Deficiency Records for Woodland Convalescent Center
Updated as of May 01, 2022
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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-01-13 | 2022-03-14 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-13 | 2022-03-14 | 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 | 2022-01-13 | 2022-03-14 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-01-13 | 2022-03-14 | 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 | 2022-01-13 | 2022-03-14 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-13 | 2022-03-14 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-13 | 2022-03-14 | N |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-01-13 | 2022-03-14 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-13 | 2022-03-14 | 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 | 2022-01-13 | 2022-03-14 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-13 | 2022-03-14 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-13 | 2022-03-14 | N |
Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-03-14 | Y |
Conduct testing and exercise requirements. | Fire Safety | 2022-01-05 | 2022-01-06 | 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 | 2022-01-05 | 2022-01-05 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2022-01-05 | 2022-01-05 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-05 | 2022-01-05 | N |
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 |
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 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 |
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 |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |