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Deficiency Records for Ivy Woods Healthcare Center.
View the most recent health deficiencies and inspection results for Ivy Woods Healthcare Center.. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Ivy Woods Healthcare Center.. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-01-17 | 2026-03-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-17 | 2026-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-17 | 2026-03-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-17 | 2026-03-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-01-17 | 2026-03-20 | 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 | 2026-01-17 | 2026-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-17 | 2026-03-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-01-17 | 2026-03-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-01-17 | 2026-03-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-17 | 2026-03-20 | 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 | 2024-06-25 | 2024-07-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-16 | 2023-12-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-05 | 2023-12-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-05 | 2023-12-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-05 | 2023-12-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-05 | 2023-12-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-16 | 2023-12-06 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-10-05 | 2023-12-06 | N |
| Keep all essential equipment working safely. | Health | 2023-10-05 | 2023-12-06 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-10-05 | 2023-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-05 | 2023-12-06 | 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 | 2023-10-05 | 2023-12-06 | 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 | 2023-10-05 | 2023-12-06 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-10-05 | 2023-12-06 | N |
| Provide or obtain dental services for each resident. | Health | 2023-10-05 | 2023-12-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-05 | 2023-12-06 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-10-05 | 2023-12-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-05 | 2023-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-05 | 2023-12-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-05 | 2023-12-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-05 | 2023-12-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-05 | 2023-12-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-05 | 2023-12-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-05 | 2023-12-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-05 | 2023-12-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-05 | 2023-12-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-02-20 | 2020-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-20 | 2020-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-20 | 2020-03-31 | 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 | 2020-02-20 | 2020-03-31 | 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 | 2020-02-20 | 2020-03-31 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-02-20 | 2020-03-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-20 | 2020-03-31 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-20 | 2020-03-31 | 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 | 2020-02-20 | 2020-03-31 | 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 | 2020-02-20 | 2020-03-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-20 | 2020-03-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-02-20 | 2020-03-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-20 | 2020-03-31 | N |