Woodside Healthcare Center

In the surveyor’s words

From the most serious findings on record at Woodside Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 2, 2023

  Based on observation, interview, and record review the facility failed to store food and maintain equipment per professional standards for food service safety when: 1. The bananas were stored less than the standard of 6 (inches, a unit of measurement) off the floor; 2. The chest freezer had a brown substance on the inside lid and ice buildup on all four sides inside the freezer extending down approximately 8, and ice buildup on the back ledges that created a poor seal; 3. A large blender with the lid on was stored and ready to use, with noticeable clear liquid dripping down the inside walls and with liquid pooled at the bottom; 4. The can opener was found with a chipped metal tip covered with a brown sticky substance; 5. […]

• No harm, potential for more than minimal, widespreadF812Dec 3, 2021

  Based on observation, interview and record review, the facility failed to ensure food removed from the freezer and placed in the refrigerator was dated and personal items were not placed in the food storage room when: 1. Undated wrapped bacon was observed thawing in the refrigerator and 2. Personal items were observed in the dry food storage room. This failure had the potential to result in food borne illnesses for 49 residents who received food from the kitchen. Findings: During the initial brief tour of the Kitchen on 11/30/21, starting from 8:15 a.m., accompanied by the Dietary Services Supervisor (DSS): 1. An undated wrapped bacon was observed in the bottom shelf of the refrigerator located near the food services area. […]

• No harm, potential for more than minimal, patternF689Nov 22, 2024

  Based on observation, interview and record review, the facility failed to provide an environment free from potential accident hazard for three of 23 sampled residents (Resident 259, Resident 261, and Resident 414), when electrical extension cords were observed laying on the floor inside the rooms of Resident 259 and Resident 261, and hanging unsecured in Resident 414's room. This failure had the potential to result in accidents and falls for Residents 259, 261, and 414. Findings: 1a. During a review of Resident 259's admission records, the records indicated Resident 259 was admitted in November 2024 with diagnoses which included anxiety, restless legs syndrome (a very strong urge to move the legs), and muscle weakness. […]

• No harm, potential for more than minimal, patternF755Nov 22, 2024

  Based on observation, interview, and record review the facility failed to ensure safe and effective pharmaceutical services for a census of 55 residents when: 1. Resident 35's controlled drug (medications that the use and possession of are controlled by the federal government) use and removal from Controlled Drug Record (CDR- a paper log of controlled drug removal for administration to resident) was not accurately documented in Resident 35's Medication Administration Record (MAR - a daily documentation record used by a licensed nurse to document medications and treatments given to a resident) and Resident 12's controlled drug use documented in the MAR was not accurately signed out in Resident 12's CDR; and, 2. […]

• No harm, potential for more than minimal, patternF759Nov 22, 2024

  Based on observation, interview, and record review the facility failed to ensure safe medication administration practices when the facility's medication error rate was more than 5% (percentage- number or ratio that expressed as a fraction of 100) for a resident census of 55. Medication administration observations were conducted over multiple days, at varied times, in random locations throughout the facility. The facility had a total of four errors out of 33 opportunities which resulted in a facility wide medication error rate of 12.12 % in three out of 11 residents (Resident 261, Resident 359, and Resident 360) observed for medication administration. […]