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Deficiency Records for Willow Brook Rehabilitation and Healthcare Center
View the most recent health deficiencies and inspection results for Willow Brook Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willow Brook Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-09-12 | 2025-10-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-09-12 | 2025-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-12 | 2025-10-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-09-12 | 2025-10-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-09-12 | 2025-10-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-09-12 | 2025-10-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-09-12 | 2025-10-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-09-12 | 2025-10-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-09-12 | 2025-10-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-09-12 | 2025-10-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-09-12 | 2025-10-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-12 | 2025-10-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-09-12 | 2025-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-12 | 2025-10-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-09-12 | 2025-10-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-09-12 | 2025-10-07 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2025-09-12 | 2025-10-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-09-12 | 2025-10-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-12 | 2025-10-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-12 | 2025-10-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-09-12 | 2025-10-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-28 | 2025-03-31 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-19 | 2024-11-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-09-19 | 2024-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-19 | 2024-11-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-19 | 2024-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-19 | 2024-11-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-19 | 2024-11-01 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-09-19 | 2024-11-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-19 | 2024-11-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-09-19 | 2024-11-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-19 | 2024-11-01 | 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 | 2024-09-19 | 2024-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-19 | 2024-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-19 | 2024-11-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-19 | 2024-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-19 | 2024-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-19 | 2024-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-19 | 2024-11-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-19 | 2024-11-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-09-19 | 2024-11-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-09-19 | 2024-11-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-19 | 2024-11-01 | 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 | 2024-09-19 | 2024-11-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-03-19 | 2024-04-17 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-08 | 2023-10-15 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-09-08 | 2023-10-15 | 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 | 2023-09-08 | 2023-10-15 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-09-08 | 2023-10-15 | 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 | 2023-09-08 | 2023-10-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-08 | 2023-10-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-08 | 2023-10-15 | 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 | 2023-09-08 | 2023-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-08 | 2023-10-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-08 | 2023-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-08 | 2023-10-15 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-09-08 | 2023-10-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-08 | 2023-10-15 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-09-08 | 2023-10-15 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-09-08 | 2023-10-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-08 | 2023-10-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-08 | 2023-10-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-08 | 2023-10-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-08 | 2023-10-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-08 | 2023-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-08 | 2023-10-15 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-09-08 | 2023-10-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-09-08 | 2023-10-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-08 | 2023-10-15 | N |