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Deficiency Records for Woodway Nursing and Rehab

View the most recent health deficiencies and inspection results for Woodway Nursing and Rehab. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Woodway Nursing and Rehab. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2026-03-05 2026-03-06 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2026-03-05 2026-02-25 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2026-01-16 2026-02-11 Y
Provide and implement an infection prevention and control program. Health 2025-11-06 2025-12-19 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 2025-11-06 2025-12-19 Y
Ensure that residents are free from significant medication errors. Health 2025-11-06 2025-12-19 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 2025-06-19 2025-07-16 N
Respond appropriately to all alleged violations. Health 2025-06-19 2025-07-16 Y
Ensure each resident receives an accurate assessment. Health 2025-06-19 2025-07-16 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2025-06-19 2025-07-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-06-19 2025-07-16 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-06-19 2025-07-16 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2025-06-19 2025-07-16 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-06-19 2025-07-16 N
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 2025-06-19 2025-07-16 N
Post nurse staffing information every day. Health 2025-06-19 2025-07-16 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-06-19 2025-07-16 N
Ensure that residents are free from significant medication errors. Health 2025-06-19 2025-07-16 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2025-06-19 2025-07-16 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2025-06-19 2025-07-16 Y
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 2025-06-19 2025-07-16 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-06-19 2025-07-16 Y
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 2025-06-19 2025-07-16 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2025-06-19 2025-07-16 N
Provide and implement an infection prevention and control program. Health 2025-06-19 2025-07-16 N
Keep all essential equipment working safely. Health 2025-06-19 2025-07-16 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2025-06-19 2025-07-16 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2025-06-19 2025-07-16 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 2025-03-12 2025-07-15 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-03-12 2025-07-15 Y
Ensure each resident receives an accurate assessment. Health 2025-03-12 2025-07-15 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-03-12 2025-07-15 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-03-12 2025-07-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-03-12 2025-07-15 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2025-03-12 2025-07-15 Y
Have simulated fire drills held at unexpected times. Fire Safety 2025-06-19 2025-07-09 N
Have properly located and lighted "Exit" signs. Fire Safety 2025-06-19 2025-07-09 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-03-12 2025-03-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-09-15 2024-10-31 Y
Provide appropriate foot care. Health 2024-06-28 2024-08-01 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 2024-02-13 2024-03-11 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 2024-02-13 2024-03-11 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-02-13 2024-03-11 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-02-13 2024-03-11 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 2024-02-13 2024-03-11 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-13 2024-03-11 Y
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-02-13 2024-02-28 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-02-13 2024-02-28 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-12-14 2024-01-12 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-12-14 2024-01-12 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-12-08 2023-12-11 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-12-08 2023-12-11 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 2023-08-18 2023-08-21 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-06-30 2023-07-03 Y
Keep all essential equipment working safely. Health 2022-11-23 2022-12-12 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-11-23 2022-12-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-23 2022-12-11 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 2022-11-23 2022-12-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-11-23 2022-12-02 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 2022-11-23 2022-12-02 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-11-23 2022-12-02 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 2022-11-23 2022-12-02 N
Ensure medication error rates are not 5 percent or greater. Health 2022-11-23 2022-12-02 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-11-23 2022-12-02 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-11-23 2022-12-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-11-23 2022-12-01 N
Provide enough food/fluids to maintain a resident's health. Health 2022-11-23 2022-11-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-11-13 Not Fixed Y

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