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Deficiency Records for Embassy of Woodland Park

View the most recent health deficiencies and inspection results for Embassy of Woodland Park. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Embassy of Woodland Park. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2025-12-04 2026-01-22 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2025-12-04 2026-01-22 N
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Health 2025-12-04 2026-01-22 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2025-12-04 2026-01-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-12-04 2026-01-22 N
Provide care or services that was trauma informed and/or culturally competent. Health 2025-12-04 2026-01-22 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2025-12-04 2026-01-22 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 2025-12-04 2026-01-22 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-12-04 2026-01-22 N
Assess the resident when there is a significant change in condition Health 2025-12-04 2026-01-22 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-12-04 2026-01-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2025-12-04 2026-01-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-12-04 2026-01-15 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2025-08-19 2025-09-30 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2025-07-07 2025-08-11 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-04-01 2025-05-09 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 2025-04-01 2025-05-09 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-10-03 2024-11-12 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-10-03 2024-11-12 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-10-03 2024-11-12 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-10-03 2024-11-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-10-03 2024-11-12 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 2024-10-03 2024-11-12 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-10-03 2024-11-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-10-03 2024-11-12 N
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Health 2024-10-03 2024-11-12 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-10-03 2024-11-12 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-10-03 2024-11-12 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 2024-10-03 2024-11-12 N
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 2024-10-03 2024-11-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-10-03 2024-10-28 N
Implement emergency and standby power systems. Fire Safety 2024-10-03 2024-10-28 N
Meet other general requirements. Fire Safety 2024-10-03 2024-10-28 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 2024-10-03 2024-10-28 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-10-03 2024-10-28 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-10-03 2024-10-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-10-03 2024-10-28 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2024-10-03 2024-10-28 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-10-03 2024-10-28 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-10-03 2024-10-28 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-10-03 2024-10-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-10 2024-08-01 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-04-30 2024-05-29 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-04-30 2024-05-29 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-01-29 2024-02-14 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-11-30 2024-01-24 N
Ensure that residents are free from significant medication errors. Health 2023-11-30 2024-01-24 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-11-30 2024-01-24 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-11-30 2024-01-24 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-11-30 2024-01-24 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 2023-11-30 2024-01-24 N
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 2023-11-30 2024-01-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-30 2024-01-24 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-11-30 2024-01-24 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-11-30 2024-01-24 N
Provide and implement an infection prevention and control program. Health 2023-11-30 2024-01-24 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-11-30 2024-01-24 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-11-30 2024-01-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-30 2024-01-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-30 2024-01-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-30 2024-01-24 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-11-30 2024-01-24 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-11-30 2024-01-24 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-11-30 2024-01-19 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 2023-11-30 2024-01-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-30 2024-01-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-30 2024-01-19 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-11-30 2024-01-19 N
Have power receptacles that are properly grounded. Fire Safety 2023-11-30 2024-01-19 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-11-30 2024-01-19 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-11-30 2024-01-19 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-11-30 2024-01-19 N

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