Woods Edge Rehab and Nursing

In the surveyor’s words

From the most serious findings on record at Woods Edge Rehab and Nursing, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 30, 2025

  Based on medical record review, observation, staff interview, review of the facility's investigation, review of witness statements, review of the facility Self-Reported Incidents (SRI), review of emergency medical services (EMS) report, review of hospital records, review of emergency room (ER) notes, review of the local weather report, and review of the facility policy, the facility failed to provide adequate supervision and implement timely interventions for exit-seeking behaviors for Resident #11, to prevent his elopement from the facility. […]

• Actual harm, isolatedF600Jul 7, 2022

  Based on medical record review, resident and staff interview, review of hospital records, review of the facility's Self-Reported Incidents (SRI) and investigation, and review of the facility's abuse policy, the facility failed to ensure residents were free from physical abuse. This resulted in Actual Harm when Resident #50 punched Resident #25 in the face several times resulting in Resident #25 sustaining a fracture to his nose, a laceration to his cheek, and swelling in his face. This affected one (Resident #25) of four residents reviewed for abuse. The facility census was 74. Findings include: 1. Review of Resident #25's medical record revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Apr 16, 2026

  Based on observation, staff interview, record review, and review of the facility policy, the facility failed to maintain a clean and sanitary kitchen. This had the potential to affect 75 of 77 residents who received food from the kitchen. Two residents received no food by mouth. The facility census was 77 residents.Findings include: 1.Observation on 04/13/26 at 9:06 A.M. of two deep freezers with Dietary Manager (DM) #12 revealed there was debris and scum at the bottom of each deep freezer. In one of the freezers there were 100 unlabeled and undated strawberry shortcakes and 50 unlabeled and undated vanilla pudding cups. One deep freezer did not have a thermometer. Observation of the food preparation area revealed there was no soap in the dispenser at the sink used for staff hand hygiene. […]

• No harm, potential for more than minimal, widespreadF812Mar 20, 2025

  Based on observation, staff interview, and policy review, the facility failed to properly label prepared foods in the refrigerator. This had the potential to affect all residents residing in the facility who receive food from the kitchen. The facility census was 85. Findings include: Observation and interview on 03/18/25 at 8:53 A.M. with Kitchen Supervisor (KS) #43 revealed during a tour of the kitchen, there were two trays of sandwiches, one tray of bowls of mandarin oranges, and three trays of cups of juice that were not labeled or dated inside the refrigerator. KS #43 verified the two trays of sandwiches, one tray of bowls of mandarin oranges, and three trays of cups of juice were not labeled or dated. KS #43 stated they should be labeled and dated. […]

• No harm, potential for more than minimal, widespreadF803Jun 7, 2024

  Based on observation, record review and interview, the facility failed to ensure menus were followed and residents were notified of menu changes prior to the meal. This had the potential to affect 88 of 89 residents. The facility identified one Resident (Resident #33) who did not receive food from the kitchen. The facility census was 89. Findings include: During observations on 06/03/24 between 10:50 A.M. and 11:10 A.M., the menus posted on each unit indicated the residents were to receive turkey and rice casserole, green peas, and a biscuit for the supper meal on 06/03/24 and were to receive a baked pork chop, stuffing, green beans, and a dinner roll for the supper meal on 06/02/24. […]