CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Willow Valley Center For Nursing and Rehabilitatio
View the most recent health deficiencies and inspection results for Willow Valley Center For Nursing and Rehabilitatio. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willow Valley Center For Nursing and Rehabilitatio. 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 | 2026-02-20 | 2026-03-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-02-20 | 2026-03-04 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2026-02-20 | 2026-03-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-29 | 2025-09-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-08-29 | 2025-09-24 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2025-08-29 | 2025-09-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-08-29 | 2025-09-24 | 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 | 2025-08-29 | 2025-09-23 | Y |
| Dispose of garbage and refuse properly. | Health | 2025-08-29 | 2025-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-29 | 2025-09-23 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-06-25 | 2025-07-17 | Y |
| 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 | 2025-06-25 | 2025-07-17 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-02 | 2024-10-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-02 | 2024-10-27 | 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 | 2024-07-02 | 2024-10-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-07-02 | 2024-10-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-02 | 2024-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-02 | 2024-10-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-02 | 2024-10-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-02 | 2024-10-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-02 | 2024-10-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-02 | 2024-10-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-22 | 2024-10-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-02 | 2024-07-17 | 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 | 2024-07-02 | 2024-07-17 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-07-02 | 2024-07-17 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-02 | 2024-07-17 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-07-02 | 2024-07-17 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-07-02 | 2024-07-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-02 | 2024-07-17 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-02 | 2024-07-17 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-07-02 | 2024-07-17 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2024-07-02 | 2024-07-17 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-02 | 2024-07-17 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-02 | 2024-07-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-02 | 2024-07-17 | Y |
| 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 | 2024-07-02 | 2024-07-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-02 | 2024-07-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-02 | 2024-07-17 | 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 | 2024-07-02 | 2024-07-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-02 | 2024-07-17 | 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 | 2024-07-02 | 2024-07-17 | 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 | 2024-07-02 | 2024-07-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-02 | 2024-07-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-02 | 2024-07-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-02 | 2024-07-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-07-02 | 2024-07-17 | 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 | 2024-07-02 | 2024-07-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-21 | 2023-12-19 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-07 | 2023-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-07 | 2023-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-07 | 2023-12-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-07 | 2023-12-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-08-07 | 2023-09-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-07 | 2023-09-06 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-07 | 2023-09-06 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-08-07 | 2023-09-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-07 | 2023-09-06 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-08-07 | 2023-09-06 | 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 | 2023-08-07 | 2023-09-06 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-08-07 | 2023-09-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-21 | 2023-08-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-07 | 2023-08-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-07 | 2023-08-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-07 | 2023-08-07 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-24 | 2022-07-22 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-24 | 2022-07-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-24 | 2022-07-22 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-05-24 | 2022-07-22 | 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 | 2022-05-24 | 2022-07-22 | 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 | 2022-05-24 | 2022-07-22 | N |