Deficiency Records for Monumentalpostacutecare at Woodside Park
Updated as of March 01, 2024
A list of the most recent deficiencies for Monumentalpostacutecare at Woodside Park. 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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-02 | 2023-07-07 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-02 | 2023-07-07 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-02 | 2023-07-07 | N |
Dispose of garbage and refuse properly. | Health | 2023-06-02 | 2023-07-07 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-02 | 2023-07-07 | N |
Provide and implement an infection prevention and control program. | Health | 2023-06-02 | 2023-07-07 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-02 | 2023-07-07 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-16 | 2022-11-11 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-16 | 2022-11-11 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-16 | 2022-11-11 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-16 | 2022-11-11 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-19 | 2022-09-30 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-19 | 2022-09-30 | Y |
Use approved construction type or materials. | Fire Safety | 2022-08-16 | 2022-09-30 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-16 | 2022-09-30 | N |
Install proper backup exit lighting. | Fire Safety | 2022-08-16 | 2022-09-30 | 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 | 2022-08-16 | 2022-09-30 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-16 | 2022-09-30 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-16 | 2022-09-30 | N |
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2022-08-16 | 2022-09-30 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-16 | 2022-09-30 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-16 | 2022-09-30 | 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 | 2022-03-02 | 2022-03-31 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-02 | 2022-03-31 | 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 | 2021-07-01 | 2021-08-30 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-01 | 2021-08-30 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-01 | 2021-08-30 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-01 | 2021-08-30 | N |
Provide and implement an infection prevention and control program. | Health | 2021-07-01 | 2021-08-30 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-01 | 2021-08-30 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-25 | Not Fixed | Y |
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 | 2023-10-25 | Not Fixed | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-25 | Not Fixed | Y |