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Deficiency Records for Willow Brooke Ct Skilled Care Ctr at Heron Point
View the most recent health deficiencies and inspection results for Willow Brooke Ct Skilled Care Ctr at Heron Point. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willow Brooke Ct Skilled Care Ctr at Heron Point. 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 | 2025-12-11 | 2026-03-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-11 | 2026-03-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-12-11 | 2026-03-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-11 | 2026-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-11 | 2026-01-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-23 | 2024-04-08 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-02-23 | 2024-04-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-23 | 2024-04-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-23 | 2024-04-08 | Y |
| 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 | 2024-02-23 | 2024-04-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-23 | 2024-04-08 | 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 | 2024-02-23 | 2024-04-08 | 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 | 2024-02-23 | 2024-04-08 | 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 | 2024-02-23 | 2024-04-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-02-23 | 2024-03-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-23 | 2024-03-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-23 | 2024-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-23 | 2024-03-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-23 | 2024-03-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-23 | 2024-03-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-23 | 2023-07-13 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-09 | 2019-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-09 | 2019-06-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-04-09 | 2019-06-13 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-04-09 | 2019-06-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-09 | 2019-05-24 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-04-09 | 2019-05-24 | 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 | 2019-04-09 | 2019-05-24 | 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 | 2019-04-09 | 2019-05-24 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-04-09 | 2019-05-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-09 | 2019-05-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-09 | 2019-05-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-09 | 2019-05-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-04-09 | 2019-05-24 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-04-09 | 2019-05-24 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-04-09 | 2019-05-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-09 | 2019-05-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-09 | 2019-05-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-04-09 | 2019-05-24 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-04-09 | 2019-05-24 | N |