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Complaint Investigation

Woodlawn Rehabilitation & Nursing Center

Inspection Date: October 17, 2025
Total Violations 1
Facility ID 205154
Location Skowhegan, ME
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Inspection Findings

F-Tag F0695

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0695

Provide safe and appropriate respiratory care for a resident when needed.

Level of Harm - Minimal harm or potential for actual harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

observation and interview, the facility failed to ensure that emergency cart equipment and supplies were maintained in a clean, safe and ready-to-use condition for 1 of 1 emergency cart reviewed. Findings:On [DATE REDACTED] at 3:30 pm, during an observation of the facility's emergency cart with the Director of Nursing (DON), the following concerns were identified: The adult manual resuscitator (Ambu bag) stored in a torn, cloudy plastic bag with the attached reservoir bag that was worn, discolored and consistent with prior use.

The plastic resuscitation mask and oxygen tubing was discolored, yellow, and visibly dirty. A package of oxygen tubing had an expiration date of [DATE REDACTED]. The suction machine on the cart was dusty, and the inspection sticker indicated the last inspection was completed on [DATE REDACTED]. During an interview on [DATE REDACTED] at 3:30 p.m., the DON stated that night shift staff were responsible for ensuring the emergency cart equipment and supplies were maintained in clean, functional and ready to use condition. She acknowledged that the suction machines inspection was overdue and that emergency respiratory equipment should not have been discolored, dirty or expired.

Residents Affected - Some

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 REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

Woodlawn Rehabilitation & Nursing Center in Skowhegan, ME inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Skowhegan, ME, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Woodlawn Rehabilitation & Nursing Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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