Deficiency Records for Northwood Skilled Nursing and Rehabilitation
Updated as of February 01, 2022
This is not the most recent data for Northwood Skilled Nursing and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Northwood Skilled Nursing and Rehabilitation. 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? |
---|---|---|---|---|
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-22 | 2021-12-01 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-22 | 2021-12-01 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-10-22 | 2021-12-01 | Y |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-20 | 2021-09-25 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-20 | 2021-09-25 | N |
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-07-26 | 2021-09-23 | N |
Provide activities to meet all resident's needs. | Health | 2021-07-26 | 2021-09-23 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-07-26 | 2021-09-23 | 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 | 2021-07-26 | 2021-09-23 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-07-26 | 2021-09-23 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-07-20 | 2021-09-23 | 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 | 2021-07-20 | 2021-09-23 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-20 | 2021-09-23 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-20 | 2021-09-23 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-07-20 | 2021-09-23 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-20 | 2021-09-23 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-20 | 2021-09-23 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-20 | 2021-09-23 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-20 | 2021-09-23 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-07-20 | 2021-09-23 | N |
The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-07-26 | 2021-08-09 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-07-26 | 2021-08-09 | N |
Post nurse staffing information every day. | Health | 2021-07-26 | 2021-08-09 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-11-23 | 2020-12-09 | Y |
Keep all essential equipment working safely. | Health | 2020-02-06 | 2020-03-06 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-06 | 2020-03-06 | Y |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-11-12 | 2019-12-31 | Y |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-11-12 | 2019-12-31 | Y |
Provide and implement an infection prevention and control program. | Health | 2019-09-18 | 2019-10-16 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-29 | 2019-08-21 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-29 | 2019-08-21 | Y |
Respond appropriately to all alleged violations. | Health | 2019-07-29 | 2019-08-21 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-29 | 2019-08-21 | Y |
Have policies on smoking. | Health | 2019-07-29 | 2019-08-21 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-09 | 2019-08-21 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-09 | 2019-08-21 | Y |
Ensure that residents are free from significant medication errors. | Health | 2019-07-09 | 2019-08-21 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-28 | 2019-04-26 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-28 | 2019-04-26 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-28 | 2019-04-26 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-28 | 2019-04-26 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-28 | 2019-04-26 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-28 | 2019-04-26 | 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 | 2019-03-28 | 2019-04-26 | N |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-03-28 | 2019-04-26 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-28 | 2019-04-26 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-28 | 2019-04-26 | 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 | 2019-03-28 | 2019-04-26 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-03-28 | 2019-04-26 | 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 | 2019-03-28 | 2019-04-26 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-28 | 2019-04-26 | N |
Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-04-26 | N |
Have policies on smoking. | Health | 2019-03-28 | 2019-04-26 | N |
Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2019-03-29 | 2019-04-26 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-03-29 | 2019-04-26 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-29 | 2019-04-26 | N |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-03-29 | 2019-04-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-29 | 2019-04-26 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-29 | 2019-04-26 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-29 | 2019-04-26 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2019-03-29 | 2019-04-26 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-29 | 2019-04-26 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-29 | 2019-04-26 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2019-03-29 | 2019-04-26 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-29 | 2019-04-26 | N |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-02-20 | 2019-03-28 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-20 | 2019-03-28 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-08 | 2018-05-31 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-08 | 2018-05-31 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2018-02-08 | 2018-05-31 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-08 | 2018-05-31 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-02-08 | 2018-05-31 | 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 | 2018-02-08 | 2018-05-31 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-02-08 | 2018-05-31 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-08 | 2018-05-31 | N |
Provide and implement an infection prevention and control program. | Health | 2018-02-08 | 2018-05-31 | N |
Implement a program that monitors antibiotic use. | Health | 2018-02-08 | 2018-05-31 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-02-06 | 2018-05-31 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-02-06 | 2018-05-31 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2018-02-06 | 2018-05-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-06 | 2018-05-31 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-02-06 | 2018-05-31 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-06 | 2018-05-31 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-02-06 | 2018-05-31 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-06 | 2018-05-31 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-02-06 | 2018-05-31 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-06 | 2018-05-31 | N |