A list of the most recent deficiencies for Northwood Hills Care 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? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-25 | 2023-09-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-02 | 2023-04-16 | 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 | 2023-03-02 | 2023-04-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-02 | 2023-04-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-04-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-02 | 2023-04-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-02 | 2023-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-02 | 2023-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-02 | 2023-04-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-02 | 2023-04-16 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-02 | 2023-04-16 | 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 | 2023-03-02 | 2023-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-02 | 2023-04-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-02 | 2023-04-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-02 | 2023-04-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-02 | 2023-04-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-02 | 2023-04-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-03-02 | 2023-04-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-02 | 2023-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-02 | 2023-04-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-02 | 2023-04-16 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-01-11 | 2023-01-11 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-12 | 2022-10-21 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-10-12 | 2022-10-21 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-12 | 2022-10-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-23 | 2022-07-08 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-08-12 | 2021-08-30 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-06-28 | 2021-07-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-06 | 2019-12-21 | 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 | 2019-11-06 | 2019-12-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-06 | 2019-12-21 | 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 | 2019-11-06 | 2019-12-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-06 | 2019-12-21 | N |
| Post nurse staffing information every day. | Health | 2019-11-06 | 2019-12-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-06 | 2019-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-06 | 2019-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-06 | 2019-12-21 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-06 | 2019-12-21 | 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 | 2019-11-06 | 2019-12-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-06 | 2019-12-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-11-06 | 2019-12-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-11-06 | 2019-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-06 | 2019-12-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-06 | 2019-12-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-06 | 2019-12-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-09-11 | 2018-10-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-11 | 2018-10-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-11 | 2018-10-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-11 | 2018-10-17 | N |
| Dispose of garbage and refuse properly. | Health | 2018-09-11 | 2018-10-17 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-09-11 | 2018-10-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-11 | 2018-10-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-11 | 2018-10-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-11 | 2018-10-17 | N |
