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Deficiency Records for Willows of Shelbyville
View the most recent health deficiencies and inspection results for Willows of Shelbyville. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willows of Shelbyville. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2025-12-23 | 2026-04-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-12-23 | 2026-04-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-23 | 2026-04-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-12-23 | 2026-04-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-12-23 | 2026-04-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-12-23 | 2026-04-01 | N |
| Have an externally vented heating system. | Fire Safety | 2025-12-23 | 2026-04-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-12-23 | 2026-04-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-12-23 | 2026-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-23 | 2026-04-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-12-23 | 2026-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-23 | 2026-01-21 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-12-23 | 2026-01-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-12-23 | 2026-01-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-23 | 2026-01-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-06 | 2025-03-20 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-01 | 2024-11-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-10-01 | 2024-11-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-01 | 2024-11-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-10-01 | 2024-11-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-01 | 2024-11-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-10-01 | 2024-11-08 | 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 | 2024-10-01 | 2024-11-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-10-01 | 2024-11-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-01 | 2024-11-08 | 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 | 2024-10-01 | 2024-11-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-10-01 | 2024-10-25 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-10-01 | 2024-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-01 | 2024-10-25 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-10-01 | 2024-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-01 | 2024-10-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-10-01 | 2024-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-01 | 2024-10-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-02 | 2024-05-20 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-05-02 | 2024-05-20 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-05-02 | 2024-05-20 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-02-22 | 2024-03-20 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-22 | 2024-03-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-22 | 2024-03-20 | 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 | 2024-02-22 | 2024-03-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-22 | 2024-03-20 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-26 | 2023-10-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-26 | 2023-10-31 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-07-26 | 2023-10-31 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-07-26 | 2023-10-31 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-07-26 | 2023-10-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-26 | 2023-10-31 | N |
| Meet other general requirements. | Fire Safety | 2023-07-26 | 2023-10-31 | 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 | 2023-07-26 | 2023-10-31 | 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 | 2023-07-26 | 2023-10-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-26 | 2023-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-26 | 2023-10-31 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-07-26 | 2023-10-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-26 | 2023-10-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-26 | 2023-10-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-26 | 2023-10-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-26 | 2023-08-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-26 | 2023-08-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-26 | 2023-08-25 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-07-26 | 2023-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-26 | 2023-08-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-26 | 2023-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-26 | 2023-08-25 | 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 | 2023-07-26 | 2023-08-25 | 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 | 2023-07-26 | 2023-08-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-26 | 2023-08-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-12-23 | Not Fixed | N |