Woodlake at Tolland

In the surveyor’s words

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

• Actual harm, isolatedF684Nov 2, 2021

  Based on clinical record review, facility documentation review, facility policy review, and interviews for one of four residents (Resident #42) reviewed for activities of daily living, the facility failed ensure a dependent resident was provided with supervision to prevent an injury, and for one of five residents reviewed for pressure ulcer/injury (Resident #61) the facility failed to ensure provided wound care timely in accordance with physician orders. The findings include: a. Resident #42's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Mar 26, 2024

  Based on observation, review of facility documentation, and interviews, the facility failed to ensure opened refrigerator items were dated and discarded, per the facility policy, spoiled food products were discarded, frozen food items were covered, and beverage items were stored in a sanitary manner. The findings include: 1. During an initial tour of the facility kitchen on 3/24/24 at 7:10 AM with the Dietary Director, the following were identified: a. Observation of the reach-in refrigerator identified 4 opened Lactaid cartons without the benefit of an open date label and 1 carton of tomato juice, with an open date of 3/9/24. […]

• No harm, potential for more than minimal, widespreadF802Nov 2, 2021

  Based on observation, facility documentation review, facility policy review, and staff interviews for facility review of dining, the facility failed to ensure sufficient dining staff to ensure meals were provided within the scheduled times, and the facility failed to steam table food temperatures were maintained and served at holding temperatures, and for one sampled resident (Resident #115) reviewed for unnecessary medications, the facility failed to ensure residents who require insulin injections with meals receive their meals timely. The findings included: Review of facility documentation identified the scheduled meal times were: Rehab unit - 8:15 AM, 11:45 AM and 4:45 PM; Main floor - 8:15 AM, 12 noon and 5 PM; and the Second floor - 8:15 AM, 12:30 PM and 5:30 PM. a. […]

• No harm, potential for more than minimal, widespreadF802Sep 15, 2021

  Based on observations, facility documentation review, and interviews, the facility failed to provide adequate Dietary staffing to ensure resident meals were provided timely in accordance with scheduled meal times, and the facility failed to ensure sufficient Dietary staffing to provide meal service including non-disposable dishes and utensils were provided for all resident meals. The findings include: Review of the facility documentation identified Breakfast was to be served at 8:15 AM daily. Observations on 9/10/2021 from 9:45 to 10:30 AM identified residents were still having breakfast. An interview with Resident #1 on 9/10/2021 at 9:50 AM identified he/she was unhappy with the meals. Resident #1 indicated the food served was cold, was late, had no flavor, and was not edible. […]

• No harm, potential for more than minimal, widespreadF880Sep 15, 2021

  Based on observations, facility documentation review, and interviews for infection control practices, the facility failed to ensure staff used PPE in accordance with accepted guidelines for residents on isolation for an exposure to COVID-19, and the facility failed to ensure housekeeping activities did not occur during mealtimes, and the facility failed to ensure all staff were provided education timely regarding isolation for COVID-19 exposed residents. The findings include: Observation and interview with the Administrator and Acting Director of Nursing on 9/10/2021 at 9:15 AM identified that all residents located on the first and second floors of the facility were on quarantine secondary to exposure to staff members who tested positive for COVID-19 infection. […]