Deficiency Records for Willowbrooke Ct Skilled Care Ctr Westminster Vlg
Updated as of March 01, 2024
A list of the most recent deficiencies for Willowbrooke Ct Skilled Care Ctr Westminster Vlg. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-08 | 2021-05-13 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-02-20 | 2019-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-20 | 2019-03-27 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-02-20 | 2019-03-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-02-20 | 2019-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-14 | 2019-03-15 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-02-20 | 2019-03-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-03-07 | 2018-04-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-07 | 2018-04-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-07 | 2018-04-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-03-01 | 2018-04-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-01 | 2018-04-04 | N |
| Post nurse staffing information every day. | Health | 2018-03-01 | 2018-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-01 | 2018-04-04 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-03-01 | 2018-04-04 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2018-03-01 | 2018-04-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-01 | 2018-04-04 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-03-01 | 2018-04-04 | N |
