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Deficiency Records for Woodland Manor

A list of the most recent deficiencies for Woodland Manor. 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 Woodland Manor. 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?
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-05-17 2024-07-09 N
Provide and implement an infection prevention and control program. Health 2024-05-17 2024-07-09 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-14 2024-07-05 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-05-17 2024-07-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-05-17 2024-07-05 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-05-17 2024-07-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-05-17 2024-07-05 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 2024-05-17 2024-07-05 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-05-17 2024-07-05 N
Post nurse staffing information every day. Health 2024-05-17 2024-07-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-17 2024-07-05 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-05-17 2024-07-05 Y
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2024-06-11 2024-07-04 N
Provide primary/alternate means for communication. Fire Safety 2024-06-11 2024-07-04 N
Conduct testing and exercise requirements. Fire Safety 2024-06-11 2024-07-04 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 2024-06-11 2024-07-04 N
Have exits that are accessible at all times. Fire Safety 2024-06-11 2024-07-04 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2024-06-11 2024-07-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-06-11 2024-07-04 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-06-11 2024-07-04 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-06-11 2024-07-04 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-06-11 2024-07-04 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-06-11 2024-07-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-06-11 2024-07-04 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-06-11 2024-07-04 N
Have restrictions on the use of portable space heaters. Fire Safety 2024-06-11 2024-07-04 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-06-11 2024-07-04 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-03-06 2024-03-08 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-12-21 2024-01-12 Y
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2023-12-21 2024-01-12 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-08-09 2023-09-15 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-09 2023-09-15 Y
Implement emergency and standby power systems. Fire Safety 2023-04-05 2023-05-30 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-04-05 2023-05-30 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 2023-04-05 2023-05-30 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2023-04-05 2023-05-30 N
Conform to length requirements for dead end corridors. Fire Safety 2023-04-05 2023-05-30 N
Have exits that are accessible at all times. Fire Safety 2023-04-05 2023-05-30 N
Meet other general requirements that are deficient. Fire Safety 2023-04-05 2023-05-30 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 2023-04-05 2023-05-30 N
Provide properly protected cooking facilities. Fire Safety 2023-04-05 2023-05-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-04-05 2023-05-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-05 2023-05-30 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-04-05 2023-05-30 N
Meet other general requirements that are deficient. Fire Safety 2023-04-05 2023-05-30 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-04-05 2023-05-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-04-05 2023-05-30 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-04-05 2023-05-30 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-04-05 2023-05-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-04-05 2023-05-30 N
Have proper medical gas storage and administration areas. Fire Safety 2023-04-05 2023-05-30 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2023-04-05 2023-05-30 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-03-21 2023-05-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-21 2023-05-08 Y
Honor the resident's right to manage his or her financial affairs. Health 2023-03-21 2023-05-08 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-03-21 2023-05-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-21 2023-05-08 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-21 2023-05-08 N
Provide activities to meet all resident's needs. Health 2023-03-21 2023-05-08 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-21 2023-05-08 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 2023-03-21 2023-05-08 N
Provide enough food/fluids to maintain a resident's health. Health 2023-03-21 2023-05-08 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-03-21 2023-05-08 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 2023-03-21 2023-05-08 N
Ensure medication error rates are not 5 percent or greater. Health 2023-03-21 2023-05-08 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 2023-03-21 2023-05-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-21 2023-05-08 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-03-21 2023-05-08 Y
Ensure each resident receives an accurate assessment. Health 2022-06-15 2022-07-15 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-15 2022-07-15 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-06-15 2022-07-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-15 2022-07-15 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-06-15 2022-07-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-25 2022-04-22 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 2022-01-27 2022-02-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-01-27 2022-02-25 N
Provide and implement an infection prevention and control program. Health 2022-01-27 2022-02-25 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-08-17 2021-11-07 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-07-27 2021-10-25 N
Have enough outside ventilation via a window or mechanical ventilation, or both. Health 2021-07-27 2021-10-25 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-08-17 2021-09-30 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 2021-08-17 2021-09-30 N
Provide properly protected cooking facilities. Fire Safety 2021-08-17 2021-09-30 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-08-17 2021-09-30 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-08-17 2021-09-30 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-08-17 2021-09-30 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2021-08-17 2021-09-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-08-17 2021-09-30 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 2021-07-27 2021-08-27 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-07-27 2021-08-27 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-07-27 2021-08-27 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2021-07-27 2021-08-27 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2021-07-27 2021-08-27 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-07-27 2021-08-27 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2021-07-27 2021-08-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-07-27 2021-08-27 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2021-07-27 2021-08-27 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2021-07-27 2021-08-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-27 2021-08-27 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 2021-07-27 2021-08-27 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-07-27 2021-08-27 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2021-07-27 2021-08-27 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2021-07-27 2021-08-27 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-07-27 2021-08-27 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 2021-07-27 2021-08-27 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 2021-07-27 2021-08-27 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-07-27 2021-08-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-27 2021-08-27 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2021-07-27 2021-08-27 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-07-27 2021-08-27 N
Provide and implement an infection prevention and control program. Health 2021-07-27 2021-08-27 N

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