Deficiency Records for Woodland Manor
Updated as of April 01, 2023
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-19 | 2023-03-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-19 | 2023-03-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-21 | 2023-01-13 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-11-21 | 2023-01-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-21 | 2023-01-05 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-08-19 | 2021-10-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-14 | 2021-06-23 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-05-14 | 2021-06-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-11-24 | 2021-01-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-01 | 2020-10-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-09-01 | 2020-10-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-06-08 | 2020-07-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-03 | 2020-07-17 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-27 | 2020-04-10 | 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 | 2020-02-27 | 2020-04-10 | 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 | 2020-02-27 | 2020-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-04-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-27 | 2020-04-10 | 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 necessary and PRN use is limited. | 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 |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 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 requirements for the use of electrical equipment. | 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 |
| 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 and maintain the bed rail. | 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 |
| 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 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 |
