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Deficiency Records for Woodlands Place Rehabilitation Suites

A list of the most recent deficiencies for Woodlands Place Rehabilitation Suites. 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 Woodlands Place Rehabilitation Suites. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-04-18 2024-04-19 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-04-18 2024-04-19 Y
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Health 2024-04-18 2024-04-19 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-11-16 2023-12-16 N
Provide routine and 24-hour emergency dental care for each resident. Health 2023-11-16 2023-12-16 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-11-16 2023-12-16 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 2023-11-16 2023-12-16 Y
Provide and implement an infection prevention and control program. Health 2023-11-16 2023-12-16 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-16 2023-12-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-16 2023-12-16 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 2023-11-16 2023-12-15 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-07-11 2023-07-12 Y
Provide and implement an infection prevention and control program. Health 2023-07-06 2023-07-07 Y
Provide properly protected cooking facilities. Fire Safety 2022-09-21 2022-10-26 N
Provide and implement an infection prevention and control program. Health 2022-09-22 2022-10-22 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-22 2022-10-21 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 2022-09-21 2022-10-17 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 2022-09-22 2022-10-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-09-22 2022-09-26 N
Provide and implement an infection prevention and control program. Health 2021-11-10 2021-12-14 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-07-15 2021-08-03 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-07-15 2021-08-03 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2021-07-15 2021-08-03 N
Address patient/client population and determine types of services needed. Fire Safety 2021-07-15 2021-08-03 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2021-07-15 2021-08-03 N
Establish policies and procedures including evacuation. Fire Safety 2021-07-15 2021-08-03 N
Establish policies and procedures for medical documentation. Fire Safety 2021-07-15 2021-08-03 N
Establish emergency prep training and testing. Fire Safety 2021-07-15 2021-08-03 N
Establish staff and initial training requirements. Fire Safety 2021-07-15 2021-08-03 N
Conduct testing and exercise requirements. Fire Safety 2021-07-15 2021-08-03 N
Provide a written emergency evacuation plan. Fire Safety 2021-07-15 2021-08-03 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-07-15 2021-08-03 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-07-15 2021-08-03 N

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