A list of the most recent deficiencies for Woodland Springs Nursing 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-16 | 2024-02-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-16 | 2024-02-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-19 | 2023-09-27 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-30 | 2023-05-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-30 | 2023-05-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-30 | 2023-04-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-30 | 2023-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-12 | 2022-07-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-05-12 | 2022-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-12 | 2022-06-10 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-05-12 | 2022-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-12 | 2022-06-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-12 | 2022-05-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-08 | 2020-02-07 | 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 | 2020-01-08 | 2020-02-07 | N |
| Provide activities to meet all resident's needs. | Health | 2020-01-08 | 2020-02-07 | 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 | 2020-01-08 | 2020-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-08 | 2020-02-07 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-01-08 | 2020-02-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-08 | 2020-02-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-01-29 | 2019-03-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-01-29 | 2019-03-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-01-29 | 2019-03-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-29 | 2019-03-01 | N |
| 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 | 2019-01-29 | 2019-03-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-29 | 2019-03-01 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2019-01-29 | 2019-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-30 | 2019-02-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-13 | Not Fixed | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-08-13 | Not Fixed | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-13 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-13 | Not Fixed | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-08 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-01-29 | Not Fixed | N |
