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Deficiency Records for Willowbrooke Court Skilled Care Center Fairhaven
View the most recent health deficiencies and inspection results for Willowbrooke Court Skilled Care Center Fairhaven. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willowbrooke Court Skilled Care Center Fairhaven. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-18 | 2025-10-01 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-07-18 | 2025-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-18 | 2025-10-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-07-18 | 2025-10-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-18 | 2025-10-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-07-18 | 2025-09-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-07-18 | 2025-09-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-18 | 2025-09-25 | 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 | 2025-07-18 | 2025-09-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-18 | 2025-09-25 | 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 | 2025-07-18 | 2025-09-25 | 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 | 2025-07-18 | 2025-09-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-07-18 | 2025-09-25 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-07-18 | 2025-09-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-18 | 2025-09-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-18 | 2025-09-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-02 | 2022-07-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-02 | 2022-07-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-06-02 | 2022-07-08 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-06-02 | 2022-07-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-02 | 2022-07-08 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-06-02 | 2022-07-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-02 | 2022-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-02 | 2022-07-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-02 | 2022-07-01 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-02 | 2022-07-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-02 | 2022-07-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-11-15 | 2019-01-25 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-15 | 2019-01-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-15 | 2018-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-15 | 2018-12-31 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-11-15 | 2018-12-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-15 | 2018-12-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-15 | 2018-12-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-15 | 2018-12-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-15 | 2018-12-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-15 | 2018-12-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-15 | 2018-12-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-11-15 | 2018-12-21 | 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 | 2018-11-15 | 2018-12-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-11-15 | 2018-12-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-15 | 2018-12-21 | 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 | 2018-11-15 | 2018-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-15 | 2018-12-21 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-11-15 | 2018-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-15 | 2018-12-21 | N |