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Deseret Health And Rehab At Woodlawn Llc

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 93
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 04/06/2011

Date of last standard health inspection: 04/06/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in KS: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in KS: 0 - 18

Inspection, 01/00/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/00/2012 01/00/2001 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/00/2012 01/00/2001 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/00/2012 01/00/2001 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/00/2012 01/00/2001 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/00/2012 01/00/2001 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/00/2012 01/00/2001 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 01/00/2012 01/00/2001 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/00/2012 01/00/2001 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/00/2012 01/00/2001 2 Few
Ensure residents maintain acceptable nutritional status. 01/00/2012 01/00/2001 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 01/00/2012 01/00/2001 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/00/2012 01/00/2001 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/00/2012 01/00/2001 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/00/2012 01/00/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 01/00/2012 01/00/2001 2 Some
Send unopened mail from residents and promptly deliver unopened mail to residents. 01/00/2012 01/00/2001 1 Many

Inspection, 00/09/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/09/2007 02/05/2009 2 Many
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 00/09/2007 00/08/2008 Many and develop corrective plans of action.
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/09/2007 00/08/2008 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/09/2007 02/05/2009 2 Some
Provide housekeeping and maintenance services. 00/09/2007 02/01/2009 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/09/2007 00/08/2008 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 00/09/2007 00/08/2008 2 Many
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 00/09/2007 00/08/2008 2 Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 00/09/2007 02/01/2009 2 Many
Prepare food that is nutritional 00/09/2007 02/01/2009 tasty appetizing
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/09/2007 02/05/2009 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/09/2007 00/08/2008 3 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 00/09/2007 00/08/2008 2 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/09/2007 00/08/2008 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/09/2007 02/01/2009 3 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 00/09/2007 02/01/2009 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/09/2007 00/08/2008 2 Some
Conduct initial and periodic assessments of each resident's functional capacity. 00/09/2007 02/01/2009 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to easily view the results of the nursing home's most recent inspection. 00/09/2007 00/08/2008 1 Many
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 00/09/2007 00/08/2008 2 Few
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 00/09/2007 00/08/2008 2 Some
Allow residents to easily view the results of the nursing home's most recent inspection. 00/09/2007 02/01/2009 1 Many
Ensure residents have the right to have a choice over activities 00/09/2007 02/01/2009 and health care according to their interests their schedules
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 00/09/2007 02/01/2009 2 Some

Inspection, 02/06/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the nursing home area is safe 02/06/2005 01/03/2009 clean and comfortable for residents easy to use

Inspection, 01/06/2005

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/06/2005 00/00/0000 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 01/06/2005 00/00/0000 Few grooming and personal and oral hygiene.
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs 01/06/2005 00/00/0000 Few with timetables and actions that can be measured.

Inspection, 00/06/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/06/2004 00/06/2005 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/06/2004 00/06/2005 2 Some
Provide housekeeping and maintenance services. 00/06/2004 00/06/2005 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/06/2004 00/06/2005 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 00/06/2004 00/06/2005 2 Some
Offer other nutritional food to each resident who will not eat the food served. 00/06/2004 00/06/2005 2 Few
Store, cook, and serve food in a safe and clean way. 00/06/2004 00/06/2005 2 Many
Prepare food that is nutritional 00/06/2004 00/06/2005 tasty appetizing
Store 00/06/2004 00/06/2005 and serve food in a safe and clean way. cook
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/06/2004 02/00/2006 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/06/2004 00/06/2005 2 Some
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/06/2004 00/06/2005 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/06/2004 00/06/2005 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/06/2004 00/06/2005 3 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/06/2004 02/00/2006 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/06/2004 00/06/2005 3 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 00/06/2004 00/06/2005 2 Few
Assist those residents who need help with eating/drinking 00/06/2004 00/06/2005 Some grooming and personal and oral hygiene.
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/06/2004 00/06/2005 3 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 00/06/2004 00/06/2005 and that incontinent patients receive proper servi unless medically necessary
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/06/2004 00/06/2005 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/06/2004 02/00/2006 2 Some
Conduct initial and periodic assessments of each resident's functional capacity. 00/06/2004 00/06/2005 2 Some
Develop a complete care plan that meets all the resident's needs 00/06/2004 00/06/2005 Some with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 00/06/2004 00/06/2005 1 Many
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 00/06/2004 00/06/2005 2 Some
Upon the death of a resident, convey the resident 00/06/2004 00/06/2005 2 Few
Provide proof that residents' personal money that is deposited with the nursing home is secure. 00/06/2004 00/06/2005 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/06/2004 00/06/2005 2 Some
Give residents a notice of rights 00/06/2004 01/05/2004 services and charges. rules
Properly hold 00/06/2004 00/06/2005 and manage each resident's personal money which is secure
Upon the death of a resident 00/06/2004 00/06/2005 Few convey the resident
Provide proof that residents' personal money that is deposited with the nursing home is secure. 00/06/2004 00/06/2005 2 Some

Inspection, 01/01/2003

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide written records when a resident is transferred or discharged. 01/01/2003 01/00/2004 2 Some
Provide timely notification to the resident before transfer or discharge. 01/01/2003 01/00/2004 2 Some
Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. 01/01/2003 01/00/2004 2 Some

Inspection, 01/06/2002

Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store 01/06/2002 01/07/2003 and serve food in a safe and clean way. cook
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/06/2002 01/07/2003 2 Few
Assist those residents who need help with eating/drinking 01/06/2002 01/07/2003 Few grooming and personal and oral hygiene.
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 01/06/2002 01/07/2003 and that incontinent patients receive proper servi unless medically necessary
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assure that each resident 01/06/2002 01/07/2003 2 Few
Develop a complete care plan that meets all the resident's needs 01/06/2002 01/07/2003 Few with timetables and actions that can be measured.

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in KS Golden Living Center, Asheville
RN Staff Only1 N/A N/A 1 out of 5 stars
Total Number of Residents 86 52 87
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 19 hours 26 minutes 52 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 18 hours 49 minutes 24 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 18 hours 48 minutes 28 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 20 hours 45 minutes 2 hours 9 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 11/23/2010

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 11/23/2010
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in KS: 2
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in KS: 0 - 2

Inspection, 02/03/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/03/2011 00/03/2012 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/03/2011 01/07/2012 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/03/2011 00/02/2012 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 02/03/2011 02/03/2011 2 Many
Properly maintained smoke detectors. 02/03/2011 02/03/2011 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 02/03/2011 03/00/2011 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/03/2011 01/07/2012 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 02/03/2011 01/07/2012 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/03/2011 02/03/2011 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/03/2011 02/03/2011 2 Some

Inspection, 01/05/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/05/2010 01/05/2011 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/05/2010 01/07/2010 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/05/2010 01/05/2011 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/05/2010 01/05/2010 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 01/05/2010 01/05/2011 2 Some
Properly maintained smoke detectors. 01/05/2010 02/02/2010 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/05/2010 02/00/2010 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 01/05/2010 02/02/2010 2 Some
Properly located and lighted Exit" signs." 01/05/2010 01/05/2011 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 01/05/2010 01/05/2011 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/05/2010 02/00/2010 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 01/05/2010 01/05/2010 2 Some

Inspection, 01/00/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/00/2001 01/07/2001 2 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/00/2001 00/01/2002 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/00/2001 02/07/2001 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/00/2001 02/07/2001 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 01/00/2001 01/06/2001 2 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 01/00/2001 01/00/2001 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/00/2001 02/07/2001 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 01/00/2001 01/00/2001 2 Some
 

1600 S. Woodlawn
Wichita, KS 67218

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