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Deficiency Records for The Willows at East Lansing
View the most recent health deficiencies and inspection results for The Willows at East Lansing. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Willows at East Lansing. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-20 | 2026-03-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-20 | 2026-03-31 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-01-08 | 2026-02-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2026-01-08 | 2026-02-05 | 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 | 2026-01-08 | 2026-01-28 | 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 | 2026-01-08 | 2026-01-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2026-01-08 | 2026-01-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-01-08 | 2026-01-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-08 | 2026-01-28 | 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 | 2026-01-08 | 2026-01-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-08 | 2026-01-28 | N |
| Provide activities to meet all resident's needs. | Health | 2024-10-17 | 2024-12-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-17 | 2024-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-14 | 2024-11-22 | Y |
| 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 | 2024-10-17 | 2024-11-11 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-10-17 | 2024-11-11 | 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 | 2024-10-17 | 2024-11-11 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-10-17 | 2024-11-11 | 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 | 2024-10-17 | 2024-11-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-17 | 2024-11-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-17 | 2024-11-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-17 | 2024-11-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-10-17 | 2024-11-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-05 | 2024-07-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-05 | 2024-07-22 | Y |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-09-20 | 2023-10-31 | 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 | 2023-09-20 | 2023-10-31 | 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 | 2023-09-20 | 2023-10-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-20 | 2023-10-31 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-20 | 2023-10-31 | 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 | 2023-09-20 | 2023-10-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-09-20 | 2023-10-31 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-09-20 | 2023-10-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-20 | 2023-10-31 | 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 | 2023-09-20 | 2023-10-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-20 | 2023-10-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-20 | 2023-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-20 | 2023-10-31 | N |