A list of the most recent deficiencies for Cherith Care Center at Willow Brook. 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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-05-04 | 2023-05-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-04 | 2023-05-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-04 | 2023-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-04 | 2023-05-25 | 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 | 2023-05-03 | 2023-05-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-03 | 2023-05-25 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-10-17 | 2019-12-01 | 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 | 2019-10-17 | 2019-12-01 | 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 | 2019-10-17 | 2019-12-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-10-17 | 2019-12-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-17 | 2019-12-01 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-09-07 | 2018-11-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-07 | 2018-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-07 | 2018-11-15 | N |
