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Health Inspection Summary

Woodland Post-Acute

678 3rd Street

Woodland, CA 95695

(530) 662-9643

Deficiency Category	Inspection Date: 1/9/25 Complaint Reporting Period: 4/1/24 - 3/31/25	Inspection Date: 12/14/23 Complaint Reporting Period: 4/1/23 - 3/31/24	Inspection Date: 2/18/22 Complaint Reporting Period: 4/1/22 - 3/31/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies	4	3	1
Quality of Life and Care Deficiencies	3	2	3
Infection Control Deficiencies	1	1	1
Resident Assessment and Care Planning Deficiencies	3	5	1
Nursing and Physician Services Deficiencies	0	0	0
Resident Rights Deficiencies	1	4	4
Nutrition and Dietary Deficiencies	2	2	2
Pharmacy Service Deficiencies	4	4	4
Environmental Deficiencies	0	2	0
Administration Deficiencies	0	1	0

Detailed result for inspection on 1/9/25

Date of last standard health inspection:	1/9/25Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/24 - 3/31/25	1/17/25Read the full report (PDF) 9/10/24Read the full report (PDF) 6/24/24Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/24 - 3/31/25	No infection control inspections
Total number of Health Deficiencies for this nursing home:	18
Average number of Health Deficiencies in California:	16.3
Average number of Health Deficiencies in the United States:	9.6

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	1/17/25	1/17/25	2 - Minimal harm or potential for actual harm	Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	6/24/24	6/25/24	2 - Minimal harm or potential for actual harm	Few
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	6/24/24	6/25/24	2 - Minimal harm or potential for actual harm	Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	9/10/24	9/25/24	2 - Minimal harm or potential for actual harm	Few

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	1/9/25	2/4/25	2 - Minimal harm or potential for actual harm	Some
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	1/9/25	2/4/25	2 - Minimal harm or potential for actual harm	Few
Provide enough food/fluids to maintain a resident's health.	1/9/25	2/4/25	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide and implement an infection prevention and control program.	1/9/25	2/4/25	2 - Minimal harm or potential for actual harm	Some

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure services provided by the nursing facility meet professional standards of quality.	1/9/25	2/4/25	2 - Minimal harm or potential for actual harm	Few
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	1/9/25	2/4/25	2 - Minimal harm or potential for actual harm	Few
Ensure services provided by the nursing facility meet professional standards of quality.	1/17/25	1/17/25	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Keep residents' personal and medical records private and confidential.	1/9/25	2/4/25	2 - Minimal harm or potential for actual harm	Some

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	1/9/25	2/4/25	2 - Minimal harm or potential for actual harm	Some
Have a policy regarding use and storage of foods brought to residents by family and other visitors.	1/9/25	2/4/25	2 - Minimal harm or potential for actual harm	Some

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	1/9/25	2/4/25	2 - Minimal harm or potential for actual harm	Some
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.	1/9/25	2/4/25	2 - Minimal harm or potential for actual harm	Some
Ensure medication error rates are not 5 percent or greater.	1/9/25	2/4/25	2 - Minimal harm or potential for actual harm	Some
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.	1/9/25	2/4/25	2 - Minimal harm or potential for actual harm	Some

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 12/14/23

Date of last standard health inspection:	12/14/23Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/23 - 3/31/24	12/14/23Read the full report (PDF) 10/3/23Read the full report (PDF) 6/14/23Read the full report (PDF) 6/1/23Read the full report (PDF) 4/7/23Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/23 - 3/31/24	No infection control inspections
Total number of Health Deficiencies for this nursing home:	24
Average number of Health Deficiencies in California:	17.3
Average number of Health Deficiencies in the United States:	9.4

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Few
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	4/7/23	4/28/23	2 - Minimal harm or potential for actual harm	Some
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	4/7/23	4/28/23	2 - Minimal harm or potential for actual harm	Some

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide safe, appropriate dialysis care/services for a resident who requires such services.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Few
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	10/3/23	11/1/23	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide and implement an infection prevention and control program.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Few

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Some
Ensure each resident receives an accurate assessment.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Few
Ensure services provided by the nursing facility meet professional standards of quality.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	4/7/23	4/28/23	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Reasonably accommodate the needs and preferences of each resident.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Some
Allow resident to participate in the development and implementation of his or her person-centered plan of care.	6/14/23	7/18/23	2 - Minimal harm or potential for actual harm	Few
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	6/1/23	6/13/23	2 - Minimal harm or potential for actual harm	Few
Keep residents' personal and medical records private and confidential.	6/14/23	7/18/23	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Some
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Few

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Some
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Few
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.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Some
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.	10/3/23	11/1/23	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Make sure that a working call system is available in each resident's bathroom and bathing area.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Few
Have policies on smoking.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Some

Administration Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Some

Detailed result for inspection on 2/18/22

Date of last standard health inspection:	2/18/22Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/22 - 3/31/23	3/15/23Read the full report (PDF) 11/22/22Read the full report (PDF) 11/16/22Read the full report (PDF) 10/11/22Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/22 - 3/31/23	No infection control inspections
Total number of Health Deficiencies for this nursing home:	16
Average number of Health Deficiencies in California:	15.3
Average number of Health Deficiencies in the United States:	8.7

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	11/22/22	11/22/22	2 - Minimal harm or potential for actual harm	Few

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	3/15/23	4/21/23	2 - Minimal harm or potential for actual harm	Few
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	2/18/22	3/31/22	2 - Minimal harm or potential for actual harm	Some
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	10/11/22	11/14/22	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide and implement an infection prevention and control program.	2/18/22	3/31/22	2 - Minimal harm or potential for actual harm	Some

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	2/18/22	3/31/22	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	2/18/22	3/31/22	2 - Minimal harm or potential for actual harm	Some
Reasonably accommodate the needs and preferences of each resident.	2/18/22	3/31/22	2 - Minimal harm or potential for actual harm	Few
Keep residents' personal and medical records private and confidential.	2/18/22	3/31/22	2 - Minimal harm or potential for actual harm	Few
Keep residents' personal and medical records private and confidential.	11/16/22	12/14/22	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	2/18/22	3/31/22	2 - Minimal harm or potential for actual harm	Some
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	2/18/22	3/31/22	2 - Minimal harm or potential for actual harm	Few

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	2/18/22	3/31/22	2 - Minimal harm or potential for actual harm	Few
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.	2/18/22	3/31/22	2 - Minimal harm or potential for actual harm	Some
Ensure medication error rates are not 5 percent or greater.	2/18/22	3/31/22	2 - Minimal harm or potential for actual harm	Some
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	11/16/22	12/14/22	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	1/17/25	1/17/25	2 - Minimal harm or potential for actual harm	Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	6/24/24	6/25/24	2 - Minimal harm or potential for actual harm	Few
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	6/24/24	6/25/24	2 - Minimal harm or potential for actual harm	Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	9/10/24	9/25/24	2 - Minimal harm or potential for actual harm	Few
Ensure services provided by the nursing facility meet professional standards of quality.	1/17/25	1/17/25	2 - Minimal harm or potential for actual harm	Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	12/14/23	12/28/23	2 - Minimal harm or potential for actual harm	Few
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	4/7/23	4/28/23	2 - Minimal harm or potential for actual harm	Some
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	4/7/23	4/28/23	2 - Minimal harm or potential for actual harm	Some
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	10/3/23	11/1/23	2 - Minimal harm or potential for actual harm	Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	4/7/23	4/28/23	2 - Minimal harm or potential for actual harm	Few
Allow resident to participate in the development and implementation of his or her person-centered plan of care.	6/14/23	7/18/23	2 - Minimal harm or potential for actual harm	Few
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	6/1/23	6/13/23	2 - Minimal harm or potential for actual harm	Few
Keep residents' personal and medical records private and confidential.	6/14/23	7/18/23	2 - Minimal harm or potential for actual harm	Few
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.	10/3/23	11/1/23	2 - Minimal harm or potential for actual harm	Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	11/22/22	11/22/22	2 - Minimal harm or potential for actual harm	Few
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	3/15/23	4/21/23	2 - Minimal harm or potential for actual harm	Few
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	10/11/22	11/14/22	2 - Minimal harm or potential for actual harm	Few
Keep residents' personal and medical records private and confidential.	11/16/22	12/14/22	2 - Minimal harm or potential for actual harm	Few
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	11/16/22	12/14/22	2 - Minimal harm or potential for actual harm	Few

Infection control inspection deficiencies in the past 3 years
This nursing home has not had any infection control inspections in the past 3 years.

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