Memorial Woodland Village Nursing Center

In the surveyor’s words

From the most serious findings on record at Memorial Woodland Village Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF565Feb 29, 2024

  Based on interviews, record review, and review of resident council monthly meeting minutes, the facility failed to resolve grievances regarding food complaints for five (5) of eight (8) months reviewed. Findings include: Review of the Resident Council minutes revealed the residents complained about the food during their meetings in October 2023, November 2023, December 2023, January 2024, and February 2024. A record review of a written letter, dated 2/5/24, from the Resident Council President revealed the resident council had concerns regarding the food. During an interview on 02/26/24 at 10:32 AM, with the Ombudsmen stated the residents invited him to their last resident council meeting. The Ombudsmen stated the residents complained about the food being cold and not tasting good. […]

• No harm, potential for more than minimal, patternF809Feb 29, 2024

  Based on interviews, record review, and the facility policy review the facility failed to offer residents in the facility a bedtime snack for (3) of 23 sampled residents. (Resident #94, Resident #95, and Resident #107). Findings Include: A review of the facility's policy, Offering/Serving Bedtime Snacks, revised 4/20/23, revealed, .It is the practice of this facility to offer and serve residents with a nourishing snack in accordance with their needs, preferences and requests at bedtime on a daily basis .Policy Explanation and Compliance Guidelines .1. […]

• No harm, potential for more than minimal, isolatedF583Jun 26, 2025

  Based on observation, staff interview, record review, and facility policy review, the facility failed to ensure a resident's right to privacy and confidentiality by posting personal health information on the resident's wall for one (1) of twenty-three (23) sampled residents, Resident #82. Findings included: A review of the facility's policy titled, Promoting/Maintaining Resident Dignity, dated 2/10/25, revealed, .It is the practice of this facility to protect and promote resident rights and treat each resident with respect and dignity as well as care for each resident in a manner and in an environment, that maintains or enhances resident's quality of life by recognizing each resident's individuality . […]

• No harm, potential for more than minimal, isolatedF641Jun 26, 2025

  Based on observation, staff interview, record review, and facility policy review, the facility failed to accurately code the Minimum Data Set (MDS) assessment related to a resident having a restraint, when no restraint had been ordered or used, for one (1) of twenty-three (23) residents reviewed. Resident #99. Findings included: A review of the facility's policy titled Conducting an Accurate Resident Assessment, dated 2/10/25, revealed, . The purpose of this policy is to assure that all residents receive an accurate assessment, reflective of the resident's status at the time of the assessment . A record review of the admission Record revealed the facility admitted Resident #99 on 6/14/24 with diagnoses including Unspecified Dementia. […]

• No harm, potential for more than minimal, isolatedF806Jun 26, 2025

  Based on observation, interview, and policy review, the facility failed to acknowledge and honor the documented food preferences of one (1) of twenty-three (23) sampled residents, Resident #88. Findings included: A review of the facility's policy titled Resident Meal Service, revised 1/2025, revealed, .Residents will be offered menu choices for all meals, beverages, and snacks, and are based on their .food preferences . A record review of the Clinical record revealed the facility admitted Resident #88 on 7/5/23 with diagnoses that included Hemiplegia and Hemiparesis. […]