Deficiency Records for Woodlawn Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Woodlawn Rehabilitation and Nursing 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 | 2023-03-16 | 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 |
| 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 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 |
| PASARR screening for Mental disorders or Intellectual Disabilities | 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 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 |
| 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 |
| Provide and implement an infection prevention and control program. | 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 |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-16 | 2023-04-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-16 | 2023-04-30 | Y |
| 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 | Y |
| 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 | Y |
| Dispose of garbage and refuse properly. | Health | 2023-03-16 | 2023-04-30 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-15 | 2023-04-18 | N |
| Meet other general requirements. | Fire Safety | 2023-03-15 | 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 | 2023-03-15 | 2023-04-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-15 | 2023-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-15 | 2023-04-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-15 | 2023-04-18 | 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 | 2021-10-27 | 2022-01-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-27 | 2021-12-07 | 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 | 2021-10-27 | 2021-12-07 | N |
| Dispose of garbage and refuse properly. | Health | 2021-10-27 | 2021-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-27 | 2021-12-07 | Y |
| Keep all essential equipment working safely. | Health | 2021-10-27 | 2021-12-07 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-25 | 2021-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-25 | 2021-11-22 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-10-25 | 2021-10-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-11 | 2019-06-27 | N |
