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Deficiency Records for Woodmont Health Campus
A list of the most recent deficiencies for Woodmont Health Campus. 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 Woodmont Health Campus. 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-08-07 | 2024-08-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-07 | 2024-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-07 | 2024-08-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-07 | 2024-08-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-07 | 2024-08-30 | 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 | 2024-07-26 | 2024-08-28 | N |
| Post nurse staffing information every day. | Health | 2024-07-26 | 2024-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-26 | 2024-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-26 | 2024-08-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-26 | 2024-08-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-20 | 2024-03-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-26 | 2024-02-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-16 | 2023-09-08 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-07-06 | 2023-07-28 | 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 | 2023-07-06 | 2023-07-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-07-06 | 2023-07-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-06 | 2023-07-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-07-06 | 2023-07-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-06 | 2023-07-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-06 | 2023-07-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-09 | 2023-07-12 | 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 | 2023-06-09 | 2023-07-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-09 | 2023-07-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-09 | 2023-07-12 | N |
| Post nurse staffing information every day. | Health | 2023-06-09 | 2023-07-12 | 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 | 2023-06-09 | 2023-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-09 | 2023-07-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-06-09 | 2023-07-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-09 | 2022-09-26 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-18 | 2021-12-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-18 | 2021-12-31 | N |
| Meet other general requirements. | Fire Safety | 2021-11-18 | 2021-12-31 | 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 | 2021-11-18 | 2021-12-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-18 | 2021-12-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-18 | 2021-12-31 | 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 | 2021-11-18 | 2021-12-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-18 | 2021-12-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-18 | 2021-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-18 | 2021-12-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-18 | 2021-12-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-18 | 2021-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-18 | 2021-12-31 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-11-18 | 2021-12-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-10-29 | 2021-11-19 | 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 | 2021-10-29 | 2021-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-29 | 2021-11-19 | N |
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