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Deficiency Records for Woodstock Valley Health and Rehabilitation
View the most recent health deficiencies and inspection results for Woodstock Valley Health and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Woodstock Valley Health and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-09-26 | 2025-12-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-09-26 | 2025-12-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-09-26 | 2025-12-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-09-26 | 2025-12-23 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-26 | 2025-12-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-09-26 | 2025-12-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-26 | 2025-12-23 | 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 | 2025-09-26 | 2025-12-23 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-09-26 | 2025-12-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-09-26 | 2025-12-23 | 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 | 2025-09-26 | 2025-12-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-26 | 2025-12-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-26 | 2025-12-23 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-09-26 | 2025-12-01 | Y |
| Post nurse staffing information every day. | Health | 2025-09-26 | 2025-12-01 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-09-26 | 2025-12-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-26 | 2025-12-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-26 | 2025-12-01 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2025-09-26 | 2025-12-01 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2025-09-26 | 2025-12-01 | Y |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2025-09-26 | 2025-12-01 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-09-26 | 2025-12-01 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-09-26 | 2025-12-01 | 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 | 2025-09-26 | 2025-12-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-09-26 | 2025-12-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-09-26 | 2025-12-01 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-09-26 | 2025-12-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-26 | 2025-12-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-09-26 | 2025-12-01 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-09-26 | 2025-12-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-09-26 | 2025-12-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-23 | 2024-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-23 | 2024-11-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-23 | 2024-11-04 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-05-23 | 2024-11-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-23 | 2024-11-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-23 | 2024-11-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-23 | 2024-11-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-23 | 2024-11-04 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-05-23 | 2024-08-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-05-23 | 2024-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-08-07 | Y |
| 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 | 2024-05-23 | 2024-08-07 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-05-23 | 2024-08-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-23 | 2024-08-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-23 | 2024-08-07 | 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 | 2024-05-23 | 2024-08-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-23 | 2024-08-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-23 | 2024-08-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-23 | 2024-08-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-23 | 2024-08-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-23 | 2024-08-07 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2024-05-23 | 2024-08-07 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-23 | 2024-08-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-23 | 2024-08-07 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-05-23 | 2024-08-07 | N |
| Provide training in compliance and ethics. | Health | 2024-05-23 | 2024-08-07 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-05-23 | 2024-08-07 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-05-23 | 2024-08-07 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-05-23 | 2024-08-07 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-05-23 | 2024-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-23 | 2024-08-07 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-05-23 | 2024-08-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-23 | 2024-08-07 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-05-23 | 2024-08-07 | N |
| Provide activities to meet all resident's needs. | Health | 2024-05-23 | 2024-08-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-23 | 2024-08-07 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-05-23 | 2024-08-07 | 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 | 2024-05-23 | 2024-08-07 | 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 | 2024-05-23 | 2024-08-07 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-23 | 2024-08-07 | 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 | 2023-12-19 | 2024-01-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-19 | 2024-01-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-19 | 2024-01-20 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-20 | 2023-05-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-20 | 2023-05-26 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-04-20 | 2023-05-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-20 | 2023-05-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-20 | 2023-05-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-20 | 2023-05-26 | 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 | 2023-04-20 | 2023-05-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-04-20 | 2023-05-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-20 | 2023-05-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-20 | 2023-05-26 | 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 | 2023-04-20 | 2023-05-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-20 | 2023-05-26 | 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 | 2023-04-20 | 2023-05-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-20 | 2023-05-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-20 | 2023-01-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-26 | 2021-12-13 | 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 | 2021-10-26 | 2021-12-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-26 | 2021-12-13 | 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 | 2021-10-26 | 2021-12-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-26 | 2021-12-13 | 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 | 2021-10-26 | 2021-12-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-26 | 2021-12-13 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-10-26 | 2021-12-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-26 | 2021-12-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-26 | 2021-12-01 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-10-26 | 2021-12-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-26 | 2021-12-01 | N |
| Post nurse staffing information every day. | Health | 2021-10-26 | 2021-12-01 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-10-26 | 2021-12-01 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-10-26 | 2021-12-01 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-26 | 2021-12-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-10-26 | 2021-12-01 | 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 | 2021-10-26 | 2021-12-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-26 | 2021-12-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-26 | 2021-12-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-26 | 2021-12-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-26 | 2021-12-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-26 | 2021-12-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-26 | 2021-12-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-26 | 2021-12-01 | 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 | 2021-10-26 | 2021-12-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-26 | 2021-12-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-26 | 2021-12-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-26 | 2021-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-26 | 2021-11-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-26 | 2021-11-29 | N |