Deficiency Records for Willow Knoll Post-Acute and Senior Living
Updated as of January 01, 2019
This is not the most recent data for Willow Knoll Post-Acute and Senior Living. For the most recent information, click here.
A list of the most recent deficiencies for Willow Knoll Post-Acute and Senior Living. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-06 | 2018-09-25 | Y |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-01-18 | 2018-02-28 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-18 | 2018-02-28 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-01-18 | 2018-02-28 | N |
Install proper backup exit lighting. | Fire Safety | 2018-01-18 | 2018-02-28 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-01-18 | 2018-02-28 | 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 | 2018-01-18 | 2018-02-28 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-18 | 2018-02-28 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-18 | 2018-02-28 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-18 | 2018-02-28 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-01-18 | 2018-02-28 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-18 | 2018-02-28 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-01-18 | 2018-02-28 | N |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-01-29 | 2018-02-28 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-01-29 | 2018-02-28 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-01-29 | 2018-02-28 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-29 | 2018-02-28 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-01-29 | 2018-02-28 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-01-29 | 2018-02-28 | 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 | 2018-01-29 | 2018-02-28 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-01-29 | 2018-02-28 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-29 | 2018-02-28 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2018-01-29 | 2018-02-28 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-29 | 2018-02-28 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-29 | 2018-02-28 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-01-29 | 2018-02-28 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2018-01-29 | 2018-02-28 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2018-01-29 | 2018-02-28 | N |
Post nurse staffing information every day. | Health | 2018-01-29 | 2018-02-28 | 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 | 2018-01-29 | 2018-02-28 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-29 | 2018-02-28 | 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 | 2018-01-29 | 2018-02-28 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-01-29 | 2018-02-28 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-29 | 2018-02-28 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-29 | 2018-02-28 | N |
Provide and implement an infection prevention and control program. | Health | 2018-01-29 | 2018-02-28 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-01-29 | 2018-02-28 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-11-29 | 2017-12-29 | Y |
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2017-11-29 | 2017-12-29 | Y |
Provide housekeeping and maintenance services. | Health | 2017-11-01 | 2017-12-29 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-01 | 2017-12-29 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-06-27 | 2017-07-21 | Y |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-04-26 | 2017-06-09 | Y |
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-10-13 | 2016-11-14 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-10-13 | 2016-11-14 | N |
Exits that are accessible at all times. | Fire Safety | 2016-10-13 | 2016-11-14 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-10-13 | 2016-11-14 | N |
Properly protected cooking facilities. | Fire Safety | 2016-10-13 | 2016-11-14 | N |
Restrictions on the use of highly flammable decorations. | Fire Safety | 2016-10-13 | 2016-11-14 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2016-10-13 | 2016-11-14 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-10-13 | 2016-11-14 | N |
Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2016-10-13 | 2016-11-14 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-10-13 | 2016-11-14 | N |
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 | 2016-10-13 | 2016-11-14 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-10-13 | 2016-11-14 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-13 | 2016-11-14 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-13 | 2016-11-14 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-13 | 2016-11-14 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-10-13 | 2016-11-14 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-10-13 | 2016-11-14 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2016-06-30 | 2016-07-31 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-07 | 2016-07-31 | Y |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-04-01 | 2016-04-22 | Y |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-04-01 | 2016-04-22 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-04-01 | 2016-04-22 | Y |
Fire resistant room wall surfaces. | Fire Safety | 2015-07-31 | 2015-09-08 | N |
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-07-31 | 2015-09-08 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-07-31 | 2015-09-08 | N |
Proper backup exit lighting. | Fire Safety | 2015-07-31 | 2015-09-08 | N |
Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-07-31 | 2015-09-08 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2015-07-31 | 2015-09-08 | N |