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Deficiency Records for Wood Glen Alzheimer's Community

A list of the most recent deficiencies for Wood Glen Alzheimer's Community. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Wood Glen Alzheimer's Community. 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?
Use approved construction type or materials. Fire Safety 2024-04-11 2024-07-22 N
Provide enough food/fluids to maintain a resident's health. Health 2024-07-10 2024-07-18 Y
Provide and implement an infection prevention and control program. Health 2024-07-10 2024-07-18 Y
Assist a resident in gaining access to vision and hearing services. Health 2024-04-15 2024-05-08 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 2024-04-15 2024-05-08 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 2024-04-15 2024-05-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-15 2024-05-08 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-04-15 2024-05-08 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2024-04-15 2024-05-08 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 2024-04-15 2024-05-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-04-15 2024-05-08 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-04-15 2024-05-08 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-04-11 2024-05-08 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-04-11 2024-05-08 N
Provide properly protected cooking facilities. Fire Safety 2024-04-11 2024-05-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-04-11 2024-05-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-11 2024-05-08 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-04-11 2024-05-08 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-04-11 2024-05-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-04-11 2024-05-08 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-04-11 2024-05-08 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-04-11 2024-05-08 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-04-11 2024-05-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-04-11 2024-05-08 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2023-05-23 2023-09-01 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-05-24 2023-06-21 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-05-24 2023-06-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-24 2023-06-21 N
Provide routine and 24-hour emergency dental care for each resident. Health 2023-05-24 2023-06-21 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-05-24 2023-06-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-24 2023-06-21 N
Provide and implement an infection prevention and control program. Health 2023-05-24 2023-06-21 N
Provide properly protected cooking facilities. Fire Safety 2023-05-23 2023-06-21 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-05-23 2023-06-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-05-23 2023-06-21 N
Install an approved automatic sprinkler system. Fire Safety 2023-05-23 2023-06-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-23 2023-06-21 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-23 2023-06-21 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 2023-03-16 2023-04-03 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-08 2023-02-23 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-12-28 2023-02-23 Y
Ensure that residents are free from significant medication errors. Health 2022-12-13 2023-02-23 Y
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 2022-07-11 2022-07-22 Y
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 2022-07-11 2022-07-22 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-07-11 2022-07-22 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 2022-06-22 2022-07-22 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-02-09 2022-02-11 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-02-09 2022-02-11 Y
Provide and implement an infection prevention and control program. Health 2022-01-11 2022-02-11 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-12-18 2020-01-07 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 2019-12-18 2020-01-07 N
Provide activities to meet all resident's needs. Health 2019-12-18 2020-01-07 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 2019-12-18 2020-01-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-12-18 2020-01-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-12-18 2020-01-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-12-18 2020-01-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-12-18 2020-01-07 N
Have proper medical gas storage and administration areas. Fire Safety 2019-12-18 2020-01-07 N

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