A list of the most recent deficiencies for Willow Care Nursing Home. 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? |
|---|---|---|---|---|
| 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 | 2023-02-10 | 2023-03-22 | N |
| Provide activities to meet all resident's needs. | Health | 2023-02-10 | 2023-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-10 | 2023-03-22 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-02-10 | 2023-03-22 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-10 | 2023-03-22 | N |
| 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 | 2023-02-10 | 2023-03-22 | 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 | 2023-02-10 | 2023-03-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-10 | 2023-03-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-10 | 2023-03-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-10 | 2023-03-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-10 | 2023-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-10 | 2020-02-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-10 | 2020-02-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-10 | 2020-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-10 | 2020-02-09 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2020-01-10 | 2020-02-09 | 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 | 2020-01-10 | 2020-02-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-02-08 | 2019-03-18 | 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 | 2019-02-08 | 2019-03-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-08 | 2019-03-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-08 | 2019-03-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-08 | 2019-03-04 | N |
