Deficiency Records for Willows at Bellevue
Updated as of September 01, 2021
This is not the most recent data for Willows at Bellevue. For the most recent information, click here.
A list of the most recent deficiencies for Willows at Bellevue. 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? |
|---|---|---|---|---|
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-12-26 | 2020-01-31 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-12-26 | 2020-01-31 | 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 | 2019-12-26 | 2020-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-26 | 2020-01-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-26 | 2020-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-26 | 2020-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-26 | 2020-01-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-28 | 2020-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-28 | 2020-01-31 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-12-28 | 2020-01-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-10-31 | 2018-12-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-10-31 | 2018-12-07 | 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 | 2018-10-31 | 2018-12-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-10-31 | 2018-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-31 | 2018-12-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-10-31 | 2018-12-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-31 | 2018-12-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-31 | 2018-12-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-10-31 | 2018-12-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-31 | 2018-12-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-10-31 | 2018-12-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-31 | 2018-12-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-31 | 2018-12-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-01 | 2018-12-07 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-11-01 | 2018-12-07 | 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 | 2018-11-01 | 2018-12-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-21 | 2017-10-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-21 | 2017-10-20 | N |
