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Deficiency Records for Willow Pass Healthcare Center
View the most recent health deficiencies and inspection results for Willow Pass Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willow Pass Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-26 | 2026-04-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-26 | 2026-04-14 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2026-03-13 | 2026-04-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-13 | 2026-04-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-13 | 2026-04-13 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-09-07 | 2025-12-29 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-07-09 | 2024-08-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-11 | 2024-05-30 | Y |
| Provide a bathroom in or located near each resident?s room. | Health | 2024-04-25 | 2024-04-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-25 | 2024-04-30 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-02-21 | 2024-03-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-31 | 2023-09-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-21 | 2023-07-14 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-10-14 | 2022-12-01 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-10-14 | 2022-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-14 | 2022-12-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-10-14 | 2022-12-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-14 | 2022-12-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-14 | 2022-12-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-10-14 | 2022-12-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-10-14 | 2022-12-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-14 | 2022-12-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-10-14 | 2022-12-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-14 | 2022-12-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-14 | 2022-12-01 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-10-14 | 2022-12-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-14 | 2022-12-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-14 | 2022-12-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-14 | 2022-12-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-14 | 2022-12-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-14 | 2022-12-01 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-10-14 | 2022-12-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-10-14 | 2022-10-31 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-10-14 | 2022-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-14 | 2022-10-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-14 | 2022-10-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-14 | 2022-10-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-14 | 2022-10-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-14 | 2022-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-14 | 2022-10-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-10-14 | 2022-10-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-14 | 2022-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-14 | 2022-10-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-14 | 2022-10-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-14 | 2022-10-31 | 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 | 2022-10-14 | 2022-10-31 | N |
| Use approved construction type or materials. | Fire Safety | 2022-10-14 | 2022-10-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-07 | 2020-03-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-07 | 2020-03-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-07 | 2020-03-27 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-02-07 | 2020-03-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-02-07 | 2020-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-07 | 2020-03-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-07 | 2020-03-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-07 | 2020-03-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-07 | 2020-03-27 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-02-07 | 2020-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-07 | 2020-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-07 | 2020-03-27 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-02-07 | 2020-03-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-07 | 2020-03-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-07 | 2020-03-23 | 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 | 2020-02-07 | 2020-03-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2020-02-07 | 2020-03-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-09 | 2019-04-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-09 | 2019-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-09 | 2019-04-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-01-09 | 2019-04-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-09 | 2019-04-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-01-09 | 2019-04-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-09 | 2019-04-04 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-01-09 | 2019-02-09 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-01-09 | 2019-02-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-09 | 2019-02-09 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-01-09 | 2019-02-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-01-09 | 2019-02-09 | N |