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Deficiency Records for Life Care Center of The Willows

View the most recent health deficiencies and inspection results for Life Care Center of The Willows. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Life Care Center of The Willows. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-03-25 2026-04-10 Y
Develop Emergency Preparedness policies and procedures. Fire Safety 2026-01-27 2026-03-23 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2026-01-27 2026-03-23 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2026-01-27 2026-03-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2026-01-27 2026-03-23 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2026-01-27 2026-03-23 N
Have simulated fire drills held at unexpected times. Fire Safety 2026-01-27 2026-03-23 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2026-01-27 2026-03-23 N
Install corridor and hallway doors that block smoke. Fire Safety 2026-01-27 2026-03-23 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2026-01-27 2026-03-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2026-01-27 2026-03-23 N
Install an approved automatic sprinkler system. Fire Safety 2026-01-27 2026-03-23 N
Meet other general requirements that are deficient. Fire Safety 2026-01-27 2026-03-23 N
Provide properly protected cooking facilities. Fire Safety 2026-01-27 2026-03-23 N
Develop a communication plan. Fire Safety 2026-01-27 2026-03-23 N
Establish emergency prep training and testing. Fire Safety 2026-01-27 2026-03-23 N
Establish staff and initial training requirements. Fire Safety 2026-01-27 2026-03-23 N
Conduct testing and exercise requirements. Fire Safety 2026-01-27 2026-03-23 N
Implement emergency and standby power systems. Fire Safety 2026-01-27 2026-03-23 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2026-01-27 2026-03-23 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 2026-01-27 2026-03-23 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2026-01-27 2026-03-23 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2026-01-27 2026-03-23 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2026-01-27 2026-03-02 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2026-01-27 2026-02-20 N
Implement a program that monitors antibiotic use. Health 2026-01-27 2026-02-20 N
Provide and implement an infection prevention and control program. Health 2026-01-27 2026-02-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-01-27 2026-02-20 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2026-01-27 2026-02-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2026-01-27 2026-02-20 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2026-01-27 2026-02-20 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2026-01-27 2026-02-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-01-27 2026-02-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-01-27 2026-02-20 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2026-01-27 2026-02-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-01-27 2026-02-20 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 2026-01-27 2026-02-20 N
Provide and implement an infection prevention and control program. Health 2025-12-04 2025-12-29 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-09-29 2025-10-24 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2025-09-29 2025-10-24 Y
Conduct testing and exercise requirements. Fire Safety 2024-11-13 2025-01-12 N
Implement emergency and standby power systems. Fire Safety 2024-11-13 2025-01-12 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 2024-11-13 2025-01-12 N
Provide properly protected cooking facilities. Fire Safety 2024-11-13 2025-01-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-11-13 2025-01-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-11-13 2025-01-12 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-11-13 2025-01-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-11-13 2025-01-12 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 2024-11-13 2024-12-06 N
Implement a program that monitors antibiotic use. Health 2024-11-13 2024-12-06 N
Provide and implement an infection prevention and control program. Health 2024-11-13 2024-12-06 N
Provide enough food/fluids to maintain a resident's health. Health 2024-11-13 2024-12-06 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-11-13 2024-12-06 N
Keep residents' personal and medical records private and confidential. Health 2024-11-13 2024-12-06 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-03-15 2024-04-11 Y
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-03 2024-02-14 N
Provide a written emergency evacuation plan. Fire Safety 2024-01-03 2024-02-14 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-01-03 2024-02-14 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2024-01-03 2024-02-14 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-01-03 2024-02-14 N
Meet other general requirements that are deficient. Fire Safety 2024-01-03 2024-02-14 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 2024-01-03 2024-02-14 N
Provide properly protected cooking facilities. Fire Safety 2024-01-03 2024-02-14 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2024-01-03 2024-02-14 N
Install an approved automatic sprinkler system. Fire Safety 2024-01-03 2024-02-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-03 2024-02-14 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-01-03 2024-02-14 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-01-03 2024-02-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-03 2024-02-01 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-03 2024-02-01 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-01-03 2024-02-01 N
Implement a program that monitors antibiotic use. Health 2024-01-03 2024-02-01 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-01-03 2024-02-01 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 2024-01-03 2024-02-01 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-01-03 2024-02-01 N
Provide enough food/fluids to maintain a resident's health. Health 2024-01-03 2024-02-01 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2024-01-03 2024-02-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-03 2024-02-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-03 2024-02-01 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-01-03 2024-02-01 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-01-03 2024-02-01 N

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