Woodland Convalescent Center
WOODLAND CONVALESCENT CENTER in WOODLAND, WA — inspection on March 30, 2026.
Found 1 citation. 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
disengaged.
The CNA's told her when they raised Resident 1 from the bed everything had been fine. It
Staff F said she had assessed the sling after the incident, and it had looked like it was in good
could be assessed by the Maintenance Department. On 03/27/2026, at 3:07 PM, Staff E, CNA, said when she and Staff D had transferred Resident 1 on the evening of the fall, the loops of the sling were securely fastened. We had barely lifted her up and off the bed when the bottom left loop became disconnected and she fell. We were really shocked and couldn't figure out what happened. We are all on hyper alert now.
Especially with the slings because a lot of the slings are old. We are now examining the slings every time we use one and the Hoyer lifts too. We're looking at the little metal disks now too to make sure they're not loose. We look at this each time now. In an observation and interview on 03/27/2026 at 3:50 PM, Staff D, CNA, demonstrated how she and a co-worker attached the Hoyer sling to the Hoyer lift prior to Resident 1's fall.
Staff D said she remembered hearing the sling loops click into place, but she thinks one of the round metal disks might have been a little loose.
Staff D said there has been a lot of training since the incident, and all new slings are being ordered.
On 03/30/2026, at 1:56 PM, Staff G, Maintenance Director, said the mechanical lifts and slings were inspected monthly. He said there was a new policy in place where each resident will have their own slings.
They will be labeled and dated for specific residents and new slings will be ordered each year.
Record review of monthly maintenance logs for hoyer slings and lifts for January through December of 2025 and January, February, and March of 2026 showed no concerns noted with slings or lifts. On 03/30/2026, at 4:30 PM, Staff B, Director of Nursing Services, said the facility had expected a citation as Resident 1's fall from the Hoyer sling resulted in injury.
While they don't know exactly how this occurred, they were doing everything they can to prevent recurrence and harm to other residents.
Reference WAC 388-97-1060[3][g]