Woodcrest at Blakeford

In the surveyor’s words

From the most serious findings on record at Woodcrest at Blakeford, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF657Mar 23, 2022

  Based on facility policy review, medical record review, and interview, the facility failed to perform Interdisciplinary Team (IDT) Care Plan meetings for 10 of 29 sampled residents (Resident #2, #3, #9, #12, #17, #21, #22, #28, #29, and #43) and the facility failed to revise the Care Plan for 1 of 29 sampled residents (Resident #2). The findings include: Review of the facility policy titled, Care Plans, Comprehensive Person-Centered, with revision date 9/20/2021 revealed .the Interdisciplinary Team [IDT], in conjunction with the resident and his/her family or legal representative, develops and implements a comprehensive, person-centered care plan for each resident .assessments of residents are ongoing and care plans are revised as information about the residents and the resident's… […]

• No harm, potential for more than minimal, patternF727Mar 23, 2022

  Based on facility documentation and interview the facility failed to have at least 8 hours of Registered Nurse (RN) coverage in the facility. The findings include: Review of the facility daily staffing revealed in November 2020 the facility had 5 days of no 8 hour RN coverage. December 2020 the facility had 3 days of no 8 hour RN coverage; January 2021 the facility had 1 day of no 8 hour RN coverage; February 2021 the facility had 3 days of no 8 hour RN coverage; March 2021 the facility had 1 day of no 8 hour RN coverage; May 2021 the facility had 1 day of no 8 hour RN coverage; June 2021 the facility had 1 day of no 8 hour RN coverage; July 2021 the facility had 3 days of no 8 hour RN coverage; August 2021 the facility had 2 days of no 8 hour RN coverage; December 2021 the facility had 1… […]

• No harm, potential for more than minimal, isolatedF550Mar 5, 2026

  Based on facility policy review, record review, facility document review, and interview, the facility failed to ensure staff honored residents' rights related to self-determination, which affected 1 (Resident #31) of 1 resident reviewed for dignity concerns. The findings include: An undated facility policy titled, Resident Rights And Responsibilities, revealed, The resident has the right to, which included, Refuse treatment to the extent permitted by law and be informed of the medical consequences of such refusal, and Exercise his or her rights without being subjected to discrimination or reprisal. An admission Record revealed the facility admitted Resident #31 on 10/26/2023. […]

• No harm, potential for more than minimal, isolatedF609Mar 5, 2026

  Based on interview, record review, and facility document and policy review, the facility failed to submit an initial report of an allegation of staff-to-resident abuse to the state survey agency within two hours for 1 (Resident #31) of 1 resident reviewed for abuse. Specifically, CNA #18 failed to report an allegation of staff-to-resident abuse that occurred on 09/06/2024 until 09/13/2024. The findings include: A facility policy titled, Abuse, Neglect, Misappropriation Protocol, revised 04/2025, revealed, 1. Any individual observing an incident of resident abuse or suspecting resident abuse must immediately report such incident to the Administrator or Director of Nursing. An admission Record revealed the facility admitted Resident #31 on 10/26/2023. […]

• No harm, potential for more than minimal, isolatedF678Mar 5, 2026

  Based on record review, interview, review of facility policy, and review of the American Heart Association Adult Basic Life Support Algorithm, the facility failed to have documented evidence that Emergency Medical Services (EMS or 911) was contacted or that an Automated External Defibrillator (AED) was utilized when cardiopulmonary resuscitation (CPR) was provided for 1 resident (Resident #78) of 2 residents reviewed for CPR, who had a physician's order for a full code (a medical directive indicating that if a person's heart stops or they stop breathing, healthcare providers will use all available life saving measures to revive them). […]