Deficiency Records for Willow Ridge of Nc
Updated as of October 01, 2019
This is not the most recent data for Willow Ridge of Nc. For the most recent information, click here.
A list of the most recent deficiencies for Willow Ridge of Nc. 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-29 | 2018-12-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-29 | 2018-12-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-29 | 2018-12-21 | N |
| Use approved construction type or materials. | Fire Safety | 2018-01-09 | 2018-01-23 | 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 | 2018-01-09 | 2018-01-23 | 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 | 2018-01-09 | 2018-01-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-01-09 | 2018-01-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-01-09 | 2018-01-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-09 | 2018-01-23 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2017-12-15 | 2018-01-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2017-12-15 | 2018-01-12 | 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 | 2017-12-15 | 2018-01-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2017-12-15 | 2018-01-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-15 | 2018-01-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-15 | 2018-01-12 | 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 | 2017-12-15 | 2018-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-15 | 2018-01-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2017-12-15 | 2018-01-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-15 | 2018-01-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-15 | 2018-01-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-15 | 2018-01-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-03-02 | 2017-03-30 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-03-02 | 2017-03-30 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-03-02 | 2017-03-30 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-02 | 2017-03-30 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-02 | 2017-03-30 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-02 | 2017-03-30 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-02 | 2017-03-30 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-12-08 | 2017-01-22 | 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 | 2016-12-08 | 2017-01-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-12-08 | 2017-01-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2016-12-08 | 2017-01-22 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-04 | 2016-12-02 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-11-04 | 2016-12-02 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-11-04 | 2016-12-02 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-11-04 | 2016-12-02 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-11-04 | 2016-12-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-11-04 | 2016-12-02 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-11-04 | 2016-12-02 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-11-04 | 2016-12-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-04 | 2016-12-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-04 | 2016-12-02 | N |
| Dispose of garbage and refuse properly. | Health | 2016-11-04 | 2016-12-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-11-04 | 2016-12-02 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-11-04 | 2016-12-02 | Y |
| Approved construction type or materials. | Fire Safety | 2015-10-29 | 2015-12-13 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-10-29 | 2015-12-13 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-10-29 | 2015-12-13 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-10-29 | 2015-12-13 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-10-29 | 2015-12-13 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-10-29 | 2015-12-13 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-10-29 | 2015-12-13 | N |
