CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Willows at Ramapo Rehab and Nursing Center
View the most recent health deficiencies and inspection results for The Willows at Ramapo Rehab and Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Willows at Ramapo Rehab and Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2026-03-13 | 2026-04-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2026-03-13 | 2026-04-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-03-13 | 2026-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-13 | 2026-04-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-03-13 | 2026-04-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-03-13 | 2026-04-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-03-13 | 2026-04-24 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2026-03-13 | 2026-04-24 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2026-03-13 | 2026-04-22 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2026-03-13 | 2026-04-22 | 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 | 2026-03-13 | 2026-04-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-13 | 2026-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-13 | 2026-04-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-03-13 | 2026-04-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-13 | 2026-04-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-10-24 | 2025-12-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-10-24 | 2025-12-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-24 | 2025-11-04 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-03-04 | 2025-04-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-17 | 2023-12-30 | 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 | 2023-11-17 | 2023-12-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-17 | 2023-12-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-17 | 2023-12-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-17 | 2023-12-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-17 | 2023-12-30 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-17 | 2023-12-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-17 | 2023-12-28 | 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 | 2023-11-17 | 2023-12-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-11-17 | 2023-12-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-11-17 | 2023-12-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-17 | 2023-12-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-17 | 2023-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-17 | 2023-12-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-17 | 2023-12-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-17 | 2023-12-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-17 | 2023-12-28 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-04-18 | 2019-06-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-18 | 2019-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-06-14 | 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 | 2019-04-18 | 2019-06-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-18 | 2019-06-14 | 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 | 2019-04-18 | 2019-06-14 | 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 | 2019-04-18 | 2019-06-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-18 | 2019-06-14 | N |
| Dispose of garbage and refuse properly. | Health | 2019-04-18 | 2019-06-14 | 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 | 2019-04-18 | 2019-06-14 | 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 | 2019-04-18 | 2019-06-14 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-04-18 | 2019-06-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-04-18 | 2019-05-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-18 | 2019-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-18 | 2019-05-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-04-18 | 2019-05-31 | 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 | 2019-04-18 | 2019-05-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-04-18 | 2019-05-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-04-18 | 2019-05-31 | N |