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Deficiency Records for Willowbrook Manor
View the most recent health deficiencies and inspection results for Willowbrook Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willowbrook Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-16 | 2026-04-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-02-05 | 2026-03-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-02-05 | 2026-03-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-13 | 2025-12-11 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-27 | 2025-09-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-06-27 | 2025-08-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-06-27 | 2025-07-24 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-06-27 | 2025-07-24 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2025-06-27 | 2025-07-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-27 | 2025-07-24 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-06-27 | 2025-07-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-06-27 | 2025-07-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-27 | 2025-07-24 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-06-27 | 2025-07-24 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-06-27 | 2025-07-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-06-27 | 2025-07-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-06-27 | 2025-07-24 | 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 | 2025-06-27 | 2025-07-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-06-27 | 2025-07-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-06-27 | 2025-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-27 | 2025-07-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-03-19 | 2025-04-14 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-10-16 | 2024-11-12 | Y |
| 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 | 2024-09-18 | 2024-10-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-18 | 2024-10-15 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-06-04 | 2024-07-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-04 | 2024-07-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-04 | 2024-07-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-04 | 2024-07-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-04 | 2024-07-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-04 | 2024-07-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-04 | 2024-07-02 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-06-04 | 2024-07-02 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-06-04 | 2024-07-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-04 | 2024-07-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-06-04 | 2024-07-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-04 | 2024-07-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-04 | 2024-07-02 | 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 | 2024-06-04 | 2024-07-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-04 | 2024-07-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-23 | 2024-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-23 | 2024-06-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-23 | 2024-06-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-20 | 2024-01-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-20 | 2024-01-23 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-16 | 2023-11-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-06-16 | 2023-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-16 | 2023-08-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-16 | 2023-08-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-16 | 2023-08-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-16 | 2023-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-16 | 2023-08-01 | 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 | 2023-06-16 | 2023-08-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-16 | 2023-08-01 | 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 | 2023-06-16 | 2023-08-01 | 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 | 2023-06-16 | 2023-08-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-16 | 2023-08-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-06-16 | 2023-08-01 | 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 | 2023-06-16 | 2023-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-16 | 2023-08-01 | Y |
| 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 | 2023-06-16 | 2023-08-01 | Y |
| 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 | 2023-06-16 | 2023-07-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-06-16 | 2023-07-20 | N |