Huntington Woods Care & Rehab Center

In the surveyor’s words

From the most serious findings on record at Huntington Woods Care & Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Mar 25, 2021

  Based on observations, record review, interviews, policy review, and Centers for Disease Control COVID-19 guidelines, revealed the facility failed to ensure proper infection control practices were followed throughout the facility during medication pass, and for COVID-19 prevention. This had the potential to affect all 66 of 66 residents residing at the facility. Findings include: 1. Review of Resident #46 medical record revealed an admission date of [DATE] with [DIAGNOSES REDACTED]. Observation on 03/22/21 at 9:05 A.M. of medication administration revealed Licensed Practical Nurse (LPN) #205 dropped one of Resident #46's medications on the medication cart, picked it up with her ungloved hand, and placed it in the medication cup. […]

• No harm, potential for more than minimal, patternF880Jul 30, 2021

  Based on review of Centers for Disease Control (CDC) recommendations, observation and interview, the facility failed to ensure proper infection control practices were maintained on the first floor unit. This had the potential to affect 14 residents (#23, #24, #38, #45, #46, #58, #59, #261, #262, #264, #265, #267, #313, #316) that resided on the first floor. Findings include: Review of the medical record for Resident #313 revealed he admitted to the facility on [DATE] and was on isolation precautions due to recent admission. Review of the medical record for Resident #264 revealed he admitted to the facility on [DATE] and was on isolation precautions due to recent admission. Observation on 07/26/21 at 10:30 A.M. […]

• No harm, potential for more than minimal, isolatedF578Jun 8, 2026

  Based on record review and staff interview, the facility failed to ensure accurate advanced directive information was accurate throughout the medical record. This affected one (Resident #36) of one resident reviewed for advanced directives. The facility census was 81.Review of the medical record revealed Resident #36 was admitted to the facility on [DATE] with diagnoses including malignant neoplasm of brain, dementia, and major depressive disorder. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #36 had moderately cognitive impairment and required supervision for activities of daily living (ADLs).Review of the physicians' orders for Resident #36 revealed an order dated [DATE] for Do Not Resuscitate Comfort Care (DNRCC) code status signifying… […]

• No harm, potential for more than minimal, isolatedF605Jun 8, 2026

  Based on medical record review and staff interview, the facility failed to ensure Resident #31 and #56 were free from unnecessary psychotropic medications. This affected two residents (Residents #31 and #56) of five residents for unnecessary medications. The facility census was 81. Findings include: 1. Review of the medical record for Resident #31 revealed an admission date of 04/20/26 with diagnoses to include diabetes mellitus, parkinsonism, and psychotic disorder with delusions. Review of the quarterly Minimum Data Set (MDS) assessment, dated 06/24/24, revealed the resident had intact cognition. The resident required set up for eating and supervision for other activities of daily living (ADLs). […]

• No harm, potential for more than minimal, isolatedF684Jun 8, 2026

  Based on record review and interviews the facility failed to administer insulin medication per physician orders. This affected one resident (Resident #77) out of three residents reviewed for insulin medication. Facility census was 81.Findings include:Review of the medical record for Resident #77 revealed an admission date of 04/03/25. Diagnoses included but were not limited to vascular dementia, type 2 diabetes mellitus and congestive heart failure.Review of the annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #77 had intact cognition. […]