Althea Woodland Nursing Home

In the surveyor’s words

From the most serious findings on record at Althea Woodland Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 23, 2026

  Based on observation, record review, and interview with facility staff, it was determined that the facility failed to maintain food service equipment in a manner that ensures sanitary food service operations to prevent possible foodborne illness. This was evident during the kitchen tours of the annual survey. The findings include: A food-contact surface refers to any surface of equipment and utensils that typically comes into contact with food; or from which food may drain, drip, or splash onto food; or a surface that is usually in contact with food. […]

• No harm, potential for more than minimal, patternF812Apr 25, 2025

  Based on observation and interview, it was determined that the facility failed to maintain proper sanitation for storage of food in the nursing units and in the kitchen. This was evident on 1 of 2 nursing units and on the initial tour of the kitchen during review of food storage and sanitation. The findings include: During the initial tour of the kitchen on 4/21/25 at 8:29 AM with the Food Services Director (FSD) and Staff #17 in attendance, the surveyor observed the following sanitation concerns: In Refrigerator #1, there was an opened half- gallon container of mustard, void of ¾ of its contents with a label 12/27/24 written in black on its cover. The label did not indicate when the item was opened and when the contents should have been used. […]

• No harm, potential for more than minimal, patternF842Apr 25, 2025

  Based on medical record review and staff interview, it was determined that the facility failed to maintain resident records completely and accurately. This was evident for 4 (Resident #15, #6, #34, #21) out of 16 sampled residents reviewed during the annual survey. The findings include: A medical record is the official documentation for a healthcare organization. As such, it must be maintained in a manner that follows applicable regulations, accreditation standards, professional practice standards, and legal standards. […]

• No harm, potential for more than minimal, isolatedF552Jun 23, 2026

  Based on medical record reviews and interviews it was determined the facility failed to obtain informed consent for psychotropic medication. This was evident for 3 (Resident #1, Resident #2, Resident #47) of 5 Residents reviewed for psychotropic medication consents during the recertification survey.The findings include: All residents have the right to be informed of their health status and to accept or refuse medical treatment. Psychotropic medications are prescription drugs that alter brain chemistry to affect mood, thoughts, behavior, and perception. They are primarily used to treat mental health disorders like depression, anxiety, and schizophrenia. […]

• No harm, potential for more than minimal, isolatedF584Jun 23, 2026

  Based on observation and interview with facility staff, it was determined that the facility failed to ensure clean, safe, and comfortable environment. This was evident in 3 (Rooms 5, 26 and 27) of 4 rooms reviewed during the annual survey. The findings include: On 06/15/2026 at 1:11 PM, the surveyor toured the facility with the Maintenance Director and observed that there was no airflow in the bathroom of room [ROOM NUMBER]. The bathroom ambient air temperature felt warm, and an odor remained in the bathroom. During an interview, the Maintenance Director acknowledged that the exhaust fan was nonfunctional and confirmed that the unit would be repaired or replaced promptly. […]