Deficiency Records for Memorial Woodland Village Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Memorial Woodland Village 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? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-07-12 | 2023-07-12 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-28 | 2022-02-25 | 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 | 2022-01-28 | 2022-02-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-11 | 2019-05-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-11 | 2019-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-11 | 2019-05-15 | 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 | 2019-04-11 | 2019-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-16 | 2018-08-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-02-16 | 2018-08-09 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-02-16 | 2018-06-16 | 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 | 2018-02-16 | 2018-06-16 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-02-16 | 2018-06-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-02-16 | 2018-04-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-02-16 | 2018-04-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-16 | 2018-04-09 | 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 | 2018-02-16 | 2018-04-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-16 | 2018-04-09 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-02-16 | 2018-04-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-02-16 | 2018-04-09 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2018-02-16 | 2018-04-09 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-02-16 | 2018-04-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-16 | 2018-04-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-16 | 2018-04-09 | 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 | 2018-02-13 | 2018-04-09 | N |
