CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Willow Grove Post Acute
View the most recent health deficiencies and inspection results for Willow Grove Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willow Grove Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-17 | 2026-04-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-03-17 | 2026-04-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-30 | 2026-01-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-30 | 2026-01-29 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-12-01 | 2026-01-06 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-12-01 | 2026-01-06 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-05-16 | 2025-07-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-05-16 | 2025-07-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-16 | 2025-07-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-05-16 | 2025-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-05-16 | 2025-07-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-16 | 2025-07-14 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-05-16 | 2025-07-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-05-16 | 2025-07-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-05-16 | 2025-07-14 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2025-05-16 | 2025-07-14 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-05-16 | 2025-07-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-05-16 | 2025-07-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-05-16 | 2025-07-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-05-16 | 2025-07-14 | N |
| Meet other general requirements. | Fire Safety | 2025-05-16 | 2025-07-14 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-05-16 | 2025-07-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-16 | 2025-07-08 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-05-16 | 2025-07-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-05-16 | 2025-07-08 | 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 | 2025-05-16 | 2025-07-08 | 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 | 2025-05-16 | 2025-07-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-05-16 | 2025-07-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-05-16 | 2025-07-08 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2025-05-16 | 2025-07-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-05-16 | 2025-07-08 | N |
| Dispose of garbage and refuse properly. | Health | 2025-05-16 | 2025-07-08 | N |
| Keep all essential equipment working safely. | Health | 2025-05-16 | 2025-07-08 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-05-16 | 2025-07-08 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-05-16 | 2025-07-08 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-05-16 | 2025-07-08 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2025-05-16 | 2025-07-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-12-09 | 2025-01-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-09 | 2025-01-21 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2024-09-09 | 2024-10-16 | Y |
| 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 | 2024-09-09 | 2024-10-16 | Y |
| 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 | 2024-09-09 | 2024-10-16 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-09-09 | 2024-10-16 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-15 | 2024-10-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-08-15 | 2024-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-15 | 2024-10-02 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-15 | 2024-10-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-08-15 | 2024-10-02 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-08-15 | 2024-10-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-15 | 2024-10-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-08-15 | 2024-10-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-15 | 2024-10-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-15 | 2024-10-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-15 | 2024-10-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-15 | 2024-10-02 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2024-08-15 | 2024-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-15 | 2024-10-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-15 | 2024-10-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-15 | 2024-10-02 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2024-08-15 | 2024-10-02 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-08-15 | 2024-10-02 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-08-15 | 2024-10-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-15 | 2024-10-02 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-15 | 2024-10-02 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-06-10 | 2024-07-30 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-05-07 | 2024-07-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-27 | 2024-06-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-06 | 2024-04-23 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-19 | 2024-03-02 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-19 | 2024-03-02 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-08 | 2024-01-19 | N |
| Use approved construction type or materials. | Fire Safety | 2023-11-08 | 2024-01-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-08 | 2024-01-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-08 | 2024-01-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-08 | 2024-01-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-08 | 2024-01-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-08 | 2024-01-19 | N |
| Meet other general requirements. | Fire Safety | 2023-11-08 | 2024-01-19 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-11-08 | 2024-01-04 | 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 | 2023-11-08 | 2024-01-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-08 | 2024-01-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-08 | 2024-01-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2024-01-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-08 | 2024-01-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-08 | 2024-01-04 | 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 | 2023-11-08 | 2024-01-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-08 | 2024-01-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-08 | 2024-01-04 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-08 | 2024-01-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-08 | 2024-01-04 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-25 | 2023-09-15 | Y |