A list of the most recent deficiencies for The Willows at Springhurst Opco LLC. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-03 | 2021-10-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-03 | 2021-10-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-09-03 | 2021-10-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-03 | 2021-10-12 | N |
| Dispose of garbage and refuse properly. | Health | 2021-09-03 | 2021-10-12 | 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 | 2021-09-02 | 2021-10-12 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-03-05 | 2021-04-19 | N |
| Keep all essential equipment working safely. | Health | 2021-03-05 | 2021-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-03 | 2021-04-19 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-03-03 | 2021-04-19 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-03-03 | 2021-04-19 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-10-02 | 2020-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-02 | 2020-10-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-02 | 2020-10-28 | N |
| Provide activities to meet all resident's needs. | Health | 2020-10-02 | 2020-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-02 | 2020-10-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-10-02 | 2020-10-28 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-10-02 | 2020-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-02 | 2020-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-02 | 2020-10-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-10-02 | 2020-10-28 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-09-30 | 2020-10-28 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2020-09-30 | 2020-10-28 | N |
