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Deficiency Records for Woodbury Heights Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Woodbury Heights Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Woodbury Heights Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-23 | 2025-01-23 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-10-23 | 2025-01-23 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2024-10-23 | 2025-01-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-10-23 | 2025-01-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-10-23 | 2024-12-26 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-10-23 | 2024-12-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-23 | 2024-12-22 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-10-23 | 2024-12-22 | 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 | 2024-10-23 | 2024-12-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-23 | 2024-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-23 | 2024-12-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-23 | 2024-12-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-23 | 2024-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-23 | 2024-12-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-23 | 2024-12-22 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-10-23 | 2024-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-23 | 2024-12-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-23 | 2024-12-22 | N |
| Keep all essential equipment working safely. | Health | 2024-10-23 | 2024-12-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-23 | 2024-12-04 | 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 | 2024-10-23 | 2024-11-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-10-23 | 2024-11-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-10-23 | 2024-11-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-23 | 2024-11-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-23 | 2024-11-21 | N |
| Use approved construction type or materials. | Fire Safety | 2024-10-23 | 2024-11-11 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-16 | 2024-05-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-29 | 2024-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-04 | 2024-03-21 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-04 | 2024-03-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-12 | 2024-03-01 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-08-10 | 2024-01-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-10 | 2024-01-26 | N |
| Use approved construction type or materials. | Fire Safety | 2023-08-10 | 2024-01-26 | 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 | 2023-08-10 | 2024-01-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-10 | 2023-12-30 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-08-10 | 2023-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-10 | 2023-12-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-10 | 2023-12-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-10 | 2023-11-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-10 | 2023-11-13 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-08-10 | 2023-10-10 | N |
| Meet other general requirements. | Fire Safety | 2023-08-10 | 2023-10-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-08-10 | 2023-10-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-10 | 2023-10-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-08-10 | 2023-10-10 | 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 | 2023-08-10 | 2023-10-10 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2023-08-10 | 2023-10-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-10 | 2023-10-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-10 | 2023-10-09 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-10 | 2023-10-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-10 | 2023-10-09 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2023-08-10 | 2023-10-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-10 | 2023-10-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-10 | 2023-10-01 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-08-10 | 2023-10-01 | 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 | 2023-08-10 | 2023-09-30 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-08-10 | 2023-09-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-10 | 2023-09-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-10 | 2023-09-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-10 | 2023-09-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-10 | 2023-09-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-10 | 2023-09-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-10 | 2023-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-10 | 2023-09-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-10 | 2023-09-20 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-08-10 | 2023-09-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-10 | 2023-09-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-10 | 2023-09-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-10 | 2023-09-15 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-08-10 | 2023-09-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-05-24 | 2021-07-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-24 | 2021-07-23 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-05-24 | 2021-07-23 | N |
| Respond appropriately to all alleged violations. | Health | 2021-05-24 | 2021-06-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-24 | 2021-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-24 | 2021-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-24 | 2021-06-30 | 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 | 2021-05-24 | 2021-06-30 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2021-05-24 | 2021-06-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-05-24 | 2021-06-30 | N |
| Use approved construction type or materials. | Fire Safety | 2021-05-24 | Not Fixed | N |