Inspection Results » Woodland Hill Center

Health Inspection on January 25, 2019 ^[1]

1. Isolated: Immediate jeopardy to the resident health or safety

   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2019-02-27)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-02-27)

2. Pattern: Actual harm that is not immediate jeopardy

   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-02-27)

3. Isolated: Actual harm that is not immediate jeopardy

   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. (Corrected 2019-02-27)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-02-27)

4. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-02-27)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2019-02-27)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-27)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-02-27)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-02-27)
   • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne (Corrected 2019-02-27)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-02-27)

5. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-02-27)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-02-27)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-02-27)
   • Assess the resident when there is a significant change in condition (Corrected 2019-02-27)
   • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2019-02-27)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-02-27)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-02-27)
   • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Corrected 2019-02-27)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-02-27)

6. Pattern: No actual harm with potential for minimal harm

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-02-27)