Deficiency Records for Excel at Woodbury For Rehab and Nursing, L L C
Updated as of March 01, 2024
A list of the most recent deficiencies for Excel at Woodbury For Rehab and Nursing, L L C. 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 | 2022-09-22 | 2022-11-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-22 | 2022-11-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-22 | 2022-11-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-22 | 2022-11-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-22 | 2022-11-18 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-22 | 2022-11-18 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2022-09-22 | 2022-11-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-09-22 | 2022-10-20 | N |
| Develop a communication plan. | Fire Safety | 2022-09-22 | 2022-09-23 | 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 | 2022-09-22 | 2022-09-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-22 | 2022-09-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-22 | 2022-09-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-22 | 2022-09-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-22 | 2022-09-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-24 | 2020-02-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-06 | 2018-11-05 | 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 | 2018-09-06 | 2018-11-05 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2018-09-06 | 2018-11-05 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-09-06 | 2018-11-05 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2019-12-24 | Not Fixed | N |
