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Deficiency Records for Woodbridge Health Campus
A list of the most recent deficiencies for Woodbridge 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 Woodbridge 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? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-20 | 2024-06-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-05-20 | 2024-06-07 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-05-20 | 2024-06-07 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-05-20 | 2024-06-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-20 | 2024-06-04 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-05-20 | 2024-06-04 | N |
| Develop a communication plan. | Fire Safety | 2024-05-20 | 2024-06-04 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-05-20 | 2024-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-26 | 2024-05-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-18 | 2024-02-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-15 | 2023-06-05 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-02-13 | 2023-02-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-01-26 | 2023-02-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-26 | 2023-02-09 | 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 | 2023-01-26 | 2023-02-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-26 | 2023-02-09 | 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 | 2023-01-26 | 2023-02-09 | N |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2021-12-28 | 2022-01-13 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-12-28 | 2022-01-13 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2019-07-15 | 2019-08-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-15 | 2019-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-15 | 2019-08-23 | 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 | 2019-06-04 | 2019-06-12 | N |
| Provide or obtain dental services for each resident. | Health | 2019-06-04 | 2019-06-05 | N |
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