Deficiency Records for Wood Haven Health Care Senior Living and Rehab
Updated as of April 01, 2024
A list of the most recent deficiencies for Wood Haven Health Care Senior Living and Rehab. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-26 | 2024-03-06 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-30 | 2023-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-30 | 2023-06-06 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-30 | 2023-06-06 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-03-30 | 2023-06-06 | 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 | 2023-03-30 | 2023-06-06 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-03-30 | 2023-06-06 | 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 | 2023-03-30 | 2023-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-30 | 2023-06-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-30 | 2023-06-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-30 | 2023-06-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-30 | 2023-06-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-30 | 2023-06-06 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-30 | 2023-06-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-30 | 2023-06-06 | 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 | 2023-03-30 | 2023-06-06 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-03-30 | 2023-06-06 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2023-03-30 | 2023-06-06 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2023-03-30 | 2023-06-06 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-03-30 | 2023-06-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-30 | 2023-06-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-30 | 2023-06-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-30 | 2023-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-30 | 2023-06-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-30 | 2023-06-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-30 | 2023-06-06 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-03-30 | 2023-06-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-30 | 2023-06-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-30 | 2023-06-06 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-01 | 2023-03-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-26 | 2019-12-27 | 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 | 2019-11-26 | 2019-12-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-26 | 2019-12-27 | N |
| Post nurse staffing information every day. | Health | 2019-11-26 | 2019-12-27 | 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 | 2019-11-26 | 2019-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-26 | 2019-12-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-26 | 2019-12-27 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-09-27 | 2018-11-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-27 | 2018-11-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-27 | 2018-11-07 | 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 | 2018-09-27 | 2018-11-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-27 | 2018-11-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-27 | 2018-11-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-27 | 2018-11-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-27 | 2018-11-07 | 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 | 2018-09-27 | 2018-11-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-27 | 2018-11-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-27 | 2018-11-07 | 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 | 2018-09-27 | 2018-11-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-27 | 2018-11-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-09-27 | 2018-11-07 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-09-27 | 2018-11-07 | 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 | 2018-09-25 | 2018-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-25 | 2018-11-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-25 | 2018-11-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-25 | 2018-11-07 | N |
