Deficiency Records for Willows of Greensburg
Updated as of November 01, 2021
This is not the most recent data for Willows of Greensburg. For the most recent information, click here.
A list of the most recent deficiencies for Willows of Greensburg. 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? |
---|---|---|---|---|
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-15 | 2021-07-18 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-19 | 2021-05-19 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-19 | 2021-05-19 | 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 | 2021-04-19 | 2021-05-19 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-19 | 2021-05-19 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-04-19 | 2021-05-19 | 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 | 2021-04-19 | 2021-05-19 | N |
Provide and implement an infection prevention and control program. | Health | 2021-04-19 | 2021-05-19 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-28 | 2021-05-19 | 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 | 2021-04-28 | 2021-05-19 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-04-28 | 2021-05-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-28 | 2021-05-19 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-04-28 | 2021-05-19 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-28 | 2021-05-19 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-28 | 2021-05-19 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-28 | 2021-05-19 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-04-28 | 2021-05-19 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-28 | 2021-05-19 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-23 | 2021-03-25 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-12-03 | 2021-01-11 | 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 | 2019-06-11 | 2019-08-08 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-11 | 2019-08-08 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-06-11 | 2019-08-08 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-11 | 2019-08-08 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-11 | 2019-08-08 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-11 | 2019-08-08 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-06-11 | 2019-08-08 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-05-14 | 2019-06-13 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-05-14 | 2019-06-13 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-05-14 | 2019-06-13 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-05-14 | 2019-06-13 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-05-14 | 2019-06-13 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-14 | 2019-06-13 | 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 | 2019-05-14 | 2019-06-13 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-14 | 2019-06-13 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-14 | 2019-06-13 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-14 | 2019-06-13 | N |
Meet other general requirements. | Fire Safety | 2018-06-20 | 2018-07-19 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-06-20 | 2018-07-19 | N |
Have exits that are accessible at all times. | Fire Safety | 2018-06-20 | 2018-07-19 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-06-20 | 2018-07-19 | 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 | 2018-06-20 | 2018-07-19 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-06-20 | 2018-07-19 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2018-06-20 | 2018-07-19 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-06-20 | 2018-07-19 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-20 | 2018-07-19 | N |
Have an externally vented heating system. | Fire Safety | 2018-06-20 | 2018-07-19 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2018-06-20 | 2018-07-19 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-06-20 | 2018-07-19 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-06-20 | 2018-07-19 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-06-14 | 2018-07-14 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-14 | 2018-07-14 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-06-14 | 2018-07-14 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-14 | 2018-07-14 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-14 | 2018-07-14 | N |
Provide and implement an infection prevention and control program. | Health | 2018-06-14 | 2018-07-14 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-06-20 | 2018-07-06 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-06-20 | 2018-07-06 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-06-20 | 2018-07-06 | N |