Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Woodward Skilled Nursing And Therapy during CMS and state inspections, most recent first.
A resident with severely impaired cognition and a care plan requiring two-person assistance for transfers was injured when a staff member, aware of the protocol, repositioned and lifted the resident alone and without a gait belt, resulting in a fractured right humerus.
A resident with depression, anxiety, and diabetes did not have a significant change assessment completed by the required ARD date. The MDS coordinator confirmed the absence of a specific policy for timely MDS completion, relying instead on the RAI manual, and acknowledged the oversight.
A facility failed to accurately code a resident's assessment, marking clopidogrel bisulfate (Plavix) as an anticoagulant instead of an antiplatelet. The resident had a history of coronary artery bypass and heart disease. The MDS coordinator admitted the error during an interview, despite following physician orders.
A resident with multiple health issues experienced a decline in their ability to perform ADLs, requiring increased assistance. Despite assessments indicating this decline, the care plan was not updated to reflect the resident's needs. The Corporate Nurse Consultant was unable to confirm the facility's policy for revising care plans and acknowledged the oversight.
Failure to Follow Two-Person Transfer Protocol Resulting in Resident Injury
Penalty
Summary
A deficiency occurred when staff failed to follow the care plan for a resident who required assistance from two staff members for transfers. The resident, who had severely impaired cognition and no upper extremity impairment at the time of the initial assessment, was involved in an incident where a staff member repositioned and lifted the resident under the arms without assistance from a second staff member and without using a gait belt, as required by policy and the resident's care plan. This resulted in the staff member hearing a pop and the resident complaining of pain in the right arm, which was later diagnosed as a broken right humerus. The care plan for the resident clearly indicated the need for two-person assistance during transfers, and this requirement was accessible to all staff. Despite this, the staff member admitted to being aware of the two-person assist requirement and the need to use a gait belt but did not follow these procedures. The incident was documented in an incident report and confirmed through staff interviews and review of the resident's care plan and assessments.
Failure to Complete Significant Change Assessment
Penalty
Summary
The facility failed to complete a significant change assessment for a resident who was part of a sample of 12 residents reviewed for assessments. The resident had diagnoses including depression with psychotic features, anxiety, and diabetes mellitus. According to the RAI manual, a significant change MDS must be completed no later than 14 days from the ARD and no later than 14 days after determining that the criteria for a significant change in status assessment (SCSA) were met. However, the significant change assessment for this resident, dated 09/15/24, was not completed by the ARD date. During an interview on 10/04/24, the MDS coordinator confirmed that there was no specific policy for completing an MDS in a timely manner and that they referred to the RAI manual for guidance. They acknowledged that the significant change assessment had not been completed by the ARD date.
Inaccurate Assessment Coding for Antiplatelet Medication
Penalty
Summary
The facility failed to ensure accurate coding of resident assessments, specifically for one resident among the 12 sampled. This resident had a medical history that included coronary artery bypass, heart disease with heart failure, and congestive heart failure. A physician's order dated October 4, 2024, prescribed clopidogrel bisulfate (Plavix), an antiplatelet medication. However, a significant change assessment dated July 10, 2024, incorrectly documented Plavix as an anticoagulant instead of an antiplatelet. During an interview on October 4, 2024, the MDS coordinator acknowledged the error, stating that they had mistakenly marked Plavix as an anticoagulant, despite following physician orders.
Failure to Update Care Plan for Resident's Decline in ADLs
Penalty
Summary
The facility failed to revise and update the care plan for a resident who experienced a decline in their ability to perform activities of daily living (ADLs). The resident had a history of insomnia, anxiety, acute kidney issues, urethritis, chronic urinary tract infections, and urinary retention. Initially, the care plan, dated December 23, 2023, indicated that the resident would not experience a decline in functional status. However, a quarterly assessment on July 26, 2024, showed that the resident required supervision to moderate assistance with ADLs. A subsequent significant change assessment on August 23, 2024, documented that the resident required maximum assistance with ADLs. Despite these assessments indicating a decline, the care plan was not updated to reflect the resident's increased need for assistance. When questioned, the Corporate Nurse Consultant was unable to confirm the facility's policy for revising care plans and acknowledged that the care plan had not been updated.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Woodward
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Town Of Vici Nursing Home | 19 mi | ★★★★★ | 0 | 0 |
| Shattuck Nursing Center | 29 mi | ★★★★★ | 0 | 0 |
| Seiling Nursing Center | 31.1 mi | ★★★★★ | 4 | 0 |
| Western Skilled Nursing And Therapy | 32.5 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.