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Deficiency Records for Wood Haven Health Care Senior Living and Rehab

A list of the most recent deficiencies for Wood Haven Health Care Senior Living and Rehab. 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 Wood Haven Health Care Senior Living and Rehab. 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?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-26 2024-03-06 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-03-30 2023-06-06 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-30 2023-06-06 N
Provide activities to meet all resident's needs. Health 2023-03-30 2023-06-06 N
Assist a resident in gaining access to vision and hearing services. Health 2023-03-30 2023-06-06 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-03-30 2023-06-06 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-03-30 2023-06-06 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 2023-03-30 2023-06-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-30 2023-06-06 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-03-30 2023-06-06 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-03-30 2023-06-06 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-30 2023-06-06 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-03-30 2023-06-06 Y
Address subsistence needs for staff and patients. Fire Safety 2023-03-30 2023-06-06 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-03-30 2023-06-06 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 2023-03-30 2023-06-06 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-03-30 2023-06-06 N
Have correct number of accessible exits for each story. Fire Safety 2023-03-30 2023-06-06 N
Provide at least two remote exits on each floor or fire section of the building. Fire Safety 2023-03-30 2023-06-06 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-03-30 2023-06-06 N
Provide properly protected cooking facilities. Fire Safety 2023-03-30 2023-06-06 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-03-30 2023-06-06 N
Install an approved automatic sprinkler system. Fire Safety 2023-03-30 2023-06-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-30 2023-06-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-03-30 2023-06-06 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-03-30 2023-06-06 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-03-30 2023-06-06 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-03-30 2023-06-06 N
Have proper medical gas storage and administration areas. Fire Safety 2023-03-30 2023-06-06 N
Respond appropriately to all alleged violations. Health 2023-03-01 2023-03-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-11-26 2019-12-27 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 2019-11-26 2019-12-27 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-11-26 2019-12-27 N
Post nurse staffing information every day. Health 2019-11-26 2019-12-27 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 2019-11-26 2019-12-27 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-11-26 2019-12-27 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-11-26 2019-12-27 N
Honor the resident's right to manage his or her financial affairs. Health 2018-09-27 2018-11-07 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2018-09-27 2018-11-07 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2018-09-27 2018-11-07 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2018-09-27 2018-11-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-09-27 2018-11-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-09-27 2018-11-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-09-27 2018-11-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-09-27 2018-11-07 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 2018-09-27 2018-11-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2018-09-27 2018-11-07 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2018-09-27 2018-11-07 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 2018-09-27 2018-11-07 N
Ensure medication error rates are not 5 percent or greater. Health 2018-09-27 2018-11-07 N
Ensure that residents are free from significant medication errors. Health 2018-09-27 2018-11-07 N
Provide routine and 24-hour emergency dental care for each resident. Health 2018-09-27 2018-11-07 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 2018-09-25 2018-11-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-09-25 2018-11-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-09-25 2018-11-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-09-25 2018-11-07 N

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