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Deficiency Records for Woodhaven Nursing Center
View the most recent health deficiencies and inspection results for Woodhaven Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Woodhaven Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-08-29 | 2025-10-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-29 | 2025-10-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-08-29 | 2025-10-01 | 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 | 2025-08-29 | 2025-10-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-29 | 2025-10-01 | N |
| Post nurse staffing information every day. | Health | 2025-08-29 | 2025-10-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-08-29 | 2025-10-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-12 | 2024-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-12 | 2024-11-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-09-12 | 2024-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-12 | 2024-11-30 | 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 | 2024-09-12 | 2024-09-19 | 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 | 2024-09-12 | 2024-09-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-12 | 2024-09-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-31 | 2024-09-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-31 | 2024-09-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-31 | 2024-09-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-31 | 2024-06-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-31 | 2024-06-05 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-24 | 2024-05-31 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-04-24 | 2024-05-31 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-12-15 | 2024-01-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-15 | 2024-01-11 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-18 | 2023-07-31 | 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 | 2023-05-18 | 2023-07-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-18 | 2023-07-31 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-05-18 | 2023-07-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-18 | 2023-07-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-18 | 2023-07-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-18 | 2023-07-31 | 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 | 2023-05-18 | 2023-07-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-18 | 2023-07-31 | 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 | 2023-05-18 | 2023-06-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-18 | 2023-05-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-05-18 | 2023-05-26 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-18 | 2023-05-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-18 | 2023-05-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-24 | 2022-03-14 | 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 | 2022-01-24 | 2022-03-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-24 | 2022-03-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-24 | 2022-03-14 | N |