Deficiency Records for Woods On French Creek Nursing and Rehab Center The
Updated as of April 01, 2024
A list of the most recent deficiencies for Woods On French Creek Nursing and Rehab Center The. 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 enough food/fluids to maintain a resident's health. | Health | 2023-08-17 | 2023-09-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-17 | 2023-09-07 | 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 | 2023-08-17 | 2023-09-07 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-08-17 | 2023-09-07 | 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 | 2023-08-16 | 2023-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-16 | 2023-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-16 | 2023-09-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-16 | 2023-09-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-16 | 2023-09-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-24 | 2021-08-04 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-24 | 2021-08-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-24 | 2021-08-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-20 | 2020-03-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-20 | 2020-03-22 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-02-20 | 2020-03-22 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-02-20 | 2020-03-22 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2020-02-20 | 2020-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-20 | 2020-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-20 | 2020-03-22 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-02-19 | 2020-03-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-19 | 2020-03-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-19 | 2020-03-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-20 | 2020-03-16 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-12-19 | 2019-01-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-19 | 2019-01-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-12-19 | 2019-01-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-19 | 2019-01-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-19 | 2019-01-22 | N |
| Provide activities to meet all resident's needs. | Health | 2018-12-19 | 2019-01-22 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-12-19 | 2019-01-22 | N |
| Post nurse staffing information every day. | Health | 2018-12-19 | 2019-01-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-12-19 | 2019-01-22 | 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 | 2018-12-19 | 2019-01-22 | N |
