Facility profile · CCN 245320
Woodlyn Heights Healthcare Center
54 federal citations on record , including 1 at the Immediate Jeopardy level.
Record summary
Federal record · Q1 202654
Total citations
52
Last 3 years
2
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
54 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 31, 2025 | 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 |
| Dec 31, 2025 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard |
| Dec 31, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Dec 31, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 31, 2025 | 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 |
| Dec 31, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard |
| Dec 31, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Dec 31, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Dec 31, 2025 | 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 |
| Dec 31, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Dec 31, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard |
| Dec 31, 2025 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
| Dec 31, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Dec 5, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Dec 5, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Dec 5, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Dec 5, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Dec 5, 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 |
| Dec 5, 2024 | F732 | Post nurse staffing information every day. | C | Standard |
| Dec 5, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Dec 5, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Dec 5, 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 |
| Dec 5, 2024 | F680 | Ensure the activities program is directed by a qualified professional. | C | Standard |
| Dec 5, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Dec 5, 2024 | 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. | D | Standard |
| Dec 5, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Dec 5, 2024 | 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 |
| Dec 5, 2024 | F570 | Assure the security of all personal funds of residents deposited with the facility. | C | Complaint |
| Nov 26, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Jul 17, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jul 17, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint |
| Jul 17, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | G | Complaint |
| Jul 17, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Jul 17, 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 | Complaint |
| Jul 17, 2024 | 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. | D | Complaint |
| Mar 14, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 14, 2024 | F848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | E | Standard |
| Mar 14, 2024 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard |
| Mar 14, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Mar 14, 2024 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Mar 14, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Mar 14, 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 |
| Mar 14, 2024 | F732 | Post nurse staffing information every day. | C | Standard |
| Mar 14, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 14, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Mar 14, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Mar 14, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Mar 14, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Mar 5, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Sep 6, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Jun 29, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jun 29, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Apr 19, 2023 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint |
| Mar 15, 2023 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint |
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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