Deficiency Records for Woodland Grove Healthcare and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Woodland Grove Healthcare 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-16 | 2023-04-26 | N |
| Meet other general requirements. | Fire Safety | 2023-03-15 | 2023-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-15 | 2023-04-26 | 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 | 2023-03-16 | 2023-04-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-16 | 2023-04-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-22 | 2022-10-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-22 | 2021-08-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-22 | 2021-08-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-01 | 2019-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-01 | 2019-09-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-31 | 2019-09-01 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-07-31 | 2019-09-01 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-07-31 | 2019-09-01 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-07-31 | 2019-09-01 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-07-31 | 2019-09-01 | N |
| Develop a communication plan. | Fire Safety | 2019-07-31 | 2019-09-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-07-31 | 2019-09-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-07-31 | 2019-09-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-31 | 2019-09-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-31 | 2019-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-31 | 2019-09-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-31 | 2019-09-01 | N |
