Woodridge Nursing Home

In the surveyor’s words

From the most serious findings on record at Woodridge Nursing Home, in the surveyor’s own words.

• Actual harm, isolatedF600Sep 23, 2025

  Based on observations, interviews, and record review, the facility failed to protect the resident's right to be free from physical abuse by another resident, as a result, 1 of 3 sampled residents (Resident #1) suffered physical harm. Findings include:Per record review, Resident #1's diagnoses include frontotemporal neurocognitive disorder. Per review of Minimum Date Set (MDS; a standardized tool used to evaluate residents' needs and improve care planning) dated 8/4/25, Resident #1 has a BIMS (Brief Interview for Mental Status) of 11, suggesting moderate cognitive impairment. Per record review, Resident #2's diagnoses include unspecified symptoms and signs involving cognitive function and awareness, major depressive disorder, unspecified dementia, and restlessness and agitation. […]

• Actual harm, isolatedF658Jun 24, 2021

  Based on observation, staff interview and record review the facility failed to meet professional standards of practice regarding wound care for 5 of 9 applicable residents (Residents #1, #2, #4, #5, and #7). The findings include the following: 1. Per record review for Resident #1, the resident was admitted to the facility with chronic leg ulcers. Per observation on 6/22/21 at approximately 10:30 AM, the Licensed Practical Nurse (LPN) was to complete a dressing change to both legs. The LPN and the Registered Nurse (RN) nurse surveyor donned full PPE (gloves/gown/eye protection) and entered the resident's room. The resident's bed stored the necessary supplies required for the treatment. The room was observed as disorganized and cluttered with the breakfast tray present on the bedside table. […]

• Actual harm, isolatedF686Jun 24, 2021

  Based on observation, staff interview and record review, the facility failed to ensure that necessary treatment and services are provided consistent with professional standards of practice to prevent pressure ulcers, for 1 of 7 applicable residents sampled, (Resident #1). The findings include the following: Per review of Resident #1's progress notes dated 6/20/21 the facility received report from RN (Registered Nurse) from the Medical Center Emergency Department (ED), that Resident #1, also has an open area to right buttock near cleft center of right buttock measures 1 centimeter (cm) round, [MEDICATION(S)] dressing applied. […]

• Actual harm, isolatedF925Jun 24, 2021

  Based on observation, administrative staff report reviews and staff interviews, the facility failed to maintain an effective pest control program ensuring that the facility is pest free, as evidenced by dead flies in overhead light fixtures on all three units, the dining room, and the dietary department. The facility also failed to ensure that 1 resident (Resident #9), with diagnosed maggots in his/her wound could not infest other residents. A second resident (#1) was diagnosed with infected maggots in his/her wounds 20 days later. The findings include the following: Per facility tour on 6/22/21 beginning at approximately 8:15 AM the surveyor observed evidence of dead flies in the plastic coverings of several overhead light fixtures in the following locations. Spruce Common Unit: Rm. […]

• Actual harm, isolatedF657Mar 23, 2021

  Based upon interview and record review, the facility failed to review and revise the Care Plan of one resident [Res.#1] of 4 sampled residents regarding prevention of falls and injury. Findings include: Res. #1 was initially admitted to the facility in 2019 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of the facility's Fall Prevention Policy identifies the Prevention procedure as Residents will be individually evaluated for the potential risk of falling so that reasonable and appropriate measures can be developed to address each resident's individual needs in an effort to mitigate the identified risk areas. A review of Res. […]