Deficiency Records for Woodhaven Hall at Williamsburg Landing
Updated as of March 01, 2024
A list of the most recent deficiencies for Woodhaven Hall at Williamsburg Landing. 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? |
|---|---|---|---|---|
| Meet fire sprinkler requirement for tall buildings. | Fire Safety | 2022-11-29 | 2023-01-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-29 | 2023-01-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-08-19 | 2022-09-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-19 | 2022-09-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-19 | 2022-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-19 | 2022-09-20 | 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 | 2022-08-19 | 2022-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-19 | 2022-09-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-19 | 2022-09-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-19 | 2022-09-20 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-08-19 | 2022-09-20 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-08-19 | 2022-09-20 | 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 | 2022-08-19 | 2022-09-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-19 | 2022-09-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-19 | 2022-09-20 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-19 | 2022-09-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-05-31 | 2019-07-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-31 | 2019-07-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-31 | 2019-07-12 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-05-31 | 2019-07-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-05-31 | 2019-07-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-31 | 2019-07-12 | 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 | 2019-05-31 | 2019-07-12 | 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 | 2019-05-31 | 2019-07-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-05-31 | 2019-07-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-05-31 | 2019-07-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-31 | 2019-07-12 | N |
| 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 | 2019-05-31 | 2019-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-31 | 2019-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-31 | 2019-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-27 | 2018-09-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-04-13 | 2018-05-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-13 | 2018-05-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-13 | 2018-05-27 | 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 | 2018-04-13 | 2018-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-13 | 2018-05-15 | 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 | 2018-04-13 | 2018-05-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-13 | 2018-05-04 | N |
