Woodland Manor

In the surveyor’s words

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

• Immediate jeopardy, patternF880May 17, 2024

  Based on observation, interview, and record review, the facility failed to provide nursing services in a safe and sanitary manner to prevent the transmission of communicable diseases and infections related to not sanitizing the glucometer (portable machine used to test blood sugar levels) between uses for 2 of 16 residents (Residents 29 & 5) randomly observed for glucose monitoring. The facility identified 2 of the 5 residents with bloodborne communicable disease who resided in the facility used the shared glucometer. (Residents 28 & 38) This deficient practice resulted in a high potential risk for disease transmission for the 16 residents in the facility who required glucometer blood sugar testing. […]

• Immediate jeopardy, isolatedF803Sep 3, 2021

  Based on record review and interview, the facility failed to ensure a resident who received a pureed diet for frequent choking episodes did not receive food items other than pureed consistency for 1 of 1 residents reviewed for dietary needs. (Resident B) The Immediate Jeopardy began on [DATE] when the facility failed to ensure Resident B was provided the appropriate diet consistency as a snack during an activity, resulting in her choking and requiring the [MEDICATION(S)] manuever and CPR (cardiopulmonary resuscitation) before being admitted to the hospital. The Administrator was notified of the Immediate Jeopardy on [DATE] at 4:40 P.M. […]

• Immediate jeopardy, isolatedF604Jul 27, 2021

  Based on observation, interview and record review, the facility failed to ensure a cognitively impaired resident with known recurrent behaviors was not restrained to keep him from getting up from his room recliner for 1 of 1 randomly observed residents. (Resident 41) The Immediate Jeopardy began on 7/21/2021 when the facility failed to ensure Resident 41 was not restrained from rising from his room recliner and leaving his room. The Administrator was notified of the Immediate Jeopardy at 2:35 P.M. on 7/23/2021. […]

• Immediate jeopardy, isolatedF689Jul 27, 2021

  Based on observation, interview and record review, the facility failed to provide adequate care and supervision, including behavior care planning and interventions, to prevent a confused resident from repeatedly acting out against other residents, resulting in imminent danger to himself and other residents. (Resident 41) In addition to the residents in Immediate Jeopardy, the facility failed to ensure adequate supervision to prevent falls, consistently implement appropriate and individualized interventions to reduce risk of further falls, monitor the effectiveness of each residents' fall interventions, thoroughly analyze each fall incident to determine the root cause of the fall and revise the resident's care plan to reflect new or changed interventions after each fall as needed for 3 of 5… […]

• Immediate jeopardy, isolatedF744Jul 27, 2021

  Based on observation, interview and record reveiw, the facility failed to ensure residents with dementia and aggressive behaviors received appropriate resdient specific programming and ongoing interventions which resulted in multiple injuries, harm to self and harm to others, includeing fear and psychosocial harm to the reasonable person, for 3 of 5 residents reviewed for dementia care. (Resident 41, 21 & 28) The Immediate Jeopardy began on 10/2/2020 when the facility failed to ensure Resident 41 was not provided with specific programming to assist with his dementia. The Administrator was notified of the Immediate Jeopardy at 2:36 P.M. on 7/23/2021. […]