A list of the most recent deficiencies for Wooded Glen. 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 and implement an infection prevention and control program. | Health | 2022-08-25 | 2022-09-23 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-14 | 2021-10-21 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-19 | 2021-09-01 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-08-16 | 2021-09-01 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-16 | 2021-09-01 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-16 | 2021-09-01 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-07 | 2019-04-17 | 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 | 2019-03-07 | 2019-04-17 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-07 | 2019-04-17 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-03-07 | 2019-04-17 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-03-07 | 2019-04-17 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-03-07 | 2019-04-17 | 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 | 2019-03-07 | 2019-04-17 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-07 | 2019-04-17 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-07 | 2019-04-17 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-07 | 2019-04-17 | 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 | 2019-03-07 | 2019-04-17 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-03-07 | 2019-04-17 | N |
Provide and implement an infection prevention and control program. | Health | 2019-03-07 | 2019-04-17 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-03-07 | 2019-04-17 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-07 | 2019-04-17 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-07 | 2019-04-17 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-03-07 | 2019-04-17 | N |