WOODS HEALTH SERVICES

Los Angeles · CA · Non profit - Corporation · 74 certified beds · CCN 056083 · BRETHREN HILLCREST HOMES


WOODS HEALTH SERVICES operates 74 certified beds in LA VERNE, California. Its Medicare and Medicaid certification dates to 1969-05-29. It averages 44.1 residents a day.

What harm was found in the violations cited at WOODS HEALTH SERVICES?

CMS lists 63 health-inspection deficiencies for WOODS HEALTH SERVICES, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-22.

Survey dateTagDeficiencySeverity
2026-05-22F0578, F0684, F0695, F0726, F0759, F0812, F0880Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Ensure medication error rates are not 5 percent or greater. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2026-05-22F0640, F0656, F0756, F0842Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-05-05F0580, F0678, F0684, F0689Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-04-28F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E
2026-04-08F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2026-03-03F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2026-02-10F0730Observe each nurse aide's job performance and give regular training.E
2025-12-18F0684, F0689Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-11-19F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-06-20F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-05-19F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2025-05-19F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2025-05-19F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2025-04-04F0552, F0756, F0880Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide and implement an infection prevention and control program.E
2025-04-04F0558, F0640, F0641, F0658, F0684, F0689, F0732, F0758, F0812, F0842Reasonably accommodate the needs and preferences of each resident. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Post nurse staffing information every day. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-01-31F0880Provide and implement an infection prevention and control program.E
2024-12-27F0880Provide and implement an infection prevention and control program.E
2024-12-27F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-09-05F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E
2024-09-05F0842, F0880Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2024-08-05F0880Provide and implement an infection prevention and control program.D
2024-03-29F0550, F0656, F0684, F0725, F0812, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2024-03-29F0558, F0578, F0638, F0689, F0691, F0695, F0758, F0882Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Provide safe and appropriate respiratory care for a resident when needed. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.D
2024-03-11F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-12-13F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-08-25F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D

Why was WOODS HEALTH SERVICES fined?

DateTypeAmount
2023-12-13Fine$8,190

Has WOODS HEALTH SERVICES had payment denied by Medicare?

Payment denial startLength in days
2024-04-0613

How is WOODS HEALTH SERVICES staffed?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.737954.51570
Total nursing staff turnover (%)39.736.7
Average number of residents per day44.187.9

Who owns WOODS HEALTH SERVICES?

WOODS HEALTH SERVICES is registered with CMS as Non profit - Corporation, operates under the legal business name BRETHREN HILLCREST HOMES.

RoleOwnerAssociation date
W-2 MANAGING EMPLOYEENEELEY, MATTHEWsince 01/03/2005
CORPORATE DIRECTORALLISON, THOMAS, BLICKENSTAFF, JON, DOUD, JACQUELINE, DUNCAN, KATHLEEN, GARVEY, KATHLEEN, HESS, DOROTHY, JOHNSTON, ROBERT, LANE, DAN, MATTESON, RUSS, MCMULLIN, EDWARD, MEEK, CHRISTINE, REDMAN, DONNA, SADDLEMIRE, LINDA, SMYTHE, BARBARA, STANLEY, DALE, TENORIO, SUSAN, WANG, TINA, WELCH, MICHAELsince 01/01/2017
CORPORATE OFFICERBROUWER, JOEL, KASIN, KEITH, NEELEY, MATTHEWsince 01/03/2005
OPERATIONAL/MANAGERIAL CONTROLBRETHREN HILLCREST HOMESsince 05/29/1969

Were you or a family member harmed at WOODS HEALTH SERVICES?