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Deficiency Records for Althea Woodland Nursing Home
View the most recent health deficiencies and inspection results for Althea Woodland Nursing Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Althea Woodland Nursing Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-04-25 | 2025-11-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-04-25 | 2025-11-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-04-25 | 2025-11-05 | 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 | 2025-04-25 | 2025-11-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-25 | 2025-11-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-25 | 2025-11-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-25 | 2025-11-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-04-25 | 2025-11-05 | N |
| Meet other general requirements. | Fire Safety | 2025-04-25 | 2025-07-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-04-25 | 2025-07-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-04-25 | 2025-07-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-04-25 | 2025-07-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-25 | 2025-07-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-04-25 | 2025-07-28 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-04-25 | 2025-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-25 | 2025-07-28 | 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 | 2025-04-25 | 2025-07-28 | N |
| Enure that solid fuel-burning fireplaces are not in patient sleeping areas. | Fire Safety | 2025-04-25 | 2025-07-28 | 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 | 2025-04-25 | 2025-06-23 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-04-25 | 2025-06-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-25 | 2025-06-23 | 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 | 2025-04-25 | 2025-06-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-04-25 | 2025-06-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-04-25 | 2025-06-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-04-25 | 2025-06-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-04-25 | 2025-06-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-25 | 2025-06-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-25 | 2025-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-25 | 2025-06-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-04-25 | 2025-06-23 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-04-25 | 2025-06-23 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-08-02 | 2024-10-22 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-08-02 | 2024-10-22 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-08-02 | 2024-10-22 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-04-09 | 2021-06-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-09 | 2021-06-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-04-09 | 2021-06-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-04-09 | 2021-06-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-09 | 2021-06-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-09 | 2021-06-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-04-09 | 2021-06-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-04-09 | 2021-06-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-04-09 | 2021-06-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-11 | 2019-09-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-11 | 2019-09-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-11 | 2019-09-10 | 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 | 2019-07-11 | 2019-09-10 | 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 | 2019-07-11 | 2019-09-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-07-11 | 2019-09-10 | 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 | 2019-07-11 | 2019-09-10 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-07-11 | 2019-09-10 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2019-07-11 | 2019-09-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-11 | 2019-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-11 | 2019-09-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-07-11 | 2019-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-11 | 2019-08-21 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-07-11 | 2019-08-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-11 | 2019-07-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-11 | 2019-07-31 | N |