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Woodland Terrace Care And Rehab

Inspection Results


Nursing Homes Tennessee Chattanooga Woodland Terrace Care And Rehab

Woodland Terrace Care And Rehab 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 Woodland Terrace Care And Rehab.

There are 315 nursing homes in Tennessee with a total of 6,551 deficiencies resulting in an average of 20.80 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
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
01-29-2021

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
08-06-2020

Reasonably accommodate the needs and preferences of each resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
08-06-2020

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
08-13-2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
08-06-2020

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
08-06-2020

Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-06-2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
G
Corrected:
08-06-2020

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:
E
Corrected:
08-06-2020

Provide enough food/fluids to maintain a resident's health.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-06-2020

Provide safe and appropriate respiratory care for a resident when needed.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-06-2020

Ensure each resident?s drug regimen must be free from unnecessary drugs.
Category:
Pharmacy Service Deficiencies
Scope:
E
Corrected:
08-06-2020

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:
08-06-2020

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category:
Nutrition and Dietary Deficiencies
Scope:
F
Corrected:
08-06-2020

Have a plan that describes the process for conducting QAPI and QAA activities.
Category:
Administration Deficiencies
Scope:
F
Corrected:
08-13-2020

Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
08-06-2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
10-31-2019

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Category:
Resident Rights Deficiencies
Scope:
C
Corrected:
02-01-2019

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
02-15-2019

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
02-15-2019

Provide activities to meet all resident's needs.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
02-15-2019

Ensure each resident?s drug regimen must be free from unnecessary drugs.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
02-15-2019

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category:
Administration Deficiencies
Scope:
E
Corrected:
02-15-2019

Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
02-15-2019

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
11-02-2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
03-16-2018

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:
D
Corrected:
03-16-2018

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:
03-16-2018

Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
03-16-2018

Develop and maintain an Emergency Preparedness Program (EP).
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
08-06-2020

Include a process for Emergency Preparedness collaboration.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
08-06-2020

Establish emergency prep training and testing.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
08-06-2020

Implement emergency and standby power systems.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
08-06-2020

Have approved installation, maintenance and testing program for fire alarm systems.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
08-06-2020

To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
08-06-2020

Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
08-06-2020

Establish policies and procedures for volunteers.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-01-2019

Provide family notifications of emergency plan.
Category:
Emergency Preparedness Deficiencies
Scope:
D
Corrected:
02-01-2019

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:
D
Corrected:
02-01-2019

Have approved installation, maintenance and testing program for fire alarm systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
02-15-2019

Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
02-01-2019

Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
02-15-2019

Ensure that testing and maintenance of electrical equipment is performed.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
03-11-2019

Develop and maintain an Emergency Preparedness Program (EP).
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-23-2018

Conduct risk assessment and an All-Hazards approach.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-23-2018

Include a process for Emergency Preparedness collaboration.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-23-2018

Establish policies and procedures for volunteers.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-23-2018

Establish roles under a Waiver declared by secretary.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-23-2018

List the names and contact information of those in the facility.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-23-2018

Provide a means of sharing information on occupancy/needs.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-23-2018

Conduct testing and exercise requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
03-23-2018

Keep aisles, corridors, and exits free of obstruction in case of emergency.
Category:
Egress Deficiencies
Scope:
F
Corrected:
03-23-2018

Construct fire resistant interior walls.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
04-13-2018

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
03-23-2018

Install corridor and hallway doors that block smoke.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
03-23-2018

Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
03-23-2018

Have proper medical gas storage and administration areas.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
03-23-2018



Learn more about Woodland Terrace Care And Rehab at the following resources

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Woodland Terrace Care And Rehab


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