Woodward Skilled Nursing and Therapy

In the surveyor’s words

From the most serious findings on record at Woodward Skilled Nursing and Therapy, in the surveyor’s own words.

• Actual harm, isolatedF689Apr 25, 2025

  Based on observation, record review and interview, the facility failed to ensure a 2 person transfer was completed per the care plan for 1 (#1) of 3 sampled residents reviewed for accident hazards. The DON identified 43 residents resided in the facility and 17 residents required two staff members to transfer. Findings: On 04/22/25 at 3:08 p.m., Resident #1 was observed in their room, sitting in their recliner, with a mechanical lift sheet under them. Resident #1 did not answer questions appropriately or would answer, I don't know. On 04/23/25 at 12:52 p.m., CNA #4 and CNA #5 were observed to use a mechanical lift and transfer Resident #1 from their wheelchair to their recliner. Resident #1's Care Plan, dated 06/21/22, read in part, assist x 2 for transfers. […]

• No harm, potential for more than minimal, widespreadF804Mar 15, 2023

  Based on record review and interview, the facility failed to monitor food holding temperatures to ensure safe temperatures were maintained on the steam tables during meal services. The Resident Census and Conditions of Residents, dated 03/14/23, documented the facility census to be 54, and all residents received meal service from the kitchen. Findings: The weekly Daily Hot Food Table Temperature Chart, forms, dated 01/03/23 through 03/11/23, contained no entry or incomplete entries of food holding temperatures as follows: a. the breakfast meal contained no or incomplete temperatures for four of 70 breakfast meals served, b. the lunch meal contained no or incomplete temperatures for seven of 70 lunch meals served, and c. […]

• No harm, potential for more than minimal, patternF725Jul 16, 2026

  Based on observation, record review, and interview, the facility failed to ensure sufficient staffing was available:a. to turn and reposition residents at risk for pressure ulcers for 1 (#3); andb. to prevent dependent residents from being taken to the dining room one hour before meals for 1 (#9) of 3 sampled residents reviewed for staffing. The DON identified 15 dependent residents resided in the facility.Findings: 1. On 07/14/26 from 8:49 a.m. to 11:39 a.m., during continuous observation, Resident #3 was observed lying on their right side in bed throughout the observation period. […]

• No harm, potential for more than minimal, patternF730Jul 16, 2026

  Based on record review and interview, the facility failed to ensure annual nurse aide skill reviews was conducted for 2 (CNA #2 and CNA #3) of 2 nurse aides sampled for employee training review. The administrator identified 35 residents resided in the facility. Findings: 1. CNA #2's employee file showed they had a hire date of 10/16/24. There was no documentation to show CNA #2 had an annual skills review completed in or after 10/2025. 2. CNA #3's employee file showed they had a hire date of 01/08/25. There was no documentation to show CNA #3 had an annual skills review in or after 01/2026. On 07/16/26 at 12:51 p.m., the administrator stated the required annual skills review for CNA #2 and CNA#3 were not conducted.

• No harm, potential for more than minimal, patternF925Jul 16, 2026

  Based on observation and interview, the facility failed to maintain an effective pest control program to ensure the facility remained free of pests.The administrator identified 35 residents resided in the facility. Findings:On 07/14/26 at 10:57 a.m., during an observation of the lunch meal service, three flies were observed on the dining table while residents drank coffee.On 07/14/26 at 11:34 a.m., during an observation of the lunch meal service, eight flies landed on top of the steam table while food was being prepared and served from the steam table.On 07/14/26 at 11:36 a.m., during an observation of the lunch meal, there was a blue light hung in the dining room on the wall.On 07/14/26 at 11:56 a.m., during an observation of the lunch meal service, flies were observed landing on… […]