Deficiency Records for Willows of Richmond
Updated as of May 01, 2024
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Deficiency Records for Willows of Richmond
A list of the most recent deficiencies for Willows of Richmond. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Willows of Richmond. 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? |
---|---|---|---|---|
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 | 2024-01-18 | 2024-01-29 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-18 | 2024-01-29 | Y |
Dispose of garbage and refuse properly. | Health | 2024-01-18 | 2024-01-29 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-01-18 | 2024-01-29 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-05 | 2023-06-27 | 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 | 2023-04-05 | 2023-06-07 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-04-05 | 2023-06-07 | N |
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-04-05 | 2023-06-07 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-05 | 2023-06-07 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-17 | 2023-03-21 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-17 | 2023-03-21 | N |
Post nurse staffing information every day. | Health | 2023-03-17 | 2023-03-21 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-03-17 | 2023-03-21 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-07-28 | 2020-08-11 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-07-28 | 2020-08-11 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2020-07-28 | 2020-08-11 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-27 | 2020-02-14 | 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 | 2020-01-27 | 2020-02-14 | N |
Provide emergency officials' contact information. | Fire Safety | 2019-03-04 | 2019-03-21 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-03-04 | 2019-03-21 | 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 | 2019-03-04 | 2019-03-21 | N |
Construct fire resistant interior walls. | Fire Safety | 2019-03-04 | 2019-03-21 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-04 | 2019-03-21 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-03-04 | 2019-03-21 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-03-04 | 2019-03-21 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-04 | 2019-03-21 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-04 | 2019-03-21 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-04 | 2019-03-21 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-03-04 | 2019-03-21 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-04 | 2019-03-21 | N |
Have an externally vented heating system. | Fire Safety | 2019-03-04 | 2019-03-21 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-04 | 2019-03-21 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-03-04 | 2019-03-21 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-04 | 2019-03-21 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-15 | 2019-02-28 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-15 | 2019-02-28 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-15 | 2019-02-28 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-15 | 2019-02-28 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-02-15 | 2019-02-28 | 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 | 2019-02-15 | 2019-02-28 | N |
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