Deficiency Records for Woodside Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Woodside Health and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-01 | 2023-10-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-09-01 | 2023-10-01 | 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 | 2023-09-01 | 2023-10-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-01 | 2023-10-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-09-01 | 2023-10-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-01 | 2023-10-01 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-09-01 | 2023-10-01 | N |
| Respond appropriately to all alleged violations. | Health | 2023-09-01 | 2023-10-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-01 | 2023-10-01 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-28 | 2023-10-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-08-28 | 2023-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-28 | 2023-10-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-28 | 2023-10-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-28 | 2023-10-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-28 | 2023-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-28 | 2023-10-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-28 | 2023-10-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-19 | 2023-01-19 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-09-08 | 2022-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-04 | 2022-05-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-04 | 2022-05-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-21 | 2021-11-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-30 | 2021-11-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-21 | 2021-11-23 | N |
| Provide activities to meet all resident's needs. | Health | 2021-10-21 | 2021-11-23 | 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 | 2021-10-21 | 2021-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-21 | 2021-11-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-21 | 2021-11-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-21 | 2021-11-23 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2021-10-21 | 2021-11-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-21 | 2021-11-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-21 | 2021-11-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-10-21 | 2021-11-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-21 | 2021-11-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-21 | 2021-11-12 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-10-21 | 2021-11-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-01-16 | 2020-02-16 | 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 | 2020-01-16 | 2020-02-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-16 | 2020-02-16 | 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 | 2020-01-16 | 2020-02-16 | 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 | 2020-01-16 | 2020-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-16 | 2020-02-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-01-16 | 2020-02-16 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-01-14 | 2020-02-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-14 | 2020-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-14 | 2020-02-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-14 | 2020-02-16 | N |
