Health inspection·December 1, 2025

F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, review of facility's policies and procedures, staff and resident interviews, the facility failed to respond timely to residents' request for assistance for 2 (Residents #750 and #799) of 3 residents observed.The findings included:On 11/12/25 at 5:52 a.m., during a tour of the [NAME] Hall the call light of room [ROOM NUMBER] was observed on. Licensed Practical Nurse (LPN) Staff A and LPN Staff B were observed in the hallway passing medications. A Certified Nursing Assistant (CNA) walked past the room and entered another resident's room. The call light remained on and unanswered until the Social Service Director was observed answering the call light at 6:09 a.m.On 11/12/25 at 6:20 a.m., Resident #750 was heard yelling out loudly for help for approximately 15 minutes. The call light was not on. No staff were observed in the hallway.Review of the clinical record revealed Resident #750 had an admission date of 8/11/24. Diagnoses included history of falling, and benign prostatic hyperplasia with lower urinary tract symptoms.Review of the Quarterly Minimum Data Set (MDS) (standardized assessment tool that measures health status in nursing home residents) dated 8/2/25 revealed the resident was dependent on staff for toilet hygiene and transfers. The MDS specified the resident was frequently incontinent of urine and always incontinent of bowels. Resident #750 scored 15 on the Brief Interview for Mental Status, indicative of intact cognition.On 11/12/25 at 9:40 a.m., in an interview Resident #750 said at night no one comes to help, that is why he yells for help. The resident said he pushes the call light button, and it can take hours for staff to answer. He said he could not get out of bed on his own and did not walk. Resident #750 said he keeps his urinal on the table here and it fills up quickly. If he tries to use it the urine will spill, so he calls the staff to empty it. The resident said when he has a bowel movement, they don't come. Last night no one came and he was yelling because he needed the urinal to be emptied so the urine did not spill on him when he tried to use it. He said, No one ever comes in when I push the red button.On 11/12/25 at 9:12 a.m., Resident #799's emergency call light was observed on and beeping. Staff were observed walk past the resident's room.On 11/12/25 at 9:15 a.m., with the resident's permission, Resident #799 was observed in front of the toilet sitting in his wheelchair. The resident had no clothes on and was holding a soiled incontinent brief. Resident #799 said he needed help.On 11/12/25 at 9:25 a.m., the resident's call light was off. Resident #799 was observed sitting in the wheelchair. He was still not wearing any clothes and said no one had come to help him. He said he had been waiting for a long time and was yelling loudly for help.On 11/12/25 at 9:30 a.m., Registered Nurse (RN) Staff C was observed right next door from Resident #799's room with the medication cart. In an interview RN Staff C said, I turned the call light off because he is in the bathroom and needs help. I told the CNA. She was busy but knows and will come and take care of him because I told her.On 11/12/25 at 9:37 a.m., Resident #799 remained in the bathroom, yelling out for help.On 11/13/25 at 8:02 a.m., in an interview Resident #799 said, The call light is never answered and it happens just about every day. (continued on next page) 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 Page 1 of 7 Event ID: 105421 Printed: 05/28/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 105421 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/01/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Woodside Health and Rehabilitation Center 3601 Lakewood Blvd Naples, FL 34112 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)