Wooded Glen

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 19, 2021

  Based on observations, staff interviews, and policy review, the facility failed to practice safe food handling to prevent contamination. This had the potential to affect all 32 residents who receive food from the kitchen (Resident #13 receives nothing by mouth). The census was 33. Findings Include: Observation on 08/16/21 at 11:19 A.M., revealed a red bucket of cleaning water on the prep table. Beside the red bucket were two large uncovered five pound tubs of mushrooms and tomatoes. Observation of the serving line on 08/16/21 at 11:45 A.M., revealed Dietary Worker #48 placed plated pie on a serving cart with a gloved hand. When the piece of pie was placed on the cart it moved off the plate and Dietary Worker #48 used the same gloved hand to place the pie back onto the plate. […]

• No harm, potential for more than minimal, isolatedF761Sep 23, 2025

  Based on observation, policy review, and staff interview, the facility failed to ensure expired intravenous (IV) solution was removed from medication storage in accordance with a pharmacy label or manufacture's expiration date. This had the potential to affect one resident (#239) who the facility identified as receiving IV solution. The facility census was 51. Findings include:Observation on [DATE] at 1:12 P.M. of the IV cart on 400-hall with the Director of Nursing (DON) revealed Dextrose 5% and sodium chloride 9% 1,000 milliliter (ml) with do not use beyond date of [DATE], Lactated Ringers 1,000 ml with do not use beyond date of [DATE], 5% Dextrose 250 ml expiration of [DATE], 0.9% Sodium Chloride 50 ml with expiration of 12/2024, three bags 5% Dextrose 100 milligrams (mg) with… […]

• No harm, potential for more than minimal, isolatedF689Jun 4, 2025

  Based on record review, staff interviews, and policy review, the facility failed to ensure fall prevention interventions were utilized in accordance with physician orders. This affected one (#50) out of three residents reviewed for falls. The facility census was 49. Findings include: Review of the closed medical record for Resident #50 revealed an admission date of 04/01/25 and a discharge date of 05/04/25. Diagnoses included encephalopathy, acute respiratory failure with hypoxia, congestive heart failure, acute kidney failure, and chronic obstructive pulmonary disease. Review of the admission Minimum Data Set (MDS) assessment, dated 04/07/25, revealed Resident #50 had severely impaired cognition. […]

• No harm, potential for more than minimal, isolatedF761Aug 15, 2024

  Based on medical record review, observation, staff interview, and review of the facility policy, the facility failed ensure proper labeling of insulin vials. This affected one (Resident #33) resident of three reviewed for medication administration. The facility census was 50 residents. Findings include: Review of the medical record for Resident #33 revealed an admitted [DATE] with medical diagnoses including pancreatitis, diabetes mellitus, disorder of the thyroid, osteoarthritis, and asthma. […]

• No harm, potential for more than minimal, isolatedF880Aug 15, 2024

  Based on medical record review, observation, staff interview, and review of the facility policy, the facility failed to follow proper infection control practices during medication administration. This affected one (Resident #25) of the three residents reviewed for medication administration. The facility census was 50 residents. Findings include: Review of the medical record for Resident #25 revealed an admitted [DATE] with diagnoses of sepsis, clostridium difficile, colitis, hypertensive heart disease, and congestive heart failure. Review of the admission Minimum Data Set (MDS) assessment for Resident #25 dated 07/22/24 revealed the resident was cognitively intact and required staff assistance with activities of daily living. […]