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Woodlands The

Inspection Results


Nursing Homes Indiana Muncie Woodlands The

Woodlands The has been cited for a total of 57 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Woodlands The.

There are 508 nursing homes in Indiana with a total of 24,835 deficiencies resulting in an average of 48.89 deficiencies per nursing home.



The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies


Deficiency Cited, Scope, and Date of Correction
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
10-04-2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
10-04-2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
10-04-2019

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
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
10-04-2019

Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
10-04-2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
08-31-2018

Ensure each resident receives an accurate assessment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
08-31-2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-31-2018

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.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
08-31-2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
G
Corrected:
06-29-2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Category:
Nursing and Physician Services Deficiencies
Scope:
D
Corrected:
06-29-2018

Conduct initial and periodic assessments of each resident's functional capacity.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
11-24-2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Category:
Pharmacy Service Deficiencies
Scope:
E
Corrected:
11-24-2017

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
11-24-2017

Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Category:
Egress Deficiencies
Scope:
E
Corrected:
12-05-2019

Install emergency lighting that can last at least 1 1/2 hours.
Category:
Egress Deficiencies
Scope:
F
Corrected:
12-05-2019

Meet other general requirements that are deficient.
Category:
Egress Deficiencies
Scope:
C
Corrected:
12-05-2019

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
12-05-2019

Have approved installation, maintenance and testing program for fire alarm systems.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
12-05-2019

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
12-05-2019

Have properly installed electrical wiring and gas equipment.
Category:
Services Deficiencies
Scope:
F
Corrected:
12-05-2019

Have an externally vented heating system.
Category:
Services Deficiencies
Scope:
E
Corrected:
12-05-2019

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
12-05-2019

Have restrictions on the use of portable space heaters.
Category:
Miscellaneous Deficiencies
Scope:
E
Corrected:
12-05-2019

Meet other general requirements that are deficient.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
12-05-2019

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
12-05-2019

Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
12-05-2019

Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
12-05-2019

Establish staff and initial training requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
E
Corrected:
10-12-2018

Install an approved automatic sprinkler system.
Category:
Smoke Deficiencies
Scope:
B
Corrected:
10-12-2018

Install corridor and hallway doors that block smoke.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
10-12-2018

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
10-12-2018

Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
10-12-2018

Meet other general requirements that are deficient.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
06-21-2018

Address subsistence needs for staff and patients.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
12-29-2017

Establish procedures for tracking staff and patients during an emergency.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
12-29-2017

Establish policies and procedures for medical documentation.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
12-29-2017

Establish policies and procedures for volunteers.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
12-29-2017

Create arrangements with other facilities to receive patients.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
12-29-2017

Establish roles under a Waiver declared by secretary.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
12-29-2017

Establish methods for sharing information.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
12-29-2017

Provide a means of sharing information on occupancy/needs.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
12-29-2017

Establish emergency prep training and testing.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
12-29-2017

Establish staff and initial training requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
12-29-2017

Conduct testing and exercise requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
12-29-2017

Keep aisles, corridors, and exits free of obstruction in case of emergency.
Category:
Egress Deficiencies
Scope:
E
Corrected:
12-29-2017

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Category:
Egress Deficiencies
Scope:
F
Corrected:
12-29-2017

Install emergency lighting that can last at least 1 1/2 hours.
Category:
Egress Deficiencies
Scope:
F
Corrected:
12-29-2017

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
12-29-2017

Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Category:
Smoke Deficiencies
Scope:
C
Corrected:
12-29-2017

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
C
Corrected:
12-29-2017

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Category:
Smoke Deficiencies
Scope:
C
Corrected:
12-29-2017

Properly select, install, inspect, or maintain portable fire extinguishes.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
12-29-2017

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
12-29-2017

Provide a written emergency evacuation plan.
Category:
Miscellaneous Deficiencies
Scope:
C
Corrected:
12-29-2017

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Category:
Miscellaneous Deficiencies
Scope:
E
Corrected:
12-29-2017

Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
12-29-2017



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Woodlands The


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