A list of the most recent deficiencies for Willows at Willard The. 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 | 2023-08-09 | 2023-08-30 | Y |
| 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 | 2023-08-09 | 2023-08-30 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-04-05 | 2022-04-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-04-05 | 2022-04-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-05 | 2022-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-05 | 2022-04-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-14 | 2021-10-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-13 | 2019-07-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-13 | 2019-07-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-13 | 2019-07-19 | 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 | 2019-06-13 | 2019-07-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-11 | 2019-07-19 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-05-23 | 2018-06-22 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-05-23 | 2018-06-22 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-05-22 | 2018-06-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-22 | 2018-06-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-05-22 | 2018-06-22 | N |
