C+
67/100

Woodland Post-Acute Inspection Report, Violations & Safety Grade (Woodland, California)

678 3rd Street, Woodland, California 95695

Phone: 5306629643

CMS Overall:3/5

Overview & Bed Count

Certified Beds
91
Avg Residents/Day
81.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Yolo
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health2/5
Staffing4/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityCalifornia AvgDifference
RN Hours per Resident per Day0.670.68-0.01
Total Nurse Hours per Resident per Day4.074.54-0.48
CMS Staffing Rating4/53.3/5-
Nursing Staff Turnover42.5%36.6%-

Health Citation History

54 health citations on record

DateCategoryDescriptionSeverity
2026-03-20Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.G – Actual Harm
2026-03-20Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2026-03-20Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2026-03-20Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2026-03-20Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E – Moderate Harm Potential
2026-03-20Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2026-03-20Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyE – Moderate Harm Potential
2026-03-20Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.D – Moderate Harm Potential
2026-03-20Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2026-03-20Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2026-03-20Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-03-20Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2026-03-20Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.D – Moderate Harm Potential
2026-03-20Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2026-03-20Administration DeficienciesEmploy or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.D – Moderate Harm Potential
2026-03-20Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-08-20Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D – Moderate Harm Potential
2025-07-08Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-01-17Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-01-17Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2025-01-09Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.E – Moderate Harm Potential
2025-01-09Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2025-01-09Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2025-01-09Pharmacy Service DeficienciesImplement 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.E – Moderate Harm Potential
2025-01-09Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2025-01-09Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2025-01-09Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-01-09Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.E – Moderate Harm Potential
2025-01-09Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-01-09Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2025-01-09Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2025-01-09Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2025-01-09Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-09-10Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-06-24Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2024-06-24Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-12-14Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.E – Moderate Harm Potential
2023-12-14Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2023-12-14Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2023-12-14Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2023-12-14Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2023-12-14Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyE – Moderate Harm Potential
2023-12-14Environmental DeficienciesHave policies on smoking.E – Moderate Harm Potential
2023-12-14Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-12-14Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2023-12-14Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2023-12-14Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2023-12-14Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2023-12-14Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2023-12-14Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D – Moderate Harm Potential

Showing 50 of 54 citations.

Fire Safety Citation History

53 fire safety citations on record

DateCategoryDescriptionSeverity
2026-03-20Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2026-03-20Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2026-03-20Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2026-03-20Smoke DeficienciesHave a complete alarm system manually initiated and initiated by fire sprinkler system connection.D – Moderate Harm Potential
2026-03-20Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.D – Moderate Harm Potential
2026-03-20Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.D – Moderate Harm Potential
2026-03-20Emergency Preparedness DeficienciesConduct testing and exercise requirements.C – Minimal Harm Potential
2026-03-20Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.C – Minimal Harm Potential
2025-01-09Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2025-01-09Emergency Preparedness DeficienciesEstablish procedures for tracking staff and patients during an emergency.F – Moderate Harm Potential
2025-01-09Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.F – Moderate Harm Potential
2025-01-09Emergency Preparedness DeficienciesEstablish policies and procedures for medical documentation.F – Moderate Harm Potential
2025-01-09Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.F – Moderate Harm Potential
2025-01-09Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.F – Moderate Harm Potential
2025-01-09Emergency Preparedness DeficienciesEstablish emergency prep training and testing.F – Moderate Harm Potential
2025-01-09Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2025-01-09Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2025-01-09Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-01-09Smoke DeficienciesProperly install and monitor supervisory attachments on automatic sprinkler systems.F – Moderate Harm Potential
2025-01-09Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-01-09Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2025-01-09Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2025-01-09Emergency Preparedness DeficienciesList the names and contact information of those in the facility.C – Minimal Harm Potential
2025-01-09Smoke DeficienciesHave a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.C – Minimal Harm Potential
2025-01-09Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.C – Minimal Harm Potential
2025-01-09Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.C – Minimal Harm Potential
2023-12-14Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesInclude a process for Emergency Preparedness collaboration.F – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesEstablish procedures for tracking staff and patients during an emergency.F – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.F – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesEstablish policies and procedures for medical documentation.F – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.F – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.F – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesDevelop a communication plan.F – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesProvide primary/alternate means for communication.F – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesEstablish methods for sharing information.F – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesProvide a means of sharing information on occupancy/needs.F – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesProvide family notifications of emergency plan.F – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesEstablish emergency prep training and testing.F – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2023-12-14Smoke DeficienciesProperly provide smoke detection systems in areas open to corridors.F – Moderate Harm Potential
2023-12-14Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.E – Moderate Harm Potential
2023-12-14Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2023-12-14Emergency Preparedness DeficienciesList the names and contact information of those in the facility.D – Moderate Harm Potential
2023-12-14Construction DeficienciesUse approved construction type or materials.D – Moderate Harm Potential
2023-12-14Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2023-12-14Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2023-12-14Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential

Showing 50 of 53 citations.

Total Penalties & Fines

$14,302
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-01-22Fine$14,302-

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