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Deficiency Records for Woodlyn Heights Healthcare Center
View the most recent health deficiencies and inspection results for Woodlyn Heights Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Woodlyn Heights Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-12-31 | 2026-02-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-12-31 | 2026-02-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-31 | 2026-02-02 | 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 | 2025-12-31 | 2026-01-30 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-12-31 | 2026-01-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-12-31 | 2026-01-30 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-12-31 | 2026-01-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-31 | 2026-01-30 | 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 | 2025-12-31 | 2026-01-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-31 | 2026-01-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-12-31 | 2026-01-30 | 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 | 2025-12-31 | 2026-01-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-31 | 2026-01-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-12-31 | 2026-01-30 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-12-31 | 2026-01-30 | 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 | 2025-12-31 | 2026-01-30 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-12-31 | 2026-01-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-12-05 | 2025-01-08 | 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 | 2024-12-05 | 2025-01-08 | 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 | 2024-12-05 | 2025-01-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-12-05 | 2025-01-08 | 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 | 2024-12-05 | 2025-01-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-05 | 2025-01-08 | 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 | 2024-12-05 | 2025-01-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-05 | 2025-01-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-05 | 2025-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-05 | 2024-12-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-05 | 2024-12-29 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-12-05 | 2024-12-29 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-05 | 2024-12-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-12-05 | 2024-12-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-12-05 | 2024-12-29 | N |
| Post nurse staffing information every day. | Health | 2024-12-05 | 2024-12-29 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-12-05 | 2024-12-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-12-05 | 2024-12-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-26 | 2024-12-16 | Y |
| 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 | 2024-07-17 | 2024-08-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-17 | 2024-08-11 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-17 | 2024-08-11 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-17 | 2024-08-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-17 | 2024-08-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-17 | 2024-08-11 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-03-14 | 2024-05-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-03-14 | 2024-05-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-14 | 2024-05-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-14 | 2024-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-14 | 2024-05-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-14 | 2024-05-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-14 | 2024-05-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-14 | 2024-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-14 | 2024-05-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-14 | 2024-05-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-14 | 2024-05-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-14 | 2024-05-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-14 | 2024-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-14 | 2024-04-07 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2024-03-14 | 2024-04-07 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-03-14 | 2024-04-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-14 | 2024-04-07 | N |
| Provide or obtain dental services for each resident. | Health | 2024-03-14 | 2024-04-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-14 | 2024-04-07 | 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 | 2024-03-14 | 2024-04-07 | N |
| Post nurse staffing information every day. | Health | 2024-03-14 | 2024-04-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-14 | 2024-04-07 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-03-14 | 2024-04-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-14 | 2024-04-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-14 | 2024-04-07 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-03-14 | 2024-04-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-14 | 2024-04-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-05 | 2024-03-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-06 | 2023-09-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-29 | 2023-07-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-29 | 2023-07-21 | Y |