All citations for Woodland Convalescent Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Woodland Convalescent Center

Last standard health inspection on record

June 20, 2025

Showing 1 to 25 of 31 citations

  1. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  2. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  3. No harm, with potential for more than minimal harm

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  4. No harm, with potential for more than minimal harm

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  5. No harm, with potential for more than minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  6. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  7. No harm, with potential for more than minimal harm

    Establish procedures for tracking staff and patients during an emergency.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  8. No harm, with potential for more than minimal harm

    Establish policies and procedures including evacuation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  9. No harm, with potential for more than minimal harm

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  10. No harm, with potential for more than minimal harm

    Establish policies and procedures for medical documentation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  11. No harm, with potential for more than minimal harm

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  12. No harm, with potential for more than minimal harm

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  13. No harm, with potential for more than minimal harm

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  14. No harm, with potential for more than minimal harm

    Provide primary/alternate means for communication.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  15. No harm, with potential for more than minimal harm

    Establish methods for sharing information.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0033, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  16. No harm, with potential for more than minimal harm

    Provide a means of sharing information on occupancy/needs.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  17. No harm, with potential for more than minimal harm

    Provide family notifications of emergency plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  18. No harm, with potential for more than minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  19. No harm, with potential for more than minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  20. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  21. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  22. No harm, with potential for more than minimal harm

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  23. No harm, with potential for more than minimal harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2023).

  24. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2023).

  25. No harm, with potential for more than minimal harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of April 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.