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Deficiency Records for Woodlands Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Woodlands Rehabilitation and Healthcare Center. 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 Woodlands Rehabilitation and Healthcare Center. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-06 | 2024-06-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-06-06 | 2024-06-19 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-11 | 2024-06-19 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-11 | 2024-06-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-04-11 | 2024-06-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-11 | 2024-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-11 | 2024-06-19 | 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 | 2024-04-11 | 2024-06-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-30 | 2023-08-11 | Y |
| 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 | 2023-06-30 | 2023-08-11 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-14 | 2022-08-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-14 | 2022-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-08-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-14 | 2022-08-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-14 | 2022-08-15 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-07-14 | 2022-08-15 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-07-14 | 2022-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-14 | 2022-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-14 | 2022-08-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-03-03 | 2022-05-25 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-03-03 | 2022-05-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-03 | 2022-04-29 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-04-25 | 2019-05-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-25 | 2019-05-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-25 | 2019-05-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-25 | 2019-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-25 | 2019-05-31 | 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 | 2019-04-25 | 2019-05-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-25 | 2019-05-31 | N |
| Provide activities to meet all resident's needs. | Health | 2019-04-25 | 2019-05-31 | 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 | 2019-04-25 | 2019-05-31 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-04-25 | 2019-05-31 | N |
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