Deficiency Records for Woodland Manor
Updated as of January 01, 2020
This is not the most recent data for Woodland Manor. For the most recent information, click here.
A list of the most recent deficiencies for Woodland Manor. 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? |
|---|---|---|---|---|
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-01-24 | 2019-03-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-24 | 2019-03-09 | 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 ne | Health | 2019-01-24 | 2019-03-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-24 | 2019-03-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-01-24 | 2019-03-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-24 | 2019-02-22 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-01-24 | 2019-02-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-01-24 | 2019-02-14 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-01-24 | 2019-02-13 | N |
| Use approved construction type or materials. | Fire Safety | 2019-01-24 | 2019-02-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-24 | 2019-02-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-24 | 2019-01-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-29 | 2018-11-29 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-03-26 | 2018-05-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-03-26 | 2018-05-09 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-03-26 | 2018-05-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-03-26 | 2018-05-09 | N |
| Meet other general requirements. | Fire Safety | 2018-03-26 | 2018-05-09 | 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 | 2018-03-26 | 2018-05-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-03-26 | 2018-05-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-26 | 2018-05-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-03-26 | 2018-05-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-26 | 2018-05-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-26 | 2018-05-09 | 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 | 2018-03-26 | 2018-05-09 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2018-03-26 | 2018-05-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-03-26 | 2018-05-09 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-03-26 | 2018-05-09 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-03-26 | 2018-04-26 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2017-12-22 | 2018-02-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-12-22 | 2018-02-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-22 | 2018-02-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2017-12-22 | 2018-02-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-12-22 | 2018-02-04 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-03-03 | 2017-04-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-03-03 | 2017-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-03 | 2017-04-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-03 | 2017-04-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-03 | 2017-04-16 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-03 | 2017-04-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-03 | 2017-04-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-03 | 2017-04-16 | N |
