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Deficiency Records for Woodside Lutheran Home
A list of the most recent deficiencies for Woodside Lutheran Home. 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 Woodside Lutheran Home. 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? |
|---|---|---|---|---|
| Provide a written emergency evacuation plan. | Fire Safety | 2024-07-31 | 2024-08-19 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-07-31 | 2024-08-19 | 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 | 2024-07-31 | 2024-08-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-31 | 2024-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-31 | 2024-08-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-31 | 2024-08-02 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-07-31 | 2024-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-27 | 2023-07-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-03 | 2022-11-22 | Y |
| 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 | 2022-08-03 | 2022-08-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-03 | 2022-08-23 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-08-03 | 2022-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-03 | 2022-08-23 | Y |
| Install resident room doors of proper design and width. | Fire Safety | 2022-08-03 | 2022-08-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-03 | 2022-08-04 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-01-18 | 2022-01-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-18 | 2022-01-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-18 | 2022-01-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-18 | 2022-01-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-18 | 2022-01-18 | Y |
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