Woodside Rehab & Nursing

In the surveyor’s words

From the most serious findings on record at Woodside Rehab & Nursing, in the surveyor’s own words.

• Actual harm, isolatedF684Mar 11, 2026

  Based on the complaint, medical record review, reviews of all pertinent records from a local hospital and emergency services provider, interviews with current staff, and an interview with the resident's attending physician, it was determined that the facility failed to 1) honor a resident's end of life wishes. This caused harm to Resident #2. The facility also failed to follow the physician's specific pulse and blood pressure parameters before administering a cardiac medications. […]

• No harm, potential for more than minimal, patternF812Apr 17, 2025

  Based on observation and interviews with facility staff, it was determined the facility failed to: 1) Remove outdated nourishment from the refrigerator, 2) ensure a sanitary environment in cleaning food items, and 3) ensure the labeling, dating, and expiration of food items. This was found to be evident during the facility's recertification/complaint Medicare/Medicaid survey and has the potential to affect all residents who consume food prepared in the facility's kitchen. The findings include: During the initial tour of the kitchen conducted on 04/09/2025 08:08 AM, a quarter jar of yellow mustard with open date of 12/05/2024 was seen in the refrigerator. […]

• No harm, potential for more than minimal, isolatedF628Jun 1, 2026

  Based on observations, record review and interviews it was determined that the facility failed to ensure: 1) appropriate resident information was sent to the receiving facility and 2) a resident's bed hold policy was maintained and care planned in accordance with facility policy and resident rights requirements, placing the resident at risk for misunderstanding bed hold procedures and return to facility expectations following hospitalization. This was evident for 3 (Resident #17, #6 and #77) out of 3 residents reviewed for hospitalizations. The findings include: 1. On 05/27/2026 at 11:15 AM, during unit rounding, the surveyor observed Staff #5 preparing Resident #17 to be transferred to the hospital. On 05/27/2026 at 11:55 AM, an interview with Staff #5 was conducted. […]

• No harm, potential for more than minimal, isolatedF641Jun 1, 2026

  Based on record reviews and interviews, it was determined that the facility to code the residents' status accurately on the Minimum Data Set (MDS) assessment. This was evident for 3 (Resident #10, #72 and #8) out of 4 reviewed for accuracy of assessment during the recertification survey. The findings include: 1. On 05/27/2026 at 9:38 AM, a review of Resident #10's medical records was conducted. The review revealed that the resident had an active order for Lovenox 30 mg at bedtime. […]

• No harm, potential for more than minimal, isolatedF656Jun 1, 2026

  Based on observation, record review it was determined that the facility failed to ensure that comprehensive care plans were developed and implemented. This was found to be evident for one (Resident #9) out of eighteen residents reviewed during an annual survey.The findings include: During screening on 5/26/26 at 8:43 AM, the surveyor noted that Resident #9 had an indwelling foley bag that was covered with a dignity bag. A review of Resident #9's electronic medical record (EMR) on 5/26/26 at 12:15 PM revealed that Resident #9 was admitted to the facility on [DATE] with diagnoses including but not limited to, prostate cancer with metastases to the bone. Further review disclosed an order for an indwelling catheter for obstructive uropathy was written on 4/18/26 by MD#27 (Medical Director). […]