Wood Haven Health Care Senior Living & Rehab

In the surveyor’s words

From the most serious findings on record at Wood Haven Health Care Senior Living & Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Mar 30, 2023

  Based on observations, resident, resident representative, and staff interviews, record reviews, review of resident council notes, review of staff schedules, and review of facility policies, the facility failed to ensure there was sufficient nursing staff to meet the resident care needs. This affected three residents (#10, #34, and #45), and had the potential to affect all 74 residents residing in the facility. Findings include: Review of the Facility Assessment Tool, updated 01/05/23, revealed the competent staffing support to provide care for the resident population every day and during emergency range from three to nine direct care nurse aides per shift and two to four direct care nurses per shift. […]

• No harm, potential for more than minimal, widespreadF812Mar 30, 2023

  Based on observation, staff interview, and review of the facility policy, the facility failed to ensure foods were properly sealed, labeled, and dated in the freezer and failed to maintain the refrigerator and freezer in a sanitary condition. This had the potential to affect all 74 residents identified by the facility as reviewing food from the kitchen. The facility census was 74. Findings include: Observations on 03/27/23 at 9:00 A.M. in the upright freezer revealed there were opened and unlabeled foods including a bag of grilled chicken breast, bag of chicken tenders. There was an opened, unlabeled, and undated food items which included bag of chocolate chip cookies and bag of french fries. […]

• No harm, potential for more than minimal, patternF757Apr 9, 2026

  Based on review of the medical record, staff interview, and policy review the facility failed to ensure adequate monitoring for psychotropic medication effectiveness, side effects, and adverse effects. This affected five (#1, #11, #12, #44, and #62) of five residents reviewed for unnecessary medications. The facility census was 83. Findings include:1. Review of Resident #1's medical record revealed an admission date of 09/18/26. Diagnoses included end stage renal disease, gastrointestinal hemorrhage, chronic obstructive pulmonary disease, type two diabetes mellitus, and major depressive disorder. Review of resident #1's admission Minimum Data Set (MDS) dated [DATE] revealed Resident #1 had intact cognition with a Brief Interview for Mental Status (BIMS) score of 15. […]

• No harm, potential for more than minimal, patternF835Apr 9, 2026

  Based on observation, staff interview, and policy review, the facility failed to ensure routine monitoring was implemented for mechanical lift slings and stand assist devices in the facility. This had the potential to affect 31 (#3, #15, #23, #34, #74, #83, #30, #43, #80, #9, #31, #63, #29, #12, #54, #61, #72, #25 #11, #13, #17, #32, #40, #44, #47, #51, #56, #61, #72, #78 and #81) that the facility identified as requiring the use of a mechanical lift slings or stand assist devices. The facility census was 83.Findings include:Observation on 04/07/26 at 12:59 P.M. of a mechanical lift transfer from wheelchair to bed for Resident #83 completed by Certified Nurse Aide (CNA) #372 and CNA #390 revealed the sling used was worn and no longer had a tag attached. […]

• No harm, potential for more than minimal, patternF908Apr 9, 2026

  Based on observation, record review, staff interview, resident interview, review of manufacturer's instructions, and policy review, the facility failed to ensure mechanical lift slings were monitored and inspected per the manufacturer's instructions. This affected six (#83, #34, #15, #74, #23 and #3) and had the potential to affect 13 other residents (#11, #13, #17, #32, #40, #44, #47, #51, #56, #61, #72, #78 and #81) who the facility identified as requiring the use of a mechanical lift with slings for transfer. The facility census was 83.Findings include:1. Review of Resident #83's medical record revealed an admission date of 07/14/23. […]