Facility profile · CCN 245235
Woodbury Health Care Center
43 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $26,685.
Record summary
Federal record · Q1 202643
Total citations
43
Last 3 years
3
Actual harm+
1
Federal penalties
$26,685
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
43 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 2, 2025 | F760 | Ensure that residents are free from significant medication errors. | J | Complaint |
| Jul 24, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Jul 24, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jul 24, 2025 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| Jul 24, 2025 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Jul 24, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jul 24, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jul 24, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Jul 24, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Apr 30, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Apr 30, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Mar 7, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Jun 27, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jun 27, 2024 | F758 | 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 necessary and PRN use is limited. | D | Standard |
| Jun 27, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Jun 27, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Jun 27, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Jun 27, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jun 27, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Jun 27, 2024 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
| Jun 27, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jun 27, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jun 27, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jun 27, 2024 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | B | Standard |
| Jun 27, 2024 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | B | Standard |
| Jun 27, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Jun 27, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Sep 15, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Aug 10, 2023 | F584 | 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. | E | Complaint |
| Aug 10, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 10, 2023 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Aug 10, 2023 | F761 | 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. | D | Standard |
| Aug 10, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Aug 10, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Aug 10, 2023 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Aug 10, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Aug 10, 2023 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Jul 3, 2023 | F729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Complaint |
| Jul 3, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jul 3, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jul 3, 2023 | F606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Complaint |
| Jul 3, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Jun 1, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $26,685 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 7, 2025 | Fine | $26,685 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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