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Deficiency Records for Willowbrooke Ct Skilled Care Ctr at Bayleigh Chase
View the most recent health deficiencies and inspection results for Willowbrooke Ct Skilled Care Ctr at Bayleigh Chase. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willowbrooke Ct Skilled Care Ctr at Bayleigh Chase. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-01-17 | 2025-03-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-01-17 | 2025-03-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-01-17 | 2025-03-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-17 | 2025-03-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-01-17 | 2025-03-20 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-01-17 | 2025-03-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-17 | 2025-03-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-17 | 2025-03-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-17 | 2025-03-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-17 | 2025-03-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-17 | 2025-03-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-17 | 2025-02-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-17 | 2025-02-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-01-17 | 2025-02-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-17 | 2025-02-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-17 | 2025-02-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-01-17 | 2025-02-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-17 | 2025-02-27 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-01-17 | 2025-02-27 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-01-17 | 2025-02-27 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-01-17 | 2025-02-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-17 | 2025-02-27 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-01-17 | 2025-02-27 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-12 | 2019-10-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-12 | 2019-10-15 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-07-12 | 2019-10-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-12 | 2019-10-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-12 | 2019-10-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-12 | 2019-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-12 | 2019-10-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-12 | 2019-10-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-12 | 2019-10-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-12 | 2019-10-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-12 | 2019-10-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-07-12 | 2019-10-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-12 | 2019-10-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-12 | 2019-08-31 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2019-07-12 | 2019-08-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-12 | 2019-08-31 | 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 | 2019-07-12 | 2019-08-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-12 | 2019-08-31 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-07-12 | 2019-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-12 | 2019-08-31 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-12 | 2019-08-31 | 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 | 2019-07-12 | 2019-08-31 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-07-12 | 2019-08-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-12 | 2019-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-21 | 2018-04-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-02-21 | 2018-04-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-02-21 | 2018-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-21 | 2018-04-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-21 | 2018-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-21 | 2018-04-30 | 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 | 2018-02-21 | 2018-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-21 | 2018-04-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-21 | 2018-04-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-21 | 2018-04-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-02-21 | 2018-04-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-21 | 2018-04-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-02-21 | 2018-04-30 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-02-21 | 2018-04-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-21 | 2018-04-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-02-21 | 2018-03-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-02-21 | 2018-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-21 | 2018-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-21 | 2018-03-27 | 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 | 2018-02-21 | 2018-03-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-02-21 | 2018-03-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-21 | 2018-03-27 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2018-02-21 | 2018-03-27 | N |