Deficiency Records for Willow Tree Care Center
Updated as of October 01, 2022
This is not the most recent data for Willow Tree Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Willow Tree Care Center. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-07 | 2021-08-02 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-06-24 | 2021-07-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-06-24 | 2021-07-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-24 | 2021-07-30 | N |
| 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. | Health | 2021-06-24 | 2021-07-30 | 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 | 2021-06-24 | 2021-07-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-07-07 | 2021-07-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-07 | 2021-07-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-01-14 | 2021-02-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-06 | 2019-12-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-30 | 2019-09-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-30 | 2019-09-19 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-08-08 | 2019-09-04 | 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 | 2019-08-08 | 2019-09-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-08 | 2019-09-04 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-08 | 2019-09-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-08 | 2019-09-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-08 | 2019-09-04 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-08-08 | 2019-09-04 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-08-08 | 2019-09-04 | 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 | 2019-08-08 | 2019-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-08 | 2019-09-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-08-08 | 2019-09-04 | 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 | 2019-08-30 | 2019-08-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-28 | 2018-08-01 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-07-11 | 2018-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-11 | 2018-08-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-11 | 2018-08-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-11 | 2018-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-11 | 2018-08-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-11 | 2018-08-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-28 | 2018-07-20 | N |
