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Deficiency Records for Embassy of Woodview
View the most recent health deficiencies and inspection results for Embassy of Woodview. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Embassy of Woodview. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Establish emergency prep training and testing. | Fire Safety | 2026-01-27 | 2026-03-05 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-01-27 | 2026-03-05 | Y |
| 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 | 2026-01-27 | 2026-03-05 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-27 | 2026-03-05 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-01-27 | 2026-03-05 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2026-01-27 | 2026-03-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-03 | 2025-10-03 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-13 | 2025-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-13 | 2025-06-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-13 | 2025-06-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-05-13 | 2025-06-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-05-13 | 2025-06-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-05-13 | 2025-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-13 | 2025-06-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-05-13 | 2025-06-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-13 | 2025-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-13 | 2025-06-12 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-05-13 | 2025-06-12 | 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 | 2025-05-13 | 2025-06-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-04-09 | 2025-05-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-09 | 2025-05-13 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-10-01 | 2024-10-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-01 | 2024-10-21 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-01 | 2024-10-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-01 | 2024-10-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-01 | 2024-10-21 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-09 | 2024-02-23 | Y |
| 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 | 2024-02-09 | 2024-02-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-27 | 2023-10-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-27 | 2023-10-04 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-27 | 2023-10-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-27 | 2023-10-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-22 | 2023-02-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-22 | 2023-02-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-22 | 2023-02-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-22 | 2023-02-03 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-11-22 | 2023-02-03 | 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 | 2022-11-22 | 2023-02-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-22 | 2023-02-03 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-11-22 | 2023-02-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-22 | 2023-02-03 | 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 | 2022-11-22 | 2023-02-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-22 | 2023-02-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-11-22 | 2023-02-03 | 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 | 2022-11-22 | 2023-02-03 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-11-22 | 2023-02-03 | N |
| Provide or obtain dental services for each resident. | Health | 2022-11-22 | 2023-02-03 | N |
| 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 | 2022-11-22 | 2023-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-22 | 2023-02-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-22 | 2023-02-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-22 | 2023-02-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-22 | 2023-02-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-22 | 2023-02-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-22 | 2023-02-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-22 | 2023-02-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-22 | 2023-02-03 | 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 | 2022-11-22 | 2023-02-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-22 | 2023-02-03 | 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 | 2022-11-22 | 2023-02-03 | N |
| Provide activities to meet all resident's needs. | Health | 2022-11-22 | 2023-01-02 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2022-11-22 | 2023-01-02 | N |
| Provide or obtain dental services for each resident. | Health | 2020-03-12 | 2020-05-26 | 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 | 2020-03-12 | 2020-05-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-12 | 2020-05-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-12 | 2020-05-26 | 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 | 2020-03-12 | 2020-05-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-12 | 2020-05-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-12 | 2020-05-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-03-12 | 2020-05-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-12 | 2020-05-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-12 | 2020-05-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-12 | 2020-05-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-12 | 2020-05-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-03-12 | 2020-05-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-12 | 2020-05-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-12 | 2020-05-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-12 | 2020-05-26 | N |