Deficiency Records for Willows of Presbyterian Senior
Updated as of January 01, 2019
This is not the most recent data for Willows of Presbyterian Senior. For the most recent information, click here.
A list of the most recent deficiencies for Willows of Presbyterian Senior. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-11-07 | 2018-01-05 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-11-07 | 2018-01-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-11-07 | 2018-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-07 | 2018-01-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-11-07 | 2018-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-03 | 2017-12-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-11-03 | 2017-12-27 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-03 | 2017-12-27 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-05-19 | 2017-06-21 | Y |
| Provide written records when a resident is transferred or discharged. | Health | 2016-10-21 | 2016-11-28 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-10-21 | 2016-11-28 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-10-21 | 2016-11-28 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-10-21 | 2016-11-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-10-21 | 2016-11-28 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-10-18 | 2016-11-17 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-10-18 | 2016-11-17 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-10-18 | 2016-11-17 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-10-18 | 2016-11-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-18 | 2016-06-21 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-18 | 2016-06-21 | Y |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-11-10 | 2015-12-23 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-11-10 | 2015-12-23 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-11-10 | 2015-12-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-13 | 2015-12-23 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-11-13 | 2015-12-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-11-13 | 2015-12-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-11-13 | 2015-12-23 | N |
