Woodside Post Acute

In the surveyor’s words

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

• Immediate jeopardy, isolatedF610Mar 18, 2026

  Based on interview and record review it was determined the facility failed to investigate allegations of sexual abuse for 3 of 3 sampled residents (#s 102, 103, and 108) reviewed for allegations of sexual abuse. This placed all residents at risk for sexual abuse and constituted substandard quality of care. A determination was made that the facility's noncompliance placed Residents 102, 103, and 108 in immediate jeopardy, beginning on 3/17/26.On 3/17/26 at 2:12 PM, Staff 14, Staff 15 (Regional Directors of Clinical Service), and Staff 2 (DNS) were notified of the immediate jeopardy (IJ) situation and provided a copy of the IJ template related to the facility's failure to investigate allegations of sexual abuse. […]

• Immediate jeopardy, isolatedF678Jul 24, 2025

  Based on interview and record review, it was determined the facility failed to timely administer CPR for 1 of 3 sampled residents (#1) reviewed for CPR. This failure, determined to be an immediate jeopardy situation, resulted in Resident 1 receiving emergency CPR 13 to 20 minutes after Resident 1 was found unresponsive. This placed all residents at risk for not receiving timely CPR and constituted substandard quality of care. Findings include: The facility's [DATE] Policy and Procedure on Code Status and CPR stated in the event of a medical emergency where a resident is observed not breathing a staff member should initiate the following steps: - Call for help and bring crash cart to the area;- First CPR responder will verify code status of the resident in the EHR;- If the resident is full… […]

• Immediate jeopardy, isolatedF689Nov 14, 2024

  Based on interview and record review it was determined the facility failed to ensure a resident was safe from elopement for 1 of 1 sampled resident (#9) reviewed for elopement. This failure, determined to be an immediate jeopardy situation, resulted in Resident 9 leaving the facility without appropriate supervision and placed the resident at risk for serious injury or death. Findings include: Resident 9 admitted to the facility on [DATE] with diagnoses including stroke and dementia. The 7/30/24 hospital referral records indicated Resident 9 was withdrawn, and answered most questions with, I don't know. The record indicated, disorientation noted overnight and patient trying to leave, though was redirectable. […]

• Immediate jeopardy, isolatedF658Feb 1, 2022

  Based on interview and record review it was determined the facility failed to ensure Staff 10 (LPN) followed current standards of practice and followed physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This resulted in Resident 4 not having the opportunity for treatment and resulted in Resident 4's death. This failure resulted in an immediate jeopardy situation. This placed residents at risk for lack of a higher level of care, treatment and death. Findings include: [NAME] [DATE] Conduct Derogatory of the Standards of Nursing Define Conduct that adversely affects the health safety, and welfare of the public, fails to conform to legal nursing standards, or fails to conform to accepted standards of the nursing profession, is conduct derogatory to the standard of nursing. […]

• Immediate jeopardy, isolatedF684Feb 1, 2022

  Based on interview and record review it was determined the facility failed to follow physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . On [DATE] Resident 4's O2 sats dropped to 76% and was not transported to the hospital. Resident 4 did not have the opportunity for treatment which resulted in Resident 4's death. This failure resulted in an immediate jeopardy situation. This placed residents at risk for the lack of a higher level of care, treatment and death. Findings include: Resident 4 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] Resident 4's Progress Notes revealed the following: On [DATE] Resident 4 experienced diarrhea, complained of severe abdominal pain, dizziness and then had a syncopal episode (fainted). […]