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Deficiency Records for Willow Woods Rehabilitation and Nursing

View the most recent health deficiencies and inspection results for Willow Woods Rehabilitation and Nursing. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Willow Woods Rehabilitation and Nursing. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-04-08 2026-04-30 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 2026-04-08 2026-04-30 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 2026-02-13 2026-03-23 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-11-25 2025-11-09 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-10-07 2025-09-27 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-04-10 2025-04-22 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 2025-04-10 2025-04-22 N
Provide enough food/fluids to maintain a resident's health. Health 2025-04-10 2025-04-22 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 2025-04-10 2025-04-22 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-04-10 2025-04-22 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2025-04-10 2025-04-22 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2025-04-10 2025-04-22 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 2025-04-10 2025-04-22 N
Have proper medical gas storage and administration areas. Fire Safety 2025-04-10 2025-04-22 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-04-29 2025-04-17 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-12-31 2025-01-13 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-12-31 2025-01-13 Y
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2024-12-31 2025-01-13 Y
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Fire Safety 2024-12-18 2025-01-13 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-31 2024-11-04 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-24 2024-05-07 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 2024-04-24 2024-05-07 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-04-24 2024-05-07 Y
Install corridor and hallway doors that block smoke. Fire Safety 2022-10-06 2022-11-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-10-06 2022-11-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-06 2022-11-01 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-10-06 2022-11-01 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-10-06 2022-11-01 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-10-06 2022-11-01 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2022-10-06 2022-11-01 N
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 2022-10-06 2022-11-01 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-10-06 2022-11-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-10-06 2022-11-01 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2019-10-24 2019-11-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-10-24 2019-11-26 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2019-10-24 2019-11-26 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2019-10-24 2019-11-26 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 2019-10-24 2019-11-26 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2019-10-24 2019-11-26 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-10-24 2019-11-26 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 2019-10-24 2019-11-26 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2019-10-24 2019-11-26 N
Establish staff and initial training requirements. Fire Safety 2019-10-24 2019-11-26 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-10-24 2019-11-26 N
Construct fire resistant interior walls. Fire Safety 2019-10-24 2019-11-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-10-24 2019-11-26 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-10-24 2019-11-26 N
Have power receptacles that are properly grounded. Fire Safety 2019-10-24 2019-11-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-10-24 2019-11-26 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-10-24 2019-11-26 N

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