Deficiency Records for Woodcrest Rehab and Residential H C Center, L L C
Updated as of March 01, 2024
A list of the most recent deficiencies for Woodcrest Rehab and Residential H C Center, 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-02-10 | 2023-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-10 | 2023-04-20 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2023-02-10 | 2023-04-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-02-10 | 2023-04-05 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-02-10 | 2023-04-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-10 | 2023-04-05 | 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 | 2023-02-10 | 2023-04-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-10 | 2023-04-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-02-10 | 2023-04-05 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-02-10 | 2023-04-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-10 | 2023-04-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-10 | 2023-04-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-10 | 2023-04-03 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-02-09 | 2023-03-14 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-02-09 | 2023-03-14 | 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 | 2023-02-09 | 2023-03-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-02-09 | 2023-03-14 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-02-09 | 2023-03-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-09 | 2023-03-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-09 | 2023-03-14 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-10 | 2023-03-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-02-10 | 2020-04-06 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2020-02-10 | 2020-04-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-02-10 | 2020-04-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-02-10 | 2020-03-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-10 | 2020-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-10 | 2020-03-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-02-10 | 2020-03-04 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2020-02-10 | 2020-03-04 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-02-10 | 2020-02-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-14 | 2018-08-13 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2018-06-14 | 2018-08-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-06-14 | 2018-08-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-06-14 | 2018-08-13 | 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 | 2018-06-08 | 2018-08-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-08 | 2018-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-08 | 2018-08-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-08 | 2018-07-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-08 | 2018-07-16 | N |
