CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Woodard Creek Health and Rehabilitation
View the most recent health deficiencies and inspection results for Woodard Creek Health and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Woodard Creek Health and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-02 | 2026-03-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-03-02 | 2026-03-24 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-03-02 | 2026-03-24 | Y |
| 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 | 2026-03-02 | 2026-03-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-02 | 2026-03-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-02 | 2026-03-24 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2026-03-02 | 2026-03-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-02-05 | 2026-03-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-01-07 | 2026-02-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-07 | 2026-02-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-07 | 2026-02-06 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-09-04 | 2025-10-06 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-09-04 | 2025-10-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-09-04 | 2025-10-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-04 | 2025-10-06 | 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 | 2025-09-04 | 2025-10-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-04 | 2025-10-06 | Y |
| 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 | 2025-06-30 | 2025-08-12 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-06-30 | 2025-08-12 | Y |
| 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 | 2025-06-30 | 2025-08-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-06-24 | 2025-08-12 | 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 | 2025-06-24 | 2025-08-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-06-24 | 2025-08-12 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-06-24 | 2025-08-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-24 | 2025-08-12 | N |
| Respond appropriately to all alleged violations. | Health | 2025-06-24 | 2025-08-12 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-06-24 | 2025-08-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-24 | 2025-08-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-06-24 | 2025-08-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-24 | 2025-08-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-24 | 2025-08-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-24 | 2025-08-12 | 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 | 2025-06-24 | 2025-08-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-06-24 | 2025-08-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-24 | 2025-08-12 | 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 | 2025-06-24 | 2025-08-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-06-24 | 2025-08-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-06-24 | 2025-08-12 | 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 | 2025-06-24 | 2025-08-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-06-24 | 2025-08-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-24 | 2025-08-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-24 | 2025-08-12 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-06-24 | 2025-07-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-06-24 | 2025-07-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-24 | 2025-07-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-24 | 2025-07-21 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-06-24 | 2025-07-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-06-24 | 2025-07-21 | 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 (including nights and weekends) and emergencies. | Health | 2025-02-06 | 2025-03-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-06 | 2025-03-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-06 | 2025-03-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-11-08 | 2024-12-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-03 | 2024-09-27 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-09-03 | 2024-09-27 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-09-03 | 2024-09-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-31 | 2024-07-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-31 | 2024-07-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-31 | 2024-07-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-05-31 | 2024-07-01 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-05-31 | 2024-07-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-31 | 2024-07-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-31 | 2024-07-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-31 | 2024-07-01 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-05-31 | 2024-07-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-31 | 2024-07-01 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-05-31 | 2024-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-31 | 2024-07-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-31 | 2024-07-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-05-31 | 2024-07-01 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-05-31 | 2024-07-01 | 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 | 2024-05-31 | 2024-07-01 | 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 | 2024-05-31 | 2024-07-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-31 | 2024-07-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-31 | 2024-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-31 | 2024-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-31 | 2024-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-31 | 2024-06-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-31 | 2024-06-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-24 | 2024-06-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-24 | 2024-06-17 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-05-24 | 2024-06-17 | Y |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-06-23 | 2023-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-23 | 2023-07-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-23 | 2023-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-23 | 2023-07-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-06-23 | 2023-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-23 | 2023-07-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-23 | 2023-07-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-23 | 2023-07-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-23 | 2023-07-07 | Y |