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Deficiency Records for Northwoods Lodge

A list of the most recent deficiencies for Northwoods Lodge. 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 Northwoods Lodge. 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?
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2025-01-13 2025-02-18 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2025-01-13 2025-02-18 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2025-01-13 2025-02-18 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 2025-01-13 2025-02-18 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2025-01-13 2025-02-18 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-01-13 2025-02-18 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 2025-01-13 2025-02-18 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-01-13 2025-02-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-01-13 2025-02-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-01-13 2025-02-18 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2025-01-13 2025-02-18 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2025-01-13 2025-02-18 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-01-13 2025-02-18 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2025-01-13 2025-02-18 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2025-01-13 2025-02-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-01-13 2025-02-18 N
Provide and implement an infection prevention and control program. Health 2025-01-13 2025-02-18 N
Implement a program that monitors antibiotic use. Health 2025-01-13 2025-02-18 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-01-08 2025-02-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-01-08 2025-02-03 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2025-01-08 2025-02-03 N
Respond appropriately to all alleged violations. Health 2024-09-27 2024-10-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-09-27 2024-10-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-03-28 2024-04-30 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-01-12 2024-02-13 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-01-12 2024-02-13 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-01-12 2024-02-13 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-12 2024-02-13 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 2024-01-12 2024-02-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-01-16 2024-02-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-16 2024-02-12 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-01-16 2024-02-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-10-31 2023-12-05 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-12-16 2023-01-16 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 2022-12-16 2023-01-16 N
Ensure each resident receives an accurate assessment. Health 2022-12-16 2023-01-16 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-12-16 2023-01-16 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2022-12-16 2023-01-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-16 2023-01-16 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-12-16 2023-01-16 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-12-16 2023-01-16 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-14 2023-01-13 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-02 2022-07-01 Y

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