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Deficiency Records for Willows Health and Rehab Ctr
View the most recent health deficiencies and inspection results for Willows Health and Rehab Ctr. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willows Health and Rehab Ctr. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-23 | 2024-06-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-05-23 | 2024-06-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-23 | 2024-06-19 | 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 | 2024-05-23 | 2024-06-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-23 | 2024-06-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-23 | 2024-06-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-23 | 2024-06-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-23 | 2024-06-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-23 | 2024-06-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-23 | 2024-06-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-23 | 2024-06-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-09 | 2022-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-09 | 2022-06-02 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-05-09 | 2022-06-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-09 | 2022-06-02 | N |
| Provide or obtain dental services for each resident. | Health | 2022-05-09 | 2022-06-02 | 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 | 2022-05-09 | 2022-06-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-09 | 2022-06-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-09 | 2022-06-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-09 | 2022-06-02 | 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 | 2022-05-09 | 2022-06-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-09 | 2022-06-02 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-05-09 | 2022-06-02 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-05-09 | 2022-06-02 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-05-09 | 2022-06-02 | 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 | 2022-05-09 | 2022-06-02 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-05-09 | 2022-06-02 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-09 | 2022-06-02 | 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 | 2022-05-09 | 2022-06-02 | 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 | 2022-05-09 | 2022-06-02 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-05-09 | 2022-06-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-05-09 | 2022-06-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-09 | 2022-06-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-09 | 2022-06-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-05-09 | 2022-06-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-09 | 2022-06-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-09 | 2022-06-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-09 | 2022-06-02 | 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 | 2022-05-09 | 2022-06-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-05-09 | 2022-06-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-04 | 2019-05-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-04 | 2019-05-03 | N |
| Dispose of garbage and refuse properly. | Health | 2019-04-04 | 2019-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-04 | 2019-05-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-04 | 2019-05-03 | 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 | 2019-04-04 | 2019-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-04 | 2019-05-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-04 | 2019-05-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-04-04 | 2019-05-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-04 | 2019-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-04 | 2019-05-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-04-04 | 2019-05-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-04 | 2019-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-04 | 2019-05-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-04 | 2019-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-04 | 2019-05-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-04 | 2019-05-03 | 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 | 2019-04-04 | 2019-05-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-04 | 2019-05-03 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-04-04 | 2019-05-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-04 | 2019-05-03 | N |