A list of the most recent deficiencies for The Willows at Howell. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| 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 | 2023-02-28 | 2023-04-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-28 | 2023-04-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-28 | 2023-04-04 | 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 | 2023-02-28 | 2023-04-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-28 | 2023-04-04 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-02-28 | 2023-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-28 | 2023-04-04 | Y |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-03-01 | 2023-04-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-28 | 2022-10-26 | 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 | 2021-12-02 | 2021-12-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-02 | 2021-12-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-02 | 2021-12-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-12-02 | 2021-12-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-09 | 2020-02-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-09 | 2020-02-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-09 | 2020-02-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-09 | 2020-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-09 | 2020-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-02-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-01-09 | 2020-02-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-09 | 2020-02-03 | N |
