Woodstock Center For Nursing And Healing Llc
Woodstock Center for Nursing and Healing LLC in WOODSTOCK, GA — inspection on August 28, 2025.
Found 5 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
deficient practice had the potential to affect 56 total accounts of 125 residents managed by facility.
4/1/2024, revealed under Assurance of Financial Security: 1.
The company will purchase a surety bond or otherwise provide assurance satisfactory to assure the security of all personal funds of the residents deposited with the company.
Review of the facility's last six months banks statements revealed that the facility had a surety bond of $100,000.00 USD (United States Dollars) effective 9/1/2024 through 9/1/2025.
February 2025- The beginning balance was $106,898.12; ending balance was $128, 274,71March 2025 - The beginning balance was $128,274,71; ending balance was $133,677.33April 2025 - The beginning balance was $133,677.33; ending Balance was $133,831.89May 2025 - The beginning balance was $133,831.89; ending balance was $124,002.45June 2025 - The beginning balance was $124,002.45; ending balance was $124,598.44July 2025 - The beginning balance was $124,598.44; ending balance was $72,101.74During an Interview on 8/25/2025 at 10:38 am, The Administrator revealed the facility should have a surety bond that is large enough to cover the balance on the financial statement.In an interview on 8/25/2025 at 11:08 am, the Director of Regulatory Compliance (DRC) revealed the facility may have an additional surety bond.During a follow-up interview on 8/26/2025 at 3:51 pm, the DRC provided an updated surety bond that went into effect on 5/1/2025.
The amount was increased from 100,000.00 USD to 150,000.00 USD.
The DRC confirmed the updated surety bond did not cover the financial statements prior to 5/1/2025.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
115421 08/28/2025
Woodstock Center for Nursing and Healing LLC 105 Arnold Mill Road Woodstock, GA 30188
Federal health inspectors cited Woodstock Center for Nursing and Healing LLC in WOODSTOCK, GA for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2025-08-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 5 deficiencies cited during this inspection of Woodstock Center for Nursing and Healing LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Review of a Grievance dated 6/9/2025 reported by R82’s daughter stated, “had concerns of father being wet and needing a shower and clean linen.” Summary of Actions Taken: Resident will receive showers on his scheduled shower days and as needed. He will receive bed baths on the alternating days that he is not scheduled for showers.
During an interview on 8/21/2025 at 10:11 am with CNA YY, who was taking care of R82 that day, revealed we got him out of bed once he got anxious, we put him in a chair and put him at the nurse’s station so he could be better observed and so he didn’t fall. CNA YY said R82 was incontinent of bladder, and they took him to the bathroom. CNA YY did not mention giving baths or showers.
During an interview on 8/25/2025 at 2:02 pm, the Director of Regulatory Compliance said there were no bath sheets for R82 for May 2025 or June 2025, so there was no documented information that R82 received a shower or bed bath for those months.
During an interview on 8/27/2025 at 9:35 am with CNA RR revealed she filled out the shower sheets right after giving the resident a shower.
During an interview on 8/27/2025 at 10:39 am, CNA SS revealed for showers, we knocked on the door, introduced ourselves, asked the resident if they wanted a shower, and if they answered yes, then we took them to shower. If the resident said yes, we filled out shower sheets for any scratches.
If a resident refused a shower, we wrote on the paper that they refused and told the nurse. We wrote down if we gave them a bed bath on the form.
Most bed baths were done by Hospice, but for CNAs, we gave showers.
115421 08/28/2025
Woodstock Center for Nursing and Healing LLC 105 Arnold Mill Road Woodstock, GA 30188
Review of R89's Mediation Administration Record (MAR) for August 2025 revealed R89's [NAME] Hose were administered daily.Review of R89's Medication audit report revealed that R89's TED Hose were placed him on 8/18/2025 at 8:01 am.In a review of R89's MAR revealed that his ted hose were placed on him on 8/21/2025.During an observation on 8/14/2025 at 9:34 am, R89 pulled out his TED Hose from his drawer. R89 was attempting to communicate that the ted hose needed to be placed on him.
The call light was turned on. A facility staff member entered the room and explained the ted hose went on the resident's leg in the mornings when he woke up.During an observation on 8/18/2025 at 8:10 am, R89 was in the dining room. R89 did not have his [NAME] Hose on his right lower extremity (RLE).
Observation on 8/18/2025 at 8:49 AM, R89's [NAME] Hose were stored in his drawer.Observation on 8/18/2025 at 3:18 pm, R89 was in the dining room with his head down while others were watching television. R89 did not have his compression sleeve on his RLE.
During an observation on 8/21/2025 at 2:27 pm, R89 lifted his pant leg to reveal his lower extremity. R89 did not have his [NAME] Hose on.During a phone interview on 8/14/2024 at 10:16 am, R89's Responsible Party (RP) revealed the facility staff did not place R89's [NAME] Hose on his legs to manage his swelling.During a phone interview on 8/19/2025 at 3:31 pm, Licensed Practical Nurse (LPN) XX revealed she normally would confirm with the night nurse if they put the [NAME] Hose on R89 and she must not have done that yesterday. LPN XX continued that R89 was normally already up by the time she got to work so the night nurse usually put on the [NAME] Hose. LPN XX confirmed she didn't put on the [NAME] Hose on R89 on 8/18/2025.
When asked why she documented the MAR she had, LPN XX stated she could not answer that.
During an Interview on 8/21/2025 at 3:13 pm, LPN Nurse EE revealed she did not know R89 had an order for a [NAME] Hose that went on his lower right leg. LPN EE was asked to review the MAR for 8/21/2025 and confirmed marking administering of the [NAME] Hose.
When asked why she marked it when it was not on R89, she stated she didn't even know about the [NAME] Hose and stated she could not answer that. LPN EE continued that she knew R89 had an arm brace, and that was what she was marking as administered.
Interview on 8/19/2025 at 3:38 pm, the Director of Nursing (DON) revealed it was her expectation that the nurse would mark medication given or task done in real time. It was not common practice for the staff not to mark something they did not do themselves.
115421 08/28/2025
Woodstock Center for Nursing and Healing LLC 105 Arnold Mill Road Woodstock, GA 30188
During an interview on 8/12/2025 at 11:22 am, the Administrator stated someone must have just used the dumpster and not closed the door.
The Administrator continued that Housekeeping and Food Service employees were responsible for keeping the dumpster area clean.
Observation on 8/14/2025 at 11:55 am through 12:05 pm revealed that one garbage dumpster door was visibly open from the facility's dining room.During an observation on 8/14/2025 at 12:55 pm, accompanied by the Dietary Manager, revealed two of two garbage dumpsters doors were open while not in use. In an Interview 8/14/2025 at 12:55 pm, the Dietary Manager revealed the staff should have closed the sliding doors to the garbage dumpster after every time they dumped waste.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.