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Deficiency Records for Willow Terrace
View the most recent health deficiencies and inspection results for Willow Terrace. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willow Terrace. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-19 | 2026-04-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-19 | 2026-04-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-03-19 | 2026-04-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-19 | 2026-04-10 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-12-11 | 2025-12-30 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-12-11 | 2025-12-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-11 | 2025-12-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-11-20 | 2025-12-22 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-08-07 | 2025-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-07 | 2025-08-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-31 | 2025-03-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-31 | 2025-03-22 | 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 | 2025-01-31 | 2025-03-22 | 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 | 2025-01-31 | 2025-03-22 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-01-31 | 2025-03-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-31 | 2025-03-22 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-01-31 | 2025-03-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-31 | 2025-03-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-31 | 2025-03-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-31 | 2025-03-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-01-31 | 2025-03-22 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2025-01-31 | 2025-03-22 | 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 | 2025-01-31 | 2025-03-22 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-01-31 | 2025-03-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-31 | 2025-03-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-01-31 | 2025-03-22 | 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 | 2025-01-31 | 2025-03-22 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-01-31 | 2025-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-31 | 2025-03-22 | N |
| Have an externally vented heating system. | Fire Safety | 2025-01-31 | 2025-03-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-01-31 | 2025-03-03 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-01-31 | 2025-03-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-01-31 | 2025-03-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-11 | 2024-10-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-11 | 2024-10-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-29 | 2024-08-29 | 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 | 2024-07-17 | 2024-08-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-31 | 2024-07-08 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-04-01 | 2024-05-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-01 | 2024-05-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-01 | 2024-05-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-01 | 2024-05-10 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-01 | 2024-05-10 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-04-01 | 2024-05-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-01 | 2024-05-10 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-01 | 2024-05-10 | Y |
| 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 | 2024-04-01 | 2024-05-10 | Y |
| Install proper backup exit lighting. | Fire Safety | 2024-04-01 | 2024-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-01 | 2024-05-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-01 | 2024-05-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-04-01 | 2024-05-10 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2024-04-01 | 2024-05-10 | Y |
| Keep all essential equipment working safely. | Health | 2024-04-01 | 2024-05-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-14 | 2024-03-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-08 | 2023-11-22 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-28 | 2023-11-01 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-02 | 2023-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-02 | 2023-07-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-02 | 2023-07-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-02 | 2023-07-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-02 | 2023-07-26 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-06-02 | 2023-07-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-06-02 | 2023-07-18 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-02 | 2023-07-18 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-06-02 | 2023-07-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-02 | 2023-07-18 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-06-02 | 2023-07-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-06-02 | 2023-07-18 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-06-02 | 2023-07-18 | 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 | 2023-06-02 | 2023-07-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-02 | 2023-07-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-06-02 | 2023-07-18 | 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 | 2023-06-02 | 2023-07-18 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-06-02 | 2023-07-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-30 | Not Fixed | Y |