Woodland Hills Healthcare and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Woodland Hills Healthcare and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF640Jul 30, 2026

  Number of residents sampled: Number of residents cited: Based on observations, interviews, record review and facility policy review, it was determined that the facility failed to electronically transmit encoded, accurate, and complete MDS data to the Centers for Medicare and Medicaid Services (CMS) System for 9 (Resident #5, Resident #14, Resident #19, Resident #20, Resident #30, Resident #42, Resident #45, Resident #54, and Resident #58) of 9 residents reviewed for Minimum Data Set (MDS) completion and submission within the timeframe of 14 calendar days per CMS guidelines. […]

• No harm, potential for more than minimal, widespreadF838Dec 18, 2024

  Surveyor: [NAME], [NAME] Based on document review and interviews, the facility failed to ensure the necessary care, and resources were allocated to meet the needs of the residents. The facility failed to ensure the amount of hours worked by the Infection Preventionist, based on the facility and resident population, was addressed in the Facility Assessment in order to meet resident needs. This deficient practice had the potential to affect all residents of the facility. The total census was 52 residents. 1. On 12/17/2024 at 3:30 PM, this surveyor interviewed the Administrator regarding low weekend staffing. The Administrator was aware of low weekend staffing for Certified Nursing Assistants for the weekend for the 4th quarter. Several call-ins for the weekend with no replacement found. […]

• No harm, potential for more than minimal, widespreadF803Dec 1, 2022

  Based on interviews, record review, and facility menu and policy review, the facility failed to ensure the planned, written menu was followed for residents who received meals from 1 of 1 kitchen. Specifically, the facility failed to provide milk with breakfast and/or dinner as per the menu for five days. This affected all 47 residents who resided in the facility and had a physician's order for a regular diet. Findings included: Review of a facility policy titled, Menu Substitution, dated 2019, revealed, Kitchen staff will consult with the director of food and nutrition services or designee on any needed menu substitutions. Review of a Diet Type Report, dated 12/01/2022, revealed all 47 residents were to be served a regular diet. […]

• No harm, potential for more than minimal, widespreadF812Dec 1, 2022

  Based on observations, interviews, and facility policy review, the facility failed to food was stored properly and dishes were maintained in clean condition and in good repair in 1 of 1 facility kitchen. Specifically, the facility: - failed to ensure food stored in the walk-in refrigerator was labeled, dated, and stored off of the floor. - failed to ensure dishes and pans were allowed to air dry before stacking/storing. - failed to ensure plates used to serve resident meals were free of chips/cracks. The failed practices had the potential to affect all 47 residents who resided in the facility and received meals from the kitchen. Findings included: 1. […]

• No harm, potential for more than minimal, widespreadF835Dec 1, 2022

  Based on interviews, record review, and facility policy and document review, it was determined the facility's administration failed to ensure the staff member acting as the administrator was knowledgeable regarding abuse reporting requirements, which resulted in failure to immediately report an allegation of abuse to the state survey agency (SSA) for 1 (Resident #23) of 1 resident reviewed for abuse. Additionally, the facility's administration failed to ensure a reliable system of addressing maintenance concerns was in place during a period when no maintenance staff were employed. […]