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Deficiency Records for Wood Glen Alzheimer's Community
A list of the most recent deficiencies for Wood Glen Alzheimer's Community. 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 Glen Alzheimer's Community. 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 | 2024-09-03 | 2024-09-20 | Y |
Use approved construction type or materials. | Fire Safety | 2024-04-11 | 2024-07-22 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-10 | 2024-07-18 | Y |
Provide and implement an infection prevention and control program. | Health | 2024-07-10 | 2024-07-18 | Y |
Assist a resident in gaining access to vision and hearing services. | Health | 2024-04-15 | 2024-05-08 | 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 | 2024-04-15 | 2024-05-08 | 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 | 2024-04-15 | 2024-05-08 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-15 | 2024-05-08 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-15 | 2024-05-08 | N |
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-04-15 | 2024-05-08 | 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 | 2024-04-15 | 2024-05-08 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-15 | 2024-05-08 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-04-15 | 2024-05-08 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-11 | 2024-05-08 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-11 | 2024-05-08 | N |
Provide properly protected cooking facilities. | Fire Safety | 2024-04-11 | 2024-05-08 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-11 | 2024-05-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-11 | 2024-05-08 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-11 | 2024-05-08 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-11 | 2024-05-08 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-11 | 2024-05-08 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-11 | 2024-05-08 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-11 | 2024-05-08 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-04-11 | 2024-05-08 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-11 | 2024-05-08 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-05-23 | 2023-09-01 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-24 | 2023-06-21 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-24 | 2023-06-21 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-24 | 2023-06-21 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-05-24 | 2023-06-21 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-24 | 2023-06-21 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-24 | 2023-06-21 | N |
Provide and implement an infection prevention and control program. | Health | 2023-05-24 | 2023-06-21 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-05-23 | 2023-06-21 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-23 | 2023-06-21 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-23 | 2023-06-21 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2023-05-23 | 2023-06-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-23 | 2023-06-21 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-23 | 2023-06-21 | 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 | 2023-03-16 | 2023-04-03 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-08 | 2023-02-23 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-28 | 2023-02-23 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-12-13 | 2023-02-23 | Y |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-07-11 | 2022-07-22 | Y |
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 | 2022-07-11 | 2022-07-22 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-11 | 2022-07-22 | Y |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-06-22 | 2022-07-22 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-09 | 2022-02-11 | Y |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-02-09 | 2022-02-11 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-01-11 | 2022-02-11 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-18 | 2020-01-07 | 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 | 2019-12-18 | 2020-01-07 | N |
Provide activities to meet all resident's needs. | Health | 2019-12-18 | 2020-01-07 | 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 | 2019-12-18 | 2020-01-07 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-18 | 2020-01-07 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-18 | 2020-01-07 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-18 | 2020-01-07 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-18 | 2020-01-07 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-18 | 2020-01-07 | N |
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