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Deficiency Records for Woodlands Healthcare Center
A list of the most recent deficiencies for Woodlands Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Woodlands Healthcare 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? |
---|---|---|---|---|
Conduct testing and exercise requirements. | Fire Safety | 2023-10-18 | 2023-11-26 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-10-18 | 2023-11-26 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-10-18 | 2023-11-26 | N |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-10-18 | 2023-11-26 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-18 | 2023-11-26 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-18 | 2023-11-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-18 | 2023-11-26 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-18 | 2023-11-26 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-18 | 2023-11-26 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-18 | 2023-11-26 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-18 | 2023-11-26 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2023-10-18 | 2023-11-26 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-18 | 2023-11-26 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-18 | 2023-11-26 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-13 | 2023-11-01 | 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 | 2023-10-13 | 2023-11-01 | N |
Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-10-13 | 2023-11-01 | N |
Provide and implement an infection prevention and control program. | Health | 2023-10-13 | 2023-11-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-13 | 2023-10-26 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-13 | 2023-10-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-13 | 2023-10-25 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-13 | 2023-10-25 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-13 | 2023-10-20 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-17 | 2023-09-18 | 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 | 2023-04-05 | 2023-04-20 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-21 | 2022-01-05 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2021-12-21 | 2022-01-05 | N |
Establish policies and procedures for medical documentation. | Fire Safety | 2021-12-21 | 2022-01-05 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-21 | 2022-01-05 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-21 | 2022-01-05 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-12-21 | 2022-01-05 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-21 | 2022-01-05 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-21 | 2022-01-05 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-21 | 2022-01-05 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2021-12-21 | 2022-01-05 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-21 | 2022-01-05 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-12-17 | 2022-01-04 | 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 | 2021-12-17 | 2022-01-04 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-17 | 2022-01-04 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-17 | 2022-01-04 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-17 | 2022-01-04 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-17 | 2022-01-04 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-17 | 2022-01-04 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-12-17 | 2022-01-04 | 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 | 2021-12-17 | 2022-01-04 | 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 | 2021-12-17 | 2022-01-04 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-17 | 2022-01-04 | N |
Provide and implement an infection prevention and control program. | Health | 2021-12-17 | 2022-01-04 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-09 | 2021-12-22 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2020-02-28 | 2020-03-27 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-28 | 2020-03-27 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-28 | 2020-03-27 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-28 | 2020-03-27 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-28 | 2020-03-27 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-28 | 2020-03-27 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-13 | 2020-03-09 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-13 | 2020-03-09 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-13 | 2020-03-09 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-13 | 2020-03-09 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-13 | 2020-03-09 | 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 | 2020-02-13 | 2020-03-09 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-02-13 | 2020-03-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-09 | N |
Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-09 | N |
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