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Deficiency Records for Wooded Glen
A list of the most recent deficiencies for Wooded Glen. 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 Wooded Glen. 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 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 | 2024-08-15 | 2024-08-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-15 | 2024-08-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-13 | 2024-07-05 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-10 | 2024-07-05 | 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 | 2024-06-10 | 2024-07-05 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-06-10 | 2024-07-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-10 | 2024-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-25 | 2022-09-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-19 | 2021-09-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-08-16 | 2021-09-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-16 | 2021-09-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-16 | 2021-09-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-07 | 2019-04-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-03-07 | 2019-04-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-07 | 2019-04-17 | 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 | 2019-03-07 | 2019-04-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-03-07 | 2019-04-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-03-07 | 2019-04-17 | 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 | 2019-03-07 | 2019-04-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-07 | 2019-04-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-07 | 2019-04-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-07 | 2019-04-17 | 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 | 2019-03-07 | 2019-04-17 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-03-07 | 2019-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-07 | 2019-04-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-03-07 | 2019-04-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-07 | 2019-04-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-07 | 2019-04-17 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-03-07 | 2019-04-17 | N |
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