Deficiency Records for Wayne Woodlands Manor
Updated as of July 01, 2022
This is not the most recent data for Wayne Woodlands Manor. For the most recent information, click here.
A list of the most recent deficiencies for Wayne Woodlands Manor. 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? |
|---|---|---|---|---|
| Perform COVID19 testing on residents and staff. | Health | 2021-09-14 | 2021-10-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-13 | 2021-10-12 | 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 | 2021-08-13 | 2021-10-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-13 | 2021-10-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-13 | 2021-10-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-08-13 | 2021-10-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-08-13 | 2021-10-12 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-08-13 | 2021-10-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-08-13 | 2021-10-12 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-08-13 | 2021-10-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-09-14 | 2021-10-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-24 | 2021-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-24 | 2021-10-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-24 | 2021-10-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-24 | 2021-10-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-24 | 2021-10-08 | 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 | 2020-10-27 | 2020-11-23 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2020-10-27 | 2020-11-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-10-27 | 2020-11-23 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2020-10-27 | 2020-11-23 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-10-16 | 2020-11-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-10-16 | 2020-11-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-16 | 2020-11-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-16 | 2020-11-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-10-16 | 2020-11-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-16 | 2020-11-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-16 | 2020-11-13 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-11-26 | 2019-12-30 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-11-26 | 2019-12-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-26 | 2019-12-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-11 | 2019-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-11 | 2019-06-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-11 | 2019-06-12 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-04-11 | 2019-06-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-04-11 | 2019-06-12 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-04-11 | 2019-06-12 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-04-11 | 2019-06-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-11 | 2019-06-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-11 | 2019-06-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-11 | 2019-06-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-11 | 2019-06-12 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-04-11 | 2019-06-12 | 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 | 2019-04-11 | 2019-06-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-11 | 2019-06-12 | 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 | 2019-04-11 | 2019-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-11 | 2019-06-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-11 | 2019-06-12 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-04-11 | 2019-06-12 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-04-11 | 2019-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-16 | 2019-05-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-16 | 2019-05-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-16 | 2019-05-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-04-16 | 2019-05-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-16 | 2019-05-17 | N |
