Deficiency Records for Willowbrooke Court Skilled Care at Evergreens
Updated as of March 01, 2024
A list of the most recent deficiencies for Willowbrooke Court Skilled Care at Evergreens. 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? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-27 | 2023-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-27 | 2022-12-30 | 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 | 2022-10-27 | 2022-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-27 | 2022-11-18 | N |
| Meet other general requirements. | Fire Safety | 2022-10-27 | 2022-11-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-27 | 2022-11-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-10-27 | 2022-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-27 | 2022-11-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-27 | 2022-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-27 | 2022-11-18 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-10-27 | 2022-11-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-27 | 2022-11-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-12 | 2020-04-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-02-25 | 2019-03-29 | 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 | 2019-02-25 | 2019-03-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-25 | 2019-03-29 | N |
