A list of the most recent deficiencies for Woodland Terrace. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-13 | 2023-08-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-13 | 2023-08-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-18 | 2023-07-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-18 | 2023-07-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-18 | 2023-07-25 | N |
| Meet other general requirements. | Fire Safety | 2023-07-18 | 2023-07-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-18 | 2023-07-20 | 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 | 2023-07-18 | 2023-07-19 | 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 | 2023-07-18 | 2023-07-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-18 | 2023-07-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-18 | 2023-07-18 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-07-18 | 2023-07-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-23 | 2022-03-23 | 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 | 2022-02-17 | 2022-03-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-02-17 | 2022-03-22 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2022-02-17 | 2022-03-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-17 | 2022-03-22 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-02-17 | 2022-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-17 | 2022-03-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-17 | 2022-03-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-17 | 2022-03-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-17 | 2022-03-22 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-23 | 2022-03-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-02-23 | 2022-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-23 | 2022-03-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-23 | 2022-03-04 | 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 | 2022-02-23 | 2022-03-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-02-23 | 2022-03-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-23 | 2022-03-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-23 | 2022-03-01 | 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 | 2022-02-23 | 2022-02-28 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-02-23 | 2022-02-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-02-13 | 2020-03-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-13 | 2020-03-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-13 | 2020-03-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-13 | 2020-03-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-26 | 2020-02-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-02-26 | 2020-02-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-26 | 2020-02-26 | N |
