Deficiency Records for Continuing Healthcare at Willow Haven

(Home page)

Updated as of March 01, 2024

A list of the most recent deficiencies for Continuing Healthcare at Willow Haven. 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?
Give residents a notice of rights, rules, services and charges. Health 2023-11-15 2023-11-17 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-05-18 2023-06-13 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-05-18 2023-06-13 N
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Health 2023-05-18 2023-06-13 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-18 2023-06-13 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-18 2023-06-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-18 2023-06-13 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2023-05-18 2023-06-13 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-05-18 2023-06-13 N
Ensure medication error rates are not 5 percent or greater. Health 2023-05-18 2023-06-13 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 2023-05-18 2023-06-13 N
Provide and implement an infection prevention and control program. Health 2023-05-18 2023-06-13 N
Implement a program that monitors antibiotic use. Health 2023-05-18 2023-06-13 N
Provide properly protected cooking facilities. Fire Safety 2023-05-17 2023-06-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-05-17 2023-06-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-17 2023-06-13 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-05-17 2023-06-13 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-05-17 2023-06-13 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-04-19 2023-05-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-19 2023-05-08 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-04-19 2023-05-08 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-01-19 2023-02-13 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-01-19 2023-02-13 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-01-19 2023-02-13 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-18 2022-11-02 Y
Ensure that residents are free from significant medication errors. Health 2022-10-18 2022-11-02 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-12 2022-08-30 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-04 2022-08-30 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-08-04 2022-08-30 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-08-04 2022-08-30 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-04-24 2022-04-25 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-03-31 2022-04-01 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-06-30 2022-03-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-06-30 2022-01-24 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-10-06 2021-10-12 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-07-06 2021-08-06 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-07-06 2021-08-06 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2021-07-06 2021-08-06 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 2021-07-06 2021-08-06 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-06 2021-08-06 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-07-06 2021-08-06 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-07-06 2021-08-06 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 2021-07-06 2021-08-06 N
Provide enough food/fluids to maintain a resident's health. Health 2021-07-06 2021-08-06 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-07-06 2021-08-06 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-07-06 2021-08-06 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2021-07-06 2021-08-06 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 2021-07-06 2021-08-06 N
Provide and implement an infection prevention and control program. Health 2021-07-06 2021-08-06 N
Respond appropriately to all alleged violations. Health 2021-07-22 2021-08-06 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-07-22 2021-08-06 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-07-22 2021-08-06 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-06-10 2021-08-06 Y
Use approved construction type or materials. Fire Safety 2021-06-30 2021-08-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-06-30 2021-08-06 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-06-30 2021-08-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-06-30 2021-08-06 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-03-30 2021-04-08 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-03-30 2021-04-08 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-04-04 2019-04-23 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-04-04 2019-04-23 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-04-04 2019-04-23 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-04-04 2019-04-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-04-04 2019-04-23 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2019-04-04 2019-04-23 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 2019-04-02 2019-04-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-02 2019-04-23 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-04-02 2019-04-23 N