A list of the most recent deficiencies for Woods Health Services. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-13 | 2024-01-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-25 | 2023-09-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-27 | 2023-08-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-22 | 2022-12-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-22 | 2022-11-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-22 | 2022-11-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-14 | 2022-10-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-29 | 2022-09-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-22 | 2022-09-22 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-06-14 | 2022-06-27 | 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 | 2022-01-14 | 2022-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-14 | 2022-02-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-14 | 2022-02-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-14 | 2022-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-14 | 2022-02-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-14 | 2022-02-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-14 | 2022-02-17 | 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 | 2022-01-14 | 2022-02-17 | N |
| Post nurse staffing information every day. | Health | 2022-01-14 | 2022-02-17 | 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 | 2022-01-14 | 2022-02-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-14 | 2022-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-14 | 2022-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-14 | 2022-02-17 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-01-18 | 2022-02-07 | 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 | 2022-01-18 | 2022-02-07 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-01-18 | 2022-02-07 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-01-18 | 2022-02-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-18 | 2022-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-29 | 2021-10-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-01 | 2021-10-08 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-09-08 | 2021-10-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-25 | 2021-09-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-25 | 2021-09-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-09 | 2021-09-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-09 | 2021-09-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-14 | 2021-06-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-25 | 2021-05-28 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-09-21 | 2019-10-16 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2019-09-21 | 2019-10-16 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-09-15 | 2019-10-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-15 | 2019-10-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-15 | 2019-10-07 | 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 | 2019-09-15 | 2019-10-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-09-15 | 2019-10-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-15 | 2019-10-07 | N |
| Provide appropriate foot care. | Health | 2019-09-15 | 2019-10-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-15 | 2019-10-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-15 | 2019-10-07 | 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 | 2019-09-15 | 2019-10-07 | 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 | 2019-09-15 | 2019-10-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-15 | 2019-10-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-09-21 | 2018-10-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-21 | 2018-10-15 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2018-09-21 | 2018-10-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-09-21 | 2018-10-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-09-21 | 2018-10-15 | N |
| Meet other general requirements. | Fire Safety | 2018-09-21 | 2018-10-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-09-15 | 2018-10-11 | N |
| 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 | 2018-09-15 | 2018-10-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-15 | 2018-10-11 | 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 | 2018-09-15 | 2018-10-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-15 | 2018-10-11 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-09-15 | 2018-10-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-15 | 2018-10-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-15 | 2018-10-11 | N |
| Provide appropriate foot care. | Health | 2018-09-15 | 2018-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-15 | 2018-10-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-15 | 2018-10-11 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-09-15 | 2018-10-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-15 | 2018-10-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-15 | 2018-10-11 | 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 | 2018-09-15 | 2018-10-11 | 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 | 2018-09-15 | 2018-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-15 | 2018-10-11 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-09-15 | 2018-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-15 | 2018-10-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-09-15 | 2018-10-11 | N |
