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Deficiency Records for Twin Willows Nursing Center
View the most recent health deficiencies and inspection results for Twin Willows Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Twin Willows Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-16 | 2025-02-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-16 | 2025-02-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-16 | 2025-02-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-01-16 | 2025-02-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-16 | 2025-02-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-01-16 | 2025-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-16 | 2025-02-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-16 | 2025-02-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-16 | 2025-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-16 | 2025-02-06 | N |
| Respond appropriately to all alleged violations. | Health | 2025-01-16 | 2025-02-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-16 | 2025-02-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-01-16 | 2025-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-16 | 2025-01-20 | N |
| Post nurse staffing information every day. | Health | 2025-01-16 | 2025-01-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-01-16 | 2025-01-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-01-16 | 2025-01-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-01-16 | 2025-01-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-01-16 | 2025-01-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-01-16 | 2025-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-08 | 2024-07-09 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-05 | 2024-03-22 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-01-05 | 2024-03-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-01-05 | 2024-03-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-01-05 | 2024-03-22 | 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 | 2024-01-05 | 2024-03-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-01-05 | 2024-03-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-05 | 2024-03-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-01-05 | 2024-03-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-01-05 | 2024-01-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-05 | 2024-01-24 | 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 | 2022-12-15 | 2023-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-15 | 2023-02-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-15 | 2023-02-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-12-15 | 2023-01-27 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-12-15 | 2023-01-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-15 | 2023-01-27 | N |