Deficiency Records for Woodland Convalescent Center
Updated as of October 01, 2020
This is not the most recent data for Woodland Convalescent Center. For the most recent information, click here.
A list of the most recent deficiencies for Woodland Convalescent Center. 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 and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-09 | 2019-09-20 | 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 | 2019-08-09 | 2019-09-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-09 | 2019-09-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-09 | 2019-09-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-09 | 2019-09-20 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-09 | 2019-09-20 | 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 | 2019-08-09 | 2019-09-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-09 | 2019-09-20 | N |
| 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 | 2019-08-09 | 2019-09-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-09 | 2019-09-20 | 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 | 2019-08-09 | 2019-09-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-09 | 2019-09-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-09 | 2019-09-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-09 | 2019-09-20 | 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 | 2019-08-09 | 2019-09-20 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-08-09 | 2019-09-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-09 | 2019-09-20 | N |
| Post nurse staffing information every day. | Health | 2019-08-09 | 2019-09-20 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-08-09 | 2019-09-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-09 | 2019-09-20 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2019-08-09 | 2019-09-20 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-08-09 | 2019-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-09 | 2019-09-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-08-09 | 2019-09-20 | 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 | 2019-08-09 | 2019-09-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-08-06 | 2019-09-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-08-06 | 2019-09-10 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-08-06 | 2019-09-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-06 | 2019-09-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-06 | 2019-08-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-06 | 2019-08-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-06 | 2019-08-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-27 | 2018-10-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-09-25 | 2018-10-30 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-09-25 | 2018-10-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-25 | 2018-10-30 | 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 | 2018-09-25 | 2018-10-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-09-25 | 2018-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-25 | 2018-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-25 | 2018-10-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-09-25 | 2018-10-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-09-27 | 2018-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-27 | 2018-10-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-09-27 | 2018-10-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-27 | 2018-10-08 | N |
| Be properly staffed | Fire Safety | 2018-09-27 | 2018-10-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-27 | 2018-10-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-27 | 2018-10-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-08-16 | 2017-09-19 | 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 | 2017-08-16 | 2017-09-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-08-16 | 2017-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-16 | 2017-09-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-08-16 | 2017-09-19 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-14 | 2017-09-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-14 | 2017-09-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-14 | 2017-09-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-14 | 2017-09-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-14 | 2017-09-15 | N |
