Woodview Home, Inc.

In the surveyor’s words

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

• Actual harm, patternF689Feb 12, 2025

  Based on observation, record review, and interview the facility failed to ensure adequate safety measures during transportation to prevent accidents for 2 (#1 and #4) of 2 sampled residents reviewed for accidents. The administrator identified two residents who had experienced accidents during transportation in the past six months. An undated Facility Process to Authorize Company Vehicle Drivers policy, read in part, All persons who drive any company owned vehicle, including vans, ARE REQUIRED to be an authorized driver under the company's current auto insurance policy .The employee being considered must be [AGE] years of age or older .The facility will request a Motor Vehicle Record in the employee's name .The facility is to manage their list of drivers to include providing in-service… […]

• No harm, potential for more than minimal, patternF609Feb 3, 2026

  Based on record review and interview, the facility failed to report allegations of abuse to OSDH within two hours for 2 (#1 and #3) of 4 sampled residents reviewed for abuse.The administrator identified 40 residents resided in the facility. Findings: An Abuse, Neglect, Exploitation or Misappropriation-Reporting and Investigating policy, dated September 2022, read in part, Reporting Allegations to the Administrator and Authorities.3. 'immediately' is defined as: a. within two hours of an allegation involving abuse. 1. An initial incident report form, dated 06/11/25, showed Resident #3 had a diagnosis of severe dementia and they ambulated independently. […]

• No harm, potential for more than minimal, patternF812Jun 9, 2022

  Based on record review, observation, and interview, the facility failed to ensure the ice machine was clean and sanitary. The dietary manager reported 34 residents received daily ice from the machine. Findings: A maintenance log record documented monthly cleaning of the ice machine. The record documented 5/20/22 as the last date the ice machine had been cleaned and checked. On 06/07/22 at 10:08 a.m., the ice machine was observed to have a slimy film, with brown and black residue, on the ice guard plate inside the machine. At 10:21 a.m. the dietary manager was shown the residue and agreed it was not clean and sanitary for resident use.

• No harm, potential for more than minimal, isolatedF600Feb 3, 2026

  Based on observation, record review, and interview, the facility failed to ensure a resident was free from abuse for 1 (#1) of 4 sampled residents reviewed for abuse.The administrator identified 40 residents resided in the facility. Findings:1.On 02/02/26 at 11:00 a.m., Resident #1 was observed being assisted to the restroom by staff.On 02/02/26 at 11:35 a.m., Resident #1 was observed sitting in the common area in front of the nurses' station smiling and waving at the surveyor. A quarterly assessment for Resident #1, dated 11/05/25, showed the resident had diagnoses which included down syndrome and cerebral infarction. […]

• No harm, potential for more than minimal, isolatedF656Dec 12, 2024

  Based on observation, record review, and interview, the facility failed to implement a fall prevention per the resident's care plan for one (#13) of three sampled residents reviewed for falls. The administrator reported 44 residents resided in the facility. A Falls - Clinical Protocol policy, dated March 2018, read in part, If underlying causes cannot be readily identified or corrected, staff will try various relevant interventions, based on assessment of the nature or category of falling .The staff and physician will monitor and document the individual's response to interventions intended to reduce falling or the consequences of falling. Resident #13 had diagnoses which included Alzheimer's disease, congestive heart failure, chronic pain, and a history of falls. […]