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Deficiency Records for Woodlawn Rehabilitation and Nursing Center
View the most recent health deficiencies and inspection results for Woodlawn Rehabilitation and Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Woodlawn Rehabilitation and Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-02-25 | 2026-03-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-25 | 2026-03-12 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2026-02-25 | 2026-03-12 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2026-02-03 | 2026-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-03 | 2026-02-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-10-17 | 2025-10-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-31 | 2025-08-27 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-07-31 | 2025-08-27 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2025-07-31 | 2025-08-27 | 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 | 2025-07-31 | 2025-08-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-31 | 2025-08-27 | 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 | 2025-07-31 | 2025-08-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-07-31 | 2025-08-27 | 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 | 2025-07-31 | 2025-08-27 | N |
| Dispose of garbage and refuse properly. | Health | 2025-07-31 | 2025-08-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-07-31 | 2025-08-27 | N |
| Keep all essential equipment working safely. | Health | 2025-07-31 | 2025-08-27 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2025-07-31 | 2025-08-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-07-31 | 2025-08-27 | 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 | 2025-07-31 | 2025-08-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-31 | 2025-08-27 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-07-31 | 2025-08-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-07-31 | 2025-08-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-07-31 | 2025-08-05 | 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 | 2025-07-31 | 2025-07-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-07-31 | 2025-07-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-28 | 2024-10-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-28 | 2024-10-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-28 | 2024-10-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-08-28 | 2024-10-17 | 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 | 2024-08-28 | 2024-10-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-28 | 2024-10-17 | N |
| Post nurse staffing information every day. | Health | 2024-08-28 | 2024-10-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-28 | 2024-10-12 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-08-28 | 2024-10-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-28 | 2024-10-12 | 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 | 2024-08-28 | 2024-10-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-28 | 2024-10-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-28 | 2024-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-28 | 2024-10-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-08-28 | 2024-10-12 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-08-28 | 2024-10-12 | N |
| Respond appropriately to all alleged violations. | Health | 2024-08-28 | 2024-10-12 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-28 | 2024-10-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-23 | 2024-04-12 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-16 | 2023-04-30 | 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 | 2023-03-16 | 2023-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-16 | 2023-04-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-16 | 2023-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-16 | 2023-04-30 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-03-16 | 2023-04-30 | N |
| Post nurse staffing information every day. | Health | 2023-03-16 | 2023-04-30 | 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 | 2023-03-16 | 2023-04-30 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-03-16 | 2023-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-16 | 2023-04-30 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-16 | 2023-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-16 | 2023-04-30 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-16 | 2023-04-30 | 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 | 2023-03-16 | 2023-04-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-16 | 2023-04-30 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-03-16 | 2023-04-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-16 | 2023-04-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-16 | 2023-04-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-16 | 2023-04-18 | N |
| Meet other general requirements. | Fire Safety | 2023-03-16 | 2023-04-18 | 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 | 2023-03-16 | 2023-04-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-16 | 2023-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-16 | 2023-04-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-16 | 2023-04-18 | 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 | 2024-08-28 | Not Fixed | N |