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? |
|---|---|---|---|---|
| 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 |
