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Deficiency Records for Highlight Hlthcr of Woodstock
A list of the most recent deficiencies for Highlight Hlthcr of Woodstock. 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 Highlight Hlthcr of Woodstock. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-15 | 2024-07-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-15 | 2024-07-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-15 | 2024-07-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-15 | 2024-07-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-15 | 2024-07-16 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-07-15 | 2024-07-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-15 | 2024-07-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-15 | 2024-07-11 | 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 | 2024-05-15 | 2024-07-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-15 | 2024-05-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-15 | 2024-05-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-15 | 2024-05-31 | Y |
| 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 | 2024-05-15 | 2024-05-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-15 | 2024-05-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-15 | 2024-05-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-15 | 2024-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-15 | 2024-05-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-15 | 2024-05-31 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-05-16 | 2024-05-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-28 | 2024-03-08 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2024-02-01 | 2024-02-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-29 | 2023-12-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-29 | 2023-12-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-29 | 2023-12-10 | 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 | 2023-09-12 | 2023-09-22 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-28 | 2023-05-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-28 | 2023-05-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-28 | 2023-05-19 | 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 | 2023-04-28 | 2023-05-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-28 | 2023-05-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-28 | 2023-05-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-28 | 2023-05-19 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2023-04-28 | 2023-05-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-13 | 2023-05-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-13 | 2023-05-09 | 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 | 2023-04-13 | 2023-05-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-13 | 2023-05-09 | 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 | 2023-04-13 | 2023-05-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-13 | 2023-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-05-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-03 | 2023-02-09 | 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 | 2023-01-03 | 2023-01-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-03 | 2023-01-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-03 | 2022-12-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-24 | 2022-09-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-24 | 2022-09-09 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-19 | 2022-06-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-19 | 2022-06-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-19 | 2022-06-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-19 | 2022-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-19 | 2022-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-19 | 2022-06-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-11 | 2022-05-27 | 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 | 2022-05-11 | 2022-05-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-11 | 2022-05-27 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-05-11 | 2022-05-27 | 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 | 2022-05-11 | 2022-05-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-11 | 2022-05-27 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-05-11 | 2022-05-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-11 | 2022-05-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-11 | 2022-05-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-08 | 2021-12-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-08 | 2021-12-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-08 | 2021-12-03 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-11-03 | 2021-11-09 | Y |
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