10-13 | 2023-10-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-13 | 2023-10-31 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-12 | 2023-10-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-12 | 2023-10-04 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-12 | 2023-10-04 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-09-12 | 2023-10-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-12 | 2023-10-04 | Y |
| 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. | Health | 2023-09-12 | 2023-10-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-09 | 2023-08-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-18 | 2023-08-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-18 | 2023-08-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-18 | 2023-08-04 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-29 | 2023-07-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-11 | 2023-06-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-12-07 | 2022-12-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-07 | 2022-12-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-13 | 2022-10-06 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-09-01 | 2022-09-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-07 | 2022-08-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-04 | 2022-08-25 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-08-03 | 2022-08-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-25 | 2022-08-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-10 | 2022-06-21 | Y |
| 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. | Health | 2022-04-19 | 2022-04-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-15 | 2022-03-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-04 | 2022-02-11 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| 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 | 2021-12-17 | 2022-01-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-12-17 | 2022-01-10 | 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 | 2021-12-17 | 2022-01-10 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2021-12-17 | 2022-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-23 | 2022-01-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-03 | 2021-12-27 | 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 | 2021-12-03 | 2021-12-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-03 | 2021-12-27 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-12-03 | 2021-12-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-03 | 2021-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-03 | 2021-12-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-03 | 2021-12-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-03 | 2021-12-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-03 | 2021-12-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-03 | 2021-12-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-12-03 | 2021-12-27 | N |
| 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. | Health | 2021-12-03 | 2021-12-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-03 | 2021-12-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-03 | 2021-12-27 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-12-03 | 2021-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-03 | 2021-12-27 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-12-03 | 2021-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-19 | 2021-10-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-05 | 2021-10-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-22 | 2021-10-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-04 | 2021-09-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-24 | 2021-07-02 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-11-08 | 2019-12-04 | N |
| Establish methods for sharing information. | Fire Safety | 2019-11-08 | 2019-12-04 | N |
| 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. | Fire Safety | 2019-11-08 | 2019-12-04 | N |
| 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 | 2019-11-08 | 2019-12-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-11-08 | 2019-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-08 | 2019-12-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-08 | 2019-12-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-08 | 2019-12-04 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-11-04 | 2019-11-29 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2019-11-04 | 2019-11-29 | N |
| 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. | Health | 2019-11-04 | 2019-11-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-11-04 | 2019-11-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-04 | 2019-11-29 | N |
| Provide activities to meet all resident's needs. | Health | 2019-11-04 | 2019-11-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-04 | 2019-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-04 | 2019-11-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-04 | 2019-11-29 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-11-04 | 2019-11-29 | N |
| 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. | Health | 2019-11-04 | 2019-11-29 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-11-04 | 2019-11-29 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-11-04 | 2019-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-04 | 2019-11-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-04 | 2019-11-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-11-04 | 2019-11-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-07 | 2019-01-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-11-07 | 2019-01-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-07 | 2019-01-18 | N |
| 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. | Health | 2018-11-07 | 2019-01-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-07 | 2019-01-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-11-07 | 2018-12-30 | N |
| 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. | Health | 2018-11-07 | 2018-12-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-07 | 2018-12-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-07 | 2018-12-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-11-07 | 2018-12-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-07 | 2018-12-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-07 | 2018-12-30 | 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 | 2018-11-07 | 2018-12-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-07 | 2018-12-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-07 | 2018-12-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-11-07 | 2018-12-30 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-11-07 | 2018-12-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-11-07 | 2018-12-30 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-11-07 | 2018-12-30 | N |
| 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. | Health | 2018-11-07 | 2018-12-30 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-11-07 | 2018-12-30 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-11-07 | 2018-12-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-07 | 2018-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-07 | 2018-12-30 | N |
| Keep all essential equipment working safely. | Health | 2018-11-07 | 2018-12-30 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| Establish methods for sharing information. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| 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. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| 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 | 2018-11-08 | 2018-12-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-11-08 | 2018-12-07 | 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 | 2018-11-08 | 2018-12-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
