CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Villa at Willow Place
View the most recent health deficiencies and inspection results for Villa at Willow Place. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Villa at Willow Place. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-02-13 | 2026-03-20 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-02-13 | 2026-03-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-02-13 | 2026-03-20 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-02-13 | 2026-03-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2026-02-13 | 2026-03-20 | N |
| Assess the resident when there is a significant change in condition | Health | 2026-02-13 | 2026-03-20 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2026-02-13 | 2026-03-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-02-13 | 2026-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-13 | 2026-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-13 | 2026-03-20 | 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 | 2026-02-13 | 2026-03-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-02-13 | 2026-03-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-13 | 2026-03-20 | N |
| Dispose of garbage and refuse properly. | Health | 2026-02-13 | 2026-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-13 | 2026-03-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-02-13 | 2026-03-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-15 | 2025-09-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-03-11 | 2025-04-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-12-11 | 2025-01-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-12-11 | 2025-01-23 | 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 | 2024-12-11 | 2025-01-23 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-12-11 | 2025-01-23 | 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 | 2024-12-11 | 2025-01-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-12-11 | 2025-01-23 | 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 | 2024-12-11 | 2025-01-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-11 | 2025-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-11 | 2025-01-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-12-11 | 2025-01-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-12-11 | 2025-01-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-12-11 | 2025-01-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-11 | 2025-01-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-11 | 2024-11-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-16 | 2024-06-14 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-26 | 2024-05-03 | N |
| Provide activities to meet all resident's needs. | Health | 2024-01-26 | 2024-03-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-26 | 2024-03-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-26 | 2024-03-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-01-26 | 2024-03-06 | 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 | 2024-01-26 | 2024-03-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-26 | 2024-03-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-26 | 2024-03-06 | 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 | 2024-01-26 | 2024-03-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-26 | 2024-03-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-26 | 2024-03-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-26 | 2024-03-06 | 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 | 2024-01-26 | 2024-03-06 | 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 | 2024-01-26 | 2024-03-06 | 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 | 2024-01-26 | 2024-03-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-26 | 2024-03-06 | 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 | 2024-01-26 | 2024-03-06 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-01-26 | 2024-03-06 | 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 | 2024-01-26 | 2024-03-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-26 | 2024-03-06 | N |
| 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 | 2024-01-26 | 2024-03-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-26 | 2024-03-06 | 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 | 2024-01-26 | 2024-03-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2024-01-26 | 2024-03-06 | 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 | 2024-01-26 | 2024-03-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-01-26 | 2024-03-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-04 | 2024-01-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-04 | 2024-01-22 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-04 | 2024-01-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-04 | 2024-01-22 | Y |
| 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 | 2024-01-04 | 2023-10-20 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-02 | 2023-08-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-02 | 2023-08-15 | Y |