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Deficiency Records for North Woods Village
A list of the most recent deficiencies for North Woods Village. 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 North Woods Village. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-04-16 | 2024-06-01 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-04-16 | 2024-06-01 | N |
| Develop a communication plan. | Fire Safety | 2024-04-16 | 2024-06-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-04-16 | 2024-06-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-04-16 | 2024-06-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-16 | 2024-06-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-04-16 | 2024-06-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-04-16 | 2024-06-01 | 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 | 2024-04-16 | 2024-06-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-16 | 2024-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-16 | 2024-06-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-16 | 2024-06-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-16 | 2024-06-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-16 | 2024-06-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-16 | 2024-06-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-16 | 2024-06-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-15 | 2024-04-11 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2024-03-15 | 2024-04-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-15 | 2024-04-11 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-03-15 | 2024-04-11 | 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 | 2024-03-15 | 2024-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-15 | 2024-04-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-11 | 2024-02-01 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-05 | 2023-01-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-05 | 2023-01-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-05 | 2023-01-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-20 | 2023-01-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-25 | 2022-02-15 | Y |
| 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 | 2021-09-28 | 2021-10-15 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-09-28 | 2021-10-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-09-28 | 2021-10-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-09-28 | 2021-10-15 | 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 | 2021-09-28 | 2021-10-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-28 | 2021-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-28 | 2021-10-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-28 | 2021-10-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-28 | 2021-10-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-28 | 2021-10-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-28 | 2021-10-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-22 | 2021-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-22 | 2021-10-11 | 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 | 2021-09-22 | 2021-10-11 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-09-22 | 2021-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-22 | 2021-10-11 | N |
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