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Deficiency Records for Woodhaven Health and Rehab Center
View the most recent health deficiencies and inspection results for Woodhaven Health and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Woodhaven Health and Rehab 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 | 2026-01-12 | 2026-02-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-01-12 | 2026-02-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-12 | 2026-01-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-12 | 2025-12-29 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-09-03 | 2025-09-23 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2025-09-03 | 2025-09-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-03 | 2025-09-23 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-07-03 | 2025-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-03 | 2025-08-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-07-03 | 2025-07-31 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-07-03 | 2025-07-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-03 | 2025-07-31 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2025-07-03 | 2025-07-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-03 | 2025-07-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-07-03 | 2025-07-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-03 | 2025-07-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-07-03 | 2025-07-31 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-07-03 | 2025-07-31 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2025-07-03 | 2025-07-31 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-07-03 | 2025-07-31 | 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 | 2025-07-03 | 2025-07-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-03 | 2025-07-31 | N |
| Provide information about how to apply for and use Medicare and Medicaid benefits. | Health | 2025-07-03 | 2025-07-31 | 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 | 2025-07-03 | 2025-04-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-03-14 | 2025-04-11 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-03-14 | 2025-04-11 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-03-14 | 2025-04-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-29 | 2025-02-19 | Y |
| 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 | 2024-06-13 | 2024-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-13 | 2024-07-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-13 | 2024-07-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-13 | 2024-07-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-13 | 2024-07-01 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-06-13 | 2024-07-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-13 | 2024-07-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-13 | 2024-07-01 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-06-13 | 2024-07-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-19 | 2024-05-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-19 | 2024-05-15 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-08 | 2024-03-27 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-02-19 | 2024-03-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-19 | 2024-03-15 | 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 | 2024-02-19 | 2024-03-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-19 | 2024-03-15 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-02-19 | 2024-03-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-19 | 2024-03-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-13 | 2024-01-10 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-12-13 | 2024-01-10 | 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 | 2023-12-13 | 2024-01-10 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-13 | 2024-01-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-24 | 2023-10-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-10-25 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-07 | 2023-08-31 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-07-07 | 2023-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-07 | 2023-08-31 | 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 | 2023-07-07 | 2023-08-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-07 | 2023-08-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-07 | 2023-08-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-07 | 2023-08-03 | N |