CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Siena Woods Care Center
View the most recent health deficiencies and inspection results for Siena Woods Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Siena Woods Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-02-18 | 2026-03-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-18 | 2026-03-31 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2026-02-18 | 2026-03-31 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-02-18 | 2026-03-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-18 | 2026-03-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-02-18 | 2026-03-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-23 | 2025-05-12 | 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 | 2025-04-23 | 2025-05-12 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-04-23 | 2025-05-12 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-01-08 | 2025-01-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-24 | 2024-11-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-26 | 2024-11-06 | Y |
| 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 | 2024-09-26 | 2024-11-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-26 | 2024-11-06 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-11 | 2024-02-05 | N |
| Provide appropriate foot care. | Health | 2024-01-11 | 2024-02-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-11 | 2024-02-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-11 | 2024-02-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-11 | 2024-02-05 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-01-11 | 2024-02-05 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-11-14 | 2019-12-30 | 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 | 2019-11-14 | 2019-12-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-14 | 2019-12-30 | 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 | 2019-11-14 | 2019-12-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-14 | 2019-12-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-11-14 | 2019-12-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-14 | 2019-12-30 | 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 | 2019-11-14 | 2019-12-30 | N |
| Provide or obtain dental services for each resident. | Health | 2019-11-14 | 2019-12-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-11-14 | 2019-12-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-14 | 2019-12-30 | 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 | 2019-11-14 | 2019-12-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-11-14 | 2019-12-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-14 | 2019-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-14 | 2019-12-30 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-11-14 | 2019-12-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-18 | 2018-11-19 | 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 | 2018-10-18 | 2018-11-19 | 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 | 2018-10-18 | 2018-11-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-18 | 2018-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-18 | 2018-11-19 | 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 | 2018-10-18 | 2018-11-19 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-10-18 | 2018-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-18 | 2018-11-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-18 | 2018-11-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-18 | 2018-11-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-18 | 2018-11-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-18 | 2018-11-19 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-18 | 2018-11-19 | 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 | 2018-10-18 | 2018-11-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-18 | 2018-11-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-18 | 2018-11-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-18 | 2018-11-19 | N |