Als Woodstock Inc

In the surveyor’s words

From the most serious findings on record at Als Woodstock Inc, in the surveyor’s own words.

• Actual harm, isolatedF790Oct 31, 2024

  Based on medical record review, resident and staff interview, review of dental visit documentation, review of hospital documentation, and review of facility policy, the facility failed to ensure residents were provided with timely dental services to address non-restorable and decaying teeth. Actual harm occurred to Resident #33 when the dentist identified the resident's teeth required extraction (removal) and the facility failed to follow up with a referral to an oral surgeon. This resulted in the resident developing fever and chills which prompted a visit to the emergency department where the resident was diagnosed with system inflammatory response syndrome and bacteremia caused by a tooth infection. This affected one (#33) of one residents reviewed for dental services. The census was 35. […]

• No harm, potential for more than minimal, widespreadF727Dec 27, 2023

  Based on staff interview, review of timecard punches, and review of facility schedule, the facility failed to ensure Registered Nurse (RN) coverage was maintained for eight consecutive hours, seven days a week. This had the potential to affect all 39 residents. The facility census was 39. Findings include: Review of the timecard punches for Saturday 12/16/23 revealed no RN coverage for the day. Review of the daily written schedule for Saturday 12/16/23 revealed no RN scheduled for the day. Interview on 12/26/23 at 1:36 P.M. with Director of Nursing (DON) revealed she worked Monday through Friday and is on-call everyday, seven days a week. […]

• No harm, potential for more than minimal, widespreadF803Dec 27, 2023

  Based on observation, record review, interview with staff and residents, and review of daily menus, the facility failed to follow menus plan to provide nutritious and well-balanced meals. This had the potential to affect all 39 residents who the facility identified as receiving food from the kitchen. The facility census was 39. Findings include: Observation on 12/26/23 at 11:48 A.M. of test tray revealed sloppy [NAME] sandwich, mixed vegetables, and cantaloupe served. The food was palatable. […]

• No harm, potential for more than minimal, widespreadF921Oct 10, 2023

  Based on observations, resident and staff interviews, and review of the facility policy, the facility failed to provide a clean and sanitary environment for the residents. This affected Resident #36 and #43 and had the potential to affect all 39 residents who resided in the facility. Findings include: Observation on 10/05/23 from 8:30 A.M. through 11:30 A.M. revealed there were four halls where residents resided and traveled throughout the facility. All the halls in the facility were carpeted. The carpeting in all halls was embedded with black dirt, grime, food, and fluid spills. The carpeting was soiled from the beginning of each carpeted area through the end. Many areas on each hall had large, discolored areas with stained like areas. […]

• No harm, potential for more than minimal, patternF679Jan 22, 2025

  Based on observations, staff and resident interviews, review of the facility activity calendar, and review of the facility policy, the facility failed to ensure group activities were conducted as scheduled. This had the potential to affect 22 residents residing in the facility who regularly attend group activities, the facility identified 17 (#02, #03, #04, #05, #06, #08, #10, #14, #16, #19, #22, #24, #25, #26, #30, #34, and #35) residents who chose not to attend and/or are not physically able to attend group activities. The facility census was 39. Findings include: Review of the activity calendar for 01/21/25 revealed documentation to support the facility had a group activity scheduled for 9:00 A.M. The activity planned was coffee time in the activity room. […]