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Deficiency Records for The Redwoods Post-Acute
A list of the most recent deficiencies for The Redwoods Post-Acute. 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 The Redwoods Post-Acute. 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 share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-06-25 | 2024-07-02 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-25 | 2024-07-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-25 | 2024-07-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-11 | 2024-05-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-07 | 2023-07-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-07 | 2023-07-07 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-06-07 | 2023-07-07 | Y |
| Honor the resident's right to choose his or her attending physician. | Health | 2023-04-14 | 2023-05-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-14 | 2023-05-14 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-14 | 2023-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-14 | 2023-04-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-14 | 2023-04-26 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-02-14 | 2023-04-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-14 | 2023-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-14 | 2023-04-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-14 | 2023-04-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-14 | 2023-04-05 | 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 | 2023-02-14 | 2023-04-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-14 | 2023-04-05 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-02-14 | 2023-04-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-14 | 2023-04-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-14 | 2023-04-05 | N |
| 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 | 2023-02-14 | 2023-04-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-14 | 2023-03-25 | 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 | 2023-02-14 | 2023-03-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-02-14 | 2023-03-25 | 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 | 2023-02-14 | 2023-03-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-14 | 2023-03-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-14 | 2023-03-25 | 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 | 2023-02-14 | 2023-03-25 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-02-14 | 2023-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-14 | 2023-03-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Establish methods for sharing information. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-14 | 2023-03-07 | 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 | 2023-02-14 | 2023-03-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-31 | 2022-09-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-05 | 2022-09-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-28 | 2022-08-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-24 | 2022-08-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-28 | 2022-07-28 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-18 | 2022-05-18 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-09-26 | 2019-10-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-26 | 2019-10-03 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-09-26 | 2019-10-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-26 | 2019-10-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-08-15 | 2019-09-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-15 | 2019-09-23 | 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 | 2019-08-15 | 2019-09-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-15 | 2019-09-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-08-15 | 2019-09-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-15 | 2019-09-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-15 | 2019-09-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-15 | 2019-09-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-15 | 2019-09-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-15 | 2019-09-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-15 | 2019-09-23 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-08-15 | 2019-09-23 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-08-15 | 2019-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-15 | 2019-09-23 | N |
| Dispose of garbage and refuse properly. | Health | 2019-08-15 | 2019-09-23 | 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 | 2019-08-15 | 2019-09-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-15 | 2019-09-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-10-25 | 2018-11-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-25 | 2018-11-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-25 | 2018-11-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-25 | 2018-11-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-07-19 | 2018-08-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-19 | 2018-08-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-19 | 2018-08-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-19 | 2018-08-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-19 | 2018-08-10 | 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 | 2018-07-19 | 2018-08-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-19 | 2018-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-19 | 2018-08-10 | N |
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