Woodridge Assisted Living Facility

The facility failed to provide necessary ambulation assistance and supervision for a resident with dementia and limited upper body strength. As a result, the resident was left in direct sunlight and heat for an extended period, leading to heat exhaustion and sunburn.

The facility failed to provide necessary ambulation assistance and supervision for a resident with dementia and limited upper body strength. As a result, the resident was left outdoors in 93-degree heat for an extended period, leading to heat exhaustion and sunburn.

The facility failed to implement physician's orders for one resident regarding daily weight checks required prior to administering an as-needed medication for weight gain. Records showed weight was only being checked weekly instead of the ordered daily frequency.

The facility failed to administer medications as ordered by a licensed prescribing practitioner. Specifically, for Resident #6, the facility administered a 1000u dose of Vitamin D3 instead of the prescribed 2000u dose. This error was identified during medication pass observations on 09/01/21 and 09/02/21.

The facility failed to ensure that one of five sampled residents was tested for tuberculosis disease upon admission in compliance with required control measures. Specifically, Resident #2 did not have documentation of a completed two-step TB skin test, and staff were unaware of this deficiency.

The facility failed to ensure one of five sampled residents was tested for tuberculosis disease upon admission in compliance with required control measures. Specifically, Resident #2 did not have documentation of a completed two-step TB skin test, and there was no evidence that the resident's refusal of subsequent tests was reported to a physician.

The facility failed to provide a complete table service place setting, including a knife, fork, and spoon, for 22 of 22 residents in the Memory Care Unit. Observations during lunch revealed that residents in dining room A only had forks, while residents in dining room B only had spoons.