Inspection Reports for Woodland Village Nursing Center

The visit was a desk review conducted by the State Agency on 08/25/2025 related to the annual survey conducted on 06/25/2025 to verify correction of deficient practices and compliance with the Life Safety Code.

The facility met all applicable Federal, State, and local emergency preparedness requirements with no deficiencies cited. The State Agency recommended the facility be placed back in compliance effective 07/21/2025.

The State Agency conducted a desk review of information related to the annual survey completed on 2025-06-26 to verify corrective measures taken by the facility.

The facility provided information confirming corrective actions were implemented to address deficient practices, and the State Agency recommended placing the facility back in compliance effective 2025-07-25.

The State Agency conducted a complaint investigation related to physical abuse at the facility on 07/31/2025.

The facility was found to be in compliance with Medicare and Medicaid requirements with no deficiencies cited during this investigation. However, the facility remains out of compliance due to deficiencies cited in a prior survey dated 06/26/2025.

Complaint Investigation (CI MS #2561850) related to physical abuse was conducted; no deficiencies were cited and the facility was found in compliance during this visit.

The State Agency conducted a complaint investigation related to physical abuse at the facility on 07/31/2025.

The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. No deficiencies were cited during this investigation, but the facility remains out of compliance due to deficiencies cited in a prior survey on 06/26/2025.

Complaint Investigation MS #2561850 related to physical abuse was conducted and found no deficiencies.

The State Agency conducted an annual recertification survey at the facility from 06/23/2025 through 06/26/2025 to determine compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance with multiple regulatory requirements including personal privacy/confidentiality, accuracy of assessments, food preferences, food safety, quality assurance, infection control, and pest control. Deficiencies included posting resident health information, inaccurate MDS coding, failure to honor food preferences, improper food storage, ineffective QAPI follow-up, improper handling of soiled linens, and presence of ants causing resident bites.

The State Agency conducted an annual recertification survey at Memorial Woodland Village Nursing Center from 06/23/2025 through 06/26/2025 to assess compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements.

The facility was found not in compliance with several standards including residents' rights, safe food handling, pest control, and infection control. Specific deficiencies included posting personal health information in resident rooms, improper food storage and labeling, ineffective pest control resulting in ant bites to a resident, and improper handling of soiled linens increasing infection risk.

The State Agency conducted an annual recertification survey at the facility from 6/23/25 through 6/26/25 to assess compliance with the Minimum Standards of Operations for Alzheimer's Disease/Dementia Care Unit and Institutions for the Aged or Infirm.

The facility was found to be in compliance with the applicable Minimum Standards of Operation, and no deficiencies were cited during the survey.

The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.

The facility met all applicable emergency preparedness requirements with no deficiencies cited.

The inspection was conducted to assess compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA) regarding smoke barrier construction in the facility.

The facility failed to provide the required half-hour fire resistance rating in the smoke barrier wall, affecting two of six smoke compartments and 28 of 113 residents. Unsealed holes around electrical piping near the Nurses Station compromised the smoke barrier's effectiveness.

The State Agency conducted two complaint investigations related to neglect, residents not groomed, water not offered, resident rights, and misappropriation of property.

The facility was found to be in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

Two complaint investigations (CI MS #28308 and CI MS #28521) were conducted. CI MS #28308 involved neglect, grooming, water offering, and resident rights. CI MS #28521 involved misappropriation of property. Both complaints were investigated with no deficiencies cited.

The State Agency conducted complaint investigations related to neglect, residents not groomed, water not offered, resident rights, and misappropriation of property at the facility from 2025-04-16 through 2025-04-17.

The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. No deficiencies were cited.

Complaint investigations MS #28308 and MS #28521 were conducted. MS #28308 involved neglect, residents not groomed, water not offered, and resident rights. MS #28521 involved misappropriation of property. Both complaints were investigated and found to be unsubstantiated as no deficiencies were cited.

The State Agency conducted a complaint investigation related to neglect and pressure ulcers at the facility.

The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements, with no deficiencies cited.

Complaint investigation MS #25538 related to neglect and pressure ulcers; no deficiencies were cited.

The State Agency conducted a complaint investigation related to neglect and pressure ulcers at the facility on 7/17/24.

The facility was found to be in compliance with Medicare and Medicaid requirements, and no deficiencies were cited during the investigation.

Complaint Investigation MS #25538 was related to neglect and pressure ulcers and was found to be unsubstantiated with no deficiencies cited.

The State Agency conducted a desk review of information related to the annual survey completed on 02/29/24 to verify corrective measures taken by the facility.

The facility provided information confirming corrective actions were implemented to address deficient practices and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 04/10/24.

The State Agency conducted a desk review of information related to the annual survey completed on 02/29/24 to verify corrective measures taken by the facility.

The facility provided information confirming that measures were put in place to correct deficient practices and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 04/10/24.

The inspection was conducted to evaluate the facility's compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network (NHSN).

The facility failed to report complete COVID-19 information to the NHSN during a seven-day period from 03/04/2024 to 03/10/2024 as required by regulation, which has the potential to cause more than minimal harm to residents.

The State Agency conducted a desk review of information related to the annual survey completed on 02/29/24 to assess compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The facility was confirmed to be in compliance with the Minimum Standards of Operation, and the State Agency recommended the facility be placed back in compliance effective 04/10/24.

The State Agency conducted a desk review related to the annual survey completed on 02/29/24 to assess compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The facility was confirmed to be in compliance with the Minimum Standards of Operation, and the State Agency recommended the facility be placed back in compliance effective 04/10/24.

The State Agency conducted an annual recertification survey and multiple complaint investigations at the facility from 02/26/24 through 02/29/24.

The facility was found not in compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements, with citations for misappropriation of resident property, failure to provide adequate assistance with activities of daily living including showers, improper catheter care, and unsafe food handling practices.

Multiple complaint investigations were conducted including allegations of residents not allowed snacks, pest control issues, misappropriation of funds, resident neglect, falls, staffing issues, and quality of care. Misappropriation of funds and resident neglect complaints were substantiated with citations.

The State Agency conducted an annual recertification survey along with six complaint investigations at the facility from 02/26/24 through 02/29/24.

The facility was found not in compliance with Medicare and Medicaid participation requirements, with deficiencies cited related to resident/family group response, comprehensive care plan implementation, ADL care, bowel/bladder incontinence and catheter care, frequency of meals/snacks at bedtime, and food procurement and safety.

Six complaint investigations were conducted related to residents not allowed snacks, pest control, misappropriation of funds, resident neglect, falls, and staffing/quality of care. Citations were issued for residents not allowed snacks, pest control, misappropriation of funds, and resident neglect. No citations were related to falls or staffing complaints.

The State Agency conducted an annual recertification survey at the facility from 02/26/24 through 02/29/24 to assess compliance with the Minimum Standards of Operations for Alzheimer's Disease/Dementia Care Unit.

The facility was found to be in compliance with the Minimum Standards of Operations for Alzheimer's Disease/Dementia Care Unit and no deficiencies were cited during the survey.

The State Agency conducted an annual recertification survey and multiple complaint investigations at the facility from 02/26/24 through 02/29/24.

The survey found the facility was not in compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements, citing deficiencies related to residents' rights including misappropriation of resident property, and failure to provide adequate assistance with activities of daily living such as bathing and grooming for several residents.

Multiple complaint investigations were conducted including allegations of residents not allowed snacks, pest control issues, misappropriation of funds, resident neglect (not properly groomed, body odor, pressure wounds, feeding assistance), falls, staffing issues, and quality of care. Misappropriation of funds and resident neglect complaints were substantiated with citations.

The State Agency conducted an annual recertification survey along with six complaint investigations at the facility from 02/26/24 through 02/29/24.

The facility was found not in compliance with Medicare and Medicaid participation requirements, with citations issued for misappropriation of resident property, failure to provide adequate ADL care, failure to offer bedtime snacks, and pest control issues. Several complaint investigations substantiated issues including misappropriation of funds, resident neglect, and pest control problems.

Six complaint investigations were conducted related to residents not allowed snacks, pest control, misappropriation of funds, resident neglect, falls, and staffing issues. Misappropriation of funds and resident neglect complaints were substantiated; falls and staffing complaints were not cited.

The inspection was conducted to assess compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).

The facility met the applicable provisions of the 2012 Life Safety Code, and no LSC deficiencies were cited during this survey.

The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.

The facility met all applicable emergency preparedness requirements with no deficiencies cited.

The State Agency conducted an annual recertification survey at the facility from 02/26/24 through 02/29/24 to assess compliance with the Minimum Standards of Operations for Alzheimer's Disease/Dementia Care Unit.

The facility was found to be in compliance with the Minimum Standards of Operations for Alzheimer's Disease/Dementia Care Unit and no deficiencies were cited during the survey.

The State Agency conducted a Complaint Investigation at the facility related to an allegation of a resident burn from coffee.

The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements, and no deficiencies were cited.

Complaint Investigation MS #22933 was related to an allegation of a resident burn from coffee. The complaint was investigated and found to be unsubstantiated as no deficiencies were cited.

The State Agency conducted a complaint investigation related to an allegation of a resident who had a burn from coffee.

During the survey, the State Agency determined the facility was in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

Complaint Investigation (CI), MS #22933, investigated allegation of a resident burn from coffee; no deficiencies found.

The State Agency conducted a complaint investigation at the facility for one complaint (MS #22081) on 08/10/2023.

The facility was found to be in compliance with the Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm. The investigation focused on resident abuse and safe environment, and no deficiencies were cited.

Investigation of one complaint (MS #22081) related to resident abuse and safe environment; no deficiencies cited.

The State Agency conducted a complaint investigation at the facility for one complaint, MS #22081, on 08/10/2023.

The facility was found to be in compliance with Medicare and Medicaid requirements. The investigation focused on resident abuse and safe environment, with no deficiencies cited.

Complaint MS #22081 was investigated for resident abuse and safe environment; no deficiencies were cited.

The State Agency conducted a Complaint Investigation at Memorial Woodland Village Nursing Center from 7/11/23 through 7/12/23 based on three complaint investigations regarding misappropriation, resident neglect, and environmental/pharmaceutical services.

The facility was found not in compliance with state licensure requirements due to misappropriation of resident property involving Resident #5. The investigation substantiated that a Certified Nurse Aide (CNA #1) misused the resident's debit card for unauthorized purchases totaling $35.59. The CNA was terminated and felony charges were pursued. No citations were related to the other complaints.

The complaint investigation involved three complaint investigations: CI MS #21338 for misappropriation, CI MS #21213 for resident neglect (resident not turned or repositioned), and CI MS #20907 for environmental and pharmaceutical services. Only CI MS #21338 was substantiated with a citation (M500) for misappropriation of resident property.

The State Agency conducted complaint investigations at the facility from 7/11/23 through 7/12/23 related to misappropriation, resident neglect, and environmental/pharmaceutical services. The investigation focused on allegations of misappropriation of resident property.

The facility was found not in compliance due to misappropriation of resident property involving one resident. The investigation substantiated that a Certified Nurse Aide (CNA #1) misused a resident's debit card for unauthorized purchases totaling $35.59. The CNA was terminated and felony charges were pursued. The facility had taken corrective actions prior to the survey, resulting in a past noncompliance determination.

The complaint investigations included CI MS #21338 for misappropriation, CI MS #21213 for resident neglect related to repositioning, and CI MS #20907 for environmental and pharmaceutical services. Only CI MS #21338 resulted in citations. The misappropriation was substantiated with evidence including interviews, record reviews, and police investigation confirming unauthorized transactions by CNA #1.

The State Agency conducted a Complaint Investigation (CI), MS #20498, at the facility on 01/19/2023.

The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements, and no deficiencies were cited.

Complaint Investigation MS #20498 was conducted and found no deficiencies; the facility was in compliance.

The State Agency conducted a Complaint Investigation (CI), MS #20498, at the facility on 01/19/23.

The facility was found to be in compliance with the requirements for participation in Medicare and Medicaid and no deficiencies were cited.

Complaint Investigation MS #20498 was conducted and found no deficiencies; the complaint was not substantiated.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the CDC's NHSN during a seven-day period from 12/26/2022 to 01/01/2023, as required by regulation. This failure to report has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 12/19/2022 and 12/25/2022 as required by regulation, which has the potential to cause more than minimal harm to residents.

The State Agency conducted a complaint investigation at the facility related to discharge rights.

The facility was found to be in compliance with Medicare and Medicaid requirements, the complaint was not substantiated, and no deficiencies were cited.

Complaint related to discharge rights was investigated and not substantiated.

The State Agency conducted a complaint investigation at the facility related to discharge rights.

The complaint was not substantiated, and the facility was found to be in compliance with Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm with no deficiencies cited.

Complaint related to discharge rights was investigated and not substantiated.

The State Agency conducted a Complaint Investigation at the facility from 7/25/22 through 7/26/22 regarding multiple complaint numbers related to neglect, pressure sores, facility staffing, ADL care, medication administration, and call light response.

The State Agency did not substantiate any of the complaints investigated and determined the facility was in compliance with Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm. No deficiencies were cited.

Complaint Investigation MS #18634, MS #18635, and MS #19223 were not substantiated for neglect, weight loss, ADL care, dignity and respect, medication administration, call light response, pressure sores, and facility staffing.

The State Agency conducted a Complaint Investigation and a COVID-19 Focused Infection Control survey at the facility from 7/25/22 through 7/26/22.

The facility was found to be in compliance with Medicare, Medicaid, and CDC COVID-19 requirements. None of the complaints investigated were substantiated, and no deficiencies were cited during the survey.

The complaints investigated included neglect, resident weight loss, activities of daily living care, dignity and respect, medication administration, call light response, pressure sores, and facility staffing. None were substantiated.

A Covid-19 Focused Emergency Preparedness Survey was conducted by the State Agency at the facility from 7/25/22 through 7/26/22.

The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness requirements.

The State Agency conducted a Complaint Investigation at the facility from 7/25/22 through 7/26/22 regarding multiple complaint numbers related to neglect, resident care, medication administration, pressure sores, facility staffing, and activities of daily living care.

The State Agency did not substantiate any of the complaints investigated and determined the facility was in compliance with Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm. No deficiencies were cited.

Complaint Investigation MS #18634, MS #18635, and MS #19223 were not substantiated for neglect, weight loss, ADL care, dignity and respect, medication administration, call light response, pressure sores, and facility staffing.

The State Agency conducted a Complaint Investigation and a COVID-19 Focused Infection Control survey at the facility from 7/25/22 through 7/26/22.

The facility was found to be in compliance with Medicare, Medicaid, and CDC COVID-19 requirements. None of the complaints were substantiated and no deficiencies were cited during the survey.

The complaints investigated (MS #18634, MS #18635, and MS #19223) were not substantiated for neglect, pressure sores, staffing, ADL care, medication administration, or call light response.

A Covid-19 Focused Emergency Preparedness Survey was conducted by the State Agency at the facility from 7/25/22 through 7/26/22.

The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness requirements.

The inspection was conducted to evaluate the facility's compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the CDC's NHSN during a seven-day period from 05/09/2022 to 05/15/2022, which has the potential to cause more than minimal harm to residents.

The State Agency conducted a desk review on 3/2/22 of information related to the annual survey conducted on 1/28/22 to confirm corrective measures were implemented.

The facility had put measures in place to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 02/25/22.

The facility was surveyed to assess compliance with the 2012 Edition of the Life Safety Code (LSC) under the Centers for Medicare Medicaid Services (CMS) COVID-19 Emergency Declaration Blanket 1135 Waivers for Health Care Provider.

The facility met the applicable provisions of the 2012 Life Safety Code with no deficiencies cited during this survey.

A COVID-19 Focused Infection Control Survey and two Complaint Investigations (CI MS #18460 and CI MS #17986) were conducted at the facility by the State Agency from 1/28/22 through 1/31/22.

The facility was found to be in compliance with infection control regulations and implemented CMS and CDC recommended practices for COVID-19. Both complaints were not substantiated and no deficiencies were cited.

Complaint Investigation MS #18460 was not substantiated for elopement and Complaint Investigation MS #17986 was not substantiated for residents left wet for extended periods.

A Covid-19 Focused Emergency Preparedness Survey was conducted by the State Agency from January 28, 2022 through January 31, 2022.

The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness requirements.

The State Agency conducted a desk review of information related to the annual survey conducted on 01/28/22 to assess compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The facility was found to be in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm, and the State Agency recommended the facility be placed back in compliance effective 02/25/22.

The State Survey Agency conducted a recertification survey from 01/25/2022 to 01/28/2022 to assess compliance with the Minimum Standards for The Institutions for The Aged and Infirm.

The facility was found not in compliance with the Minimum Standards and was cited for deficiency M710 during the recertification survey.

The State Survey Agency conducted a recertification survey from January 25, 2022 to January 28, 2022 to assess compliance with the Minimum Standards for The Institutions for The Aged and Infirm.

The facility was found not in compliance due to failure to act upon a Consultant Pharmacist recommendation for gradual dose reduction of medication for one resident. Specifically, Resident #22 did not have the recommended dose reduction of Lexapro implemented despite agreement by the Nurse Practitioner.

The State Survey Agency conducted an annual recertification along with a Complaint Investigation at the facility from 01/25/2022 through 01/28/2022 to assess compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance with requirements, citing deficiencies F641 for inaccurate Minimum Data Set (MDS) assessments related to antipsychotic medication coding, and F756 for failure to act on a Consultant Pharmacy recommendation regarding medication dose reduction. The complaint investigation was not substantiated due to lack of sufficient evidence.

The complaint investigation (MS #17905) regarding a resident's missing purse, eviction, and lack of rehabilitation therapy services was not substantiated due to insufficient evidence.

The State Survey Agency conducted an annual recertification survey from 01/25/2022 through 01/28/2022 to assess compliance with the Minimum Standards of Operations for Alzheimer's Disease/Dementia Care Unit.

The facility was found to be in compliance with the Minimum Standards of Operations for Alzheimer's Disease/Dementia Care Unit during the annual recertification survey.

The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.

The facility met all applicable Federal, State, and local emergency preparedness requirements. No deficiencies were cited.

The facility was required to report complete information about COVID-19 to the CDC's National Healthcare Safety Network (NHSN) as mandated by regulation.

The facility failed to report complete COVID-19 information to the NHSN during the seven-day period from 11/22/2021 to 11/28/2021, which has the potential to cause more than minimal harm to all residents.

The State Agency conducted a complaint investigation (CI MS #17396) regarding allegations related to Resident Rights and Quality of Care.

The investigation was unsubstantiated with no deficiencies cited. The facility was found in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm and state licensure requirements.

Complaint investigation CI MS #17396 was unsubstantiated with no deficiencies cited for Resident Rights related to Resident Mailed is Opened Without Permission and Quality of Care related to Unlicensed Staff, Improper Infection Control Practice, and Facility Staffing.

A COVID-19 Focused Infection Control Survey along with a complaint investigation (CI MS #17396) was conducted by the State Agency on 01/21/21.

The facility was found to be in compliance with CMS and CDC recommended practices for COVID-19 preparation. The complaint investigation was unsubstantiated with no deficiencies cited related to Resident Rights, Quality of Care, Infection Control, or Facility Staffing.

The complaint investigation (CI MS #17396) was unsubstantiated with no deficiencies cited for Resident Rights related to Resident Mailed is Opened Without Permission and Quality of Care related to Unlicensed Staff, Improper Infection Control Practice, and Facility Staffing.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) on 01/21/21 to assess compliance with Medicaid and Medicare requirements related to emergency preparedness.

The facility was found to be in compliance with Medicaid and Medicare requirements related to emergency preparedness (E-0024 (b)(6)).

The State Agency conducted a complaint investigation (CI MS #17396) regarding allegations of Resident Rights violations and Quality of Care concerns including unlicensed staff, improper infection control practice, and facility staffing.

The investigation was unsubstantiated with no deficiencies cited. The facility was found to be in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm and state licensure requirements.

Complaint investigation CI MS #17396 was unsubstantiated with no deficiencies cited related to Resident Rights or Quality of Care.

A COVID-19 Focused Infection Control Survey along with a complaint investigation (CI MS #17396) was conducted by the State Agency.

The facility was found to be in compliance with CMS and CDC recommended practices for COVID-19 preparation. The complaint investigation was unsubstantiated with no deficiencies cited related to Resident Rights, Quality of Care, Infection Control, or Staffing.

The complaint investigation (CI MS #17396) was unsubstantiated with no deficiencies cited for Resident Rights related to Resident Mailed is Opened Without Permission and Quality of Care related to Unlicensed Staff, Improper Infection Control Practice, and Facility Staffing.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) on 01/21/21.

The facility was found to be in compliance with Medicaid and Medicare requirements related to E-0024 (b)(6).

The State Agency conducted a COVID-19 Focused Infection Control Survey to assess the facility's compliance with infection control regulations and implementation of recommended practices by CMS and CDC.

The facility was found in compliance with infection control regulations and had implemented the recommended COVID-19 practices. No deficiencies were cited.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency on 12/15/2020.

The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness requirements.

The State Agency conducted a complaint investigation at the facility on 10/26/2020 regarding an allegation of verbal abuse.

The investigation was unsubstantiated for verbal abuse with no deficiencies cited. The facility was found to be in compliance with the Minimum Standards for State Licensure Requirements for nursing homes.

Investigation was unsubstantiated for verbal abuse with no deficiencies cited.

A COVID-19 Focused Infection Control Survey along with a complaint investigation (CI MS #17173) was conducted by the State Agency.

The facility was found to be in compliance with infection control regulations and CMS/CDC recommended practices for COVID-19. The complaint investigation was unsubstantiated with no deficiencies cited for verbal abuse.

Complaint investigation CI MS #17173 was unsubstantiated with no deficiencies cited for verbal abuse.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS).

The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices for COVID-19 preparation.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

The State Survey Agency conducted a complaint investigation at the facility on January 9, 2020.

The investigation was unsubstantiated with no deficiencies cited. The facility was found to be in compliance with Medicare and Medicaid requirements for participation.

The complaint investigation was unsubstantiated with no deficiencies cited.

The State Survey Agency conducted a complaint investigation at Memorial Woodland Village Nursing Center on 10/21/2019.

The investigation was unsubstantiated with no deficiencies cited. The facility was found to be in compliance with Medicare and Medicaid requirements for participation.

Complaint investigation was unsubstantiated with no deficiencies cited.

A complaint investigation was conducted at Memorial Woodland Village Nursing Center on May 15, 2019.

The investigation was unsubstantiated with no deficiencies cited.

The complaint investigation was unsubstantiated with no deficiencies cited.

The State Survey Agency conducted an annual recertification survey from 4/8/19 through 4/11/19 to assess compliance with Medicare and Medicaid requirements.

The facility was found not in compliance with Medicare and Medicaid requirements, citing regulatory deficiencies of F 623, F 641, F 656, and F 693. The complaints related to Resident/Patient/Client Neglect were not substantiated and no citations were related to the complaints.

Complaints CI MS #15701, CI MS #15766, and CI MS #15809 regarding Resident/Patient/Client Neglect injury of unknown origin and Quality of Care/Treatment were investigated and not substantiated.

The State Agency conducted an annual recertification survey along with complaint investigations from 4/8/19 through 4/11/19 to determine compliance with Medicare and Medicaid requirements.

The facility was found not in compliance with Medicare and Medicaid participation requirements, with cited deficiencies related to notice requirements before transfer/discharge, accuracy of assessments, comprehensive care plan implementation, and tube feeding management. No citations were related to the complaints investigated.

Complaints investigated included Resident/Patient/Client Neglect - injury of unknown origin and Quality of Care/Treatment. None of the complaints were substantiated and no citations were related to the complaints.

The State Agency conducted a licensure survey from April 8, 2019 through April 11, 2019 to determine compliance with the Minimum Standards for the Aged and Infirm.

The facility was found not in compliance due to failure to provide appropriate treatment and services to prevent complications for a resident receiving enteral feeding. Specifically, Resident #23 was observed lying flat with the head of the bed flat during tube feeding, contrary to facility policy requiring elevation of the head of the bed at least 30 to 45 degrees during and after feeding.