CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Willows of Presbyterian Senior
View the most recent health deficiencies and inspection results for Willows of Presbyterian Senior. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willows of Presbyterian Senior. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-12-02 | 2025-12-03 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2025-12-02 | 2025-12-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-12-02 | 2025-12-03 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-02 | 2025-12-03 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-12-02 | 2025-12-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-12-02 | 2025-12-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-12-02 | 2025-12-03 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-12-02 | 2025-12-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-02 | 2025-12-03 | 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 | 2025-12-02 | 2025-12-03 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-12-02 | 2025-12-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-02 | 2025-12-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-02 | 2025-12-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-02 | 2025-12-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-02 | 2025-12-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-10-15 | 2025-11-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-15 | 2025-11-18 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-12-02 | 2025-11-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-12-02 | 2025-11-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-12-02 | 2025-11-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-12-02 | 2025-11-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-02 | 2025-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-02 | 2025-11-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-02 | 2025-11-13 | 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 | 2025-12-02 | 2025-11-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-12-02 | 2025-11-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-12-02 | 2025-11-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-23 | 2025-06-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-05-23 | 2025-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-23 | 2025-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-08 | 2025-05-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-22 | 2025-01-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-22 | 2025-01-02 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-11-22 | 2025-01-02 | 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 | 2024-11-22 | 2025-01-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-22 | 2025-01-02 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-11-22 | 2025-01-02 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-11-22 | 2025-01-02 | N |
| 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 | 2024-11-22 | 2025-01-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-11-22 | 2025-01-02 | 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 | 2024-11-22 | 2025-01-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-22 | 2025-01-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-11-22 | 2025-01-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-11-22 | 2025-01-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-22 | 2025-01-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-11-22 | 2025-01-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-11-22 | 2025-01-02 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-11-22 | 2025-01-02 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-11-22 | 2025-01-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-22 | 2025-01-02 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-11-22 | 2025-01-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-09 | 2024-07-03 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-03-20 | 2024-04-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-20 | 2024-04-22 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-20 | 2024-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-20 | 2024-01-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-20 | 2024-01-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-20 | 2024-01-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-20 | 2024-01-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-20 | 2024-01-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-20 | 2024-01-01 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-11-20 | 2024-01-01 | N |
| Dispose of garbage and refuse properly. | Health | 2023-11-20 | 2024-01-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-20 | 2024-01-01 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-11-20 | 2024-01-01 | 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 | 2023-11-20 | 2024-01-01 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-11-20 | 2024-01-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-20 | 2024-01-01 | 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 | 2023-11-20 | 2024-01-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-20 | 2024-01-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-20 | 2024-01-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-20 | 2024-01-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-11-20 | 2024-01-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-20 | 2024-01-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-20 | 2024-01-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-20 | 2024-01-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-20 | 2024-01-01 | N |