A list of the most recent deficiencies for Woodland Country Manor Inc. 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 special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-12 | 2022-09-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-12 | 2022-09-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-07-12 | 2022-09-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-12 | 2022-09-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-12 | 2022-09-02 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-07-12 | 2022-09-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-12 | 2022-09-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-12 | 2022-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-09 | 2019-06-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-05-10 | 2019-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-10 | 2019-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-10 | 2019-06-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-10 | 2019-06-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-10 | 2019-06-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-10 | 2019-06-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-10 | 2019-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-10 | 2019-06-28 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-04-26 | 2018-06-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-26 | 2018-06-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-26 | 2018-06-15 | 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 | 2018-04-26 | 2018-06-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-26 | 2018-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-26 | 2018-06-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-04-26 | 2018-06-15 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-04-24 | 2018-06-15 | 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 | 2018-04-24 | 2018-06-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-04-24 | 2018-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-24 | 2018-06-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-04-24 | 2018-06-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-24 | 2018-06-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-04-24 | 2018-06-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-24 | 2018-06-15 | N |
