C+
65/100

NORTH WOODS VILLAGE Inspection Report, Violations & Safety Grade (KOKOMO, Indiana)

2233 W JEFFERSON ST, KOKOMO, Indiana 46901

Phone: 7654579175

CMS Overall:4/5

Overview & Bed Count

Certified Beds
155
Avg Residents/Day
112.7
Ownership
Government - County
Provider Type
Medicare and Medicaid
County
Howard
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing2/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityIndiana AvgDifference
RN Hours per Resident per Day0.490.68-0.19
Total Nurse Hours per Resident per Day3.363.73-0.37
CMS Staffing Rating2/52.6/5-
Nursing Staff Turnover31.1%45.9%-

Health Citation History

13 health citations on record

DateCategoryDescriptionSeverity
2026-03-20Resident 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
2026-03-20Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-12-16Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.D – Moderate Harm Potential
2025-03-06Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-03-06Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2025-03-06Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-03-15Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2024-03-15Resident Assessment and Care Planning DeficienciesEnsure a qualified health professional conducts resident assessments.D – Moderate Harm Potential
2024-03-15Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-03-15Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D – Moderate Harm Potential
2024-03-15Pharmacy 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.D – Moderate Harm Potential
2024-03-15Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-01-11Freedom 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.J – Immediate Jeopardy

Fire Safety Citation History

25 fire safety citations on record

DateCategoryDescriptionSeverity
2026-03-20Smoke DeficienciesHave an enclosure around a vertical opening shaft.F – Moderate Harm Potential
2026-03-20Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2026-03-20Smoke DeficienciesProvide properly protected cooking facilities.E – 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.E – Moderate Harm Potential
2025-03-06Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2025-03-06Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2025-03-06Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2025-03-06Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2025-03-06Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.B – Minimal Harm Potential
2024-03-15Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2024-03-15Emergency Preparedness DeficienciesDevelop Emergency Preparedness policies and procedures.F – Moderate Harm Potential
2024-03-15Emergency Preparedness DeficienciesDevelop a communication plan.F – Moderate Harm Potential
2024-03-15Emergency Preparedness DeficienciesEstablish emergency prep training and testing.F – Moderate Harm Potential
2024-03-15Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2024-03-15Egress DeficienciesMeet other general requirements that are deficient.F – Moderate Harm Potential
2024-03-15Smoke DeficienciesHave an enclosure around a vertical opening shaft.F – Moderate Harm Potential
2024-03-15Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2024-03-15Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2024-03-15Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-03-15Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-03-15Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2024-03-15Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.E – Moderate Harm Potential
2024-03-15Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2024-03-15Emergency Preparedness DeficienciesEstablish staff and initial training requirements.C – Minimal Harm Potential
2024-03-15Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.C – Minimal Harm Potential

Total Penalties & Fines

$24,291
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-01-11Fine$24,291-

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