Woodland Care Center: Monitoring Failures After Decline - CA
That gap, and others like it, is what federal inspectors found when they visited Woodland Care Center, a nursing home at 7120 Corbin Ave. in Reseda, during a complaint inspection on January 29, 2026.
The resident, identified in inspection records only as Resident 1, had a change in condition on September 18, 2025. After eating lunch in the dining room, he told staff he wanted to return to bed and sleep, which inspectors noted was not his normal routine. He reported increased sleepiness and went to sleep immediately after returning to bed. The facility's own change-of-condition form documented all of this.
His physician, MD 1, was notified and placed a stat order, meaning immediately, for four tests: a complete blood count, a comprehensive metabolic panel, a Keppra level check, and a urinalysis with urine culture and sensitivity. Keppra is a medication used to treat seizures; the blood test measures how much of it is circulating in a patient's system. The order for all four was urgent.
Resident 1 refused to provide a urine sample. That meant the urinalysis and the culture were never submitted to the laboratory.
Nursing staff documented the results of the three blood tests and informed MD 1 of those findings. But there was no documentation that anyone told MD 1 that his patient had refused the urine sample, that the urinalysis had not been completed, and that the culture had not been sent. The physician ordered four tests. He was told about three. Nobody told him the fourth hadn't happened.
Four days later, on September 22, Resident 1 was showing progressive weakness and increased confusion. MD 1 was notified and ordered him transferred to a general acute care hospital for further evaluation.
The monitoring failures didn't start on September 18. Inspectors also reviewed records from April 13, 2025, when Resident 1 had an earlier change in condition. The facility's own standard required staff to monitor a resident for 72 hours following any such change, with a reassessment completed and documented on each nursing shift. The Director of Nursing confirmed that standard to inspectors during an interview on January 29.
There was no documented reassessment during the day shift on April 14, the day after that April change in condition. A licensed vocational nurse, identified as LVN 2, told inspectors directly that no documented reassessment was completed during the day shift and that one should have been.
The Director of Nursing agreed. She told inspectors that when a physician orders laboratory tests, the physician should be notified of the results, including any refusal by the resident to provide a specimen. She acknowledged there was no documentation that MD 1 had been informed of the refused urine sample.
Then came an admission that sharpened the picture considerably. When inspectors asked whether the facility had a policy to ensure reassessments are completed following a change in condition, the Director of Nursing said the facility does not have one. The current policy, she explained, addresses only notification to the physician, not the follow-up monitoring that she herself described as standard practice.
The facility does have a written policy on refusal of care. Inspectors reviewed it. That policy states the healthcare provider must be notified of a refusal of treatment in a timeframe determined by the resident's condition and the potential serious consequences of the request. A patient on seizure medication, showing sudden and unexplained sleepiness, refusing a urine test his doctor ordered stat, would seem to meet that threshold.
MD 1 was never told.
Resident 1 was transferred to the hospital four days after the test he refused was never reported to anyone who could have acted on it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Woodland Care Center from 2026-01-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
WOODLAND CARE CENTER in RESEDA, CA was cited for violations during a health inspection on January 29, 2026.
That gap, and others like it, is what federal inspectors found when they visited Woodland Care Center, a nursing home at 7120 Corbin Ave.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.