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Deficiency Records for Complete Care at Woodlands
A list of the most recent deficiencies for Complete Care at Woodlands. 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 Complete Care at Woodlands. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-25 | 2024-10-23 | Y |
| Use approved construction type or materials. | Fire Safety | 2024-02-01 | 2024-05-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-01 | 2024-03-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-02-01 | 2024-03-15 | 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 | 2024-02-01 | 2024-03-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-02-01 | 2024-03-01 | N |
| Have an externally vented heating system. | Fire Safety | 2024-02-01 | 2024-03-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-02-01 | 2024-02-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-01 | 2024-02-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-01 | 2024-02-28 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-02-01 | 2024-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-01 | 2024-02-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-01 | 2024-02-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-01 | 2024-02-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-16 | 2023-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-16 | 2023-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-10-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-19 | 2021-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-19 | 2021-09-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-26 | 2019-10-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-26 | 2019-10-31 | 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 | 2019-09-26 | 2019-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-26 | 2019-10-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-26 | 2019-10-31 | 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 | 2019-09-26 | 2019-10-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-26 | 2019-10-31 | N |
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