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Deficiency Records for Embassy of Willard
View the most recent health deficiencies and inspection results for Embassy of Willard. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Embassy of Willard. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-24 | 2025-04-25 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-25 | 2024-05-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-25 | 2024-05-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-25 | 2024-05-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-25 | 2024-05-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-25 | 2024-05-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-25 | 2024-05-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-25 | 2024-05-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-25 | 2024-05-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-25 | 2024-05-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-25 | 2024-05-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-25 | 2024-05-14 | 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 | 2024-04-25 | 2024-05-14 | 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 | 2024-04-25 | 2024-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-25 | 2024-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-25 | 2024-05-10 | N |
| 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 | 2024-04-25 | 2024-05-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-25 | 2024-05-10 | 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 | 2024-04-25 | 2024-05-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-06 | 2023-11-14 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-12 | 2021-12-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-12 | 2021-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-12 | 2021-12-07 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-11-12 | 2021-12-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-12 | 2021-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-12 | 2021-12-07 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-11-12 | 2021-12-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-12 | 2021-12-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-12 | 2021-12-07 | 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 | 2021-11-12 | 2021-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-12 | 2021-12-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-11-12 | 2021-12-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-12 | 2021-12-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-12 | 2021-12-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-12 | 2021-12-07 | N |
| 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 | 2019-05-24 | 2019-06-14 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-05-24 | 2019-06-14 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-05-24 | 2019-06-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-05-24 | 2019-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-24 | 2019-06-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-24 | 2019-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-24 | 2019-06-14 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-05-24 | 2019-06-14 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-05-24 | 2019-06-14 | 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 | 2019-05-24 | 2019-06-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-05-24 | 2019-06-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-24 | 2019-06-14 | 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 | 2019-05-24 | 2019-06-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-24 | 2019-06-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-24 | 2019-06-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-24 | 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 | 2019-05-24 | 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 | 2019-05-24 | 2019-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-24 | 2019-06-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-05-24 | 2019-06-14 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-05-24 | 2019-06-14 | N |
| Develop a communication plan. | Fire Safety | 2019-05-24 | 2019-06-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-05-24 | 2019-06-14 | N |
| Use approved construction type or materials. | Fire Safety | 2019-05-24 | 2019-06-14 | 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 | 2019-05-24 | 2019-06-14 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2019-05-24 | 2019-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-24 | 2019-06-14 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-05-24 | 2019-06-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-24 | 2019-06-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-24 | 2019-06-14 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-05-24 | 2019-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-24 | 2019-06-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-05-24 | 2019-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-24 | 2019-06-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-24 | 2019-06-14 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-05-24 | 2019-06-14 | N |