Deficiency Records for Willow Terrace
Updated as of June 01, 2018
This is not the most recent data for Willow Terrace. For the most recent information, click here.
A list of the most recent deficiencies for Willow Terrace. 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? |
|---|---|---|---|---|
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-22 | 2018-04-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-22 | 2018-04-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-01-19 | 2018-02-08 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-11 | 2017-09-30 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2017-08-11 | 2017-09-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-11 | 2017-09-30 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-22 | 2017-08-10 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-03-01 | 2017-04-30 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-01 | 2017-04-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-01 | 2017-04-30 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-03-01 | 2017-04-30 | N |
| Meet other general requirements. | Fire Safety | 2017-03-06 | 2017-04-23 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2017-03-06 | 2017-04-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-06 | 2017-04-23 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-03-06 | 2017-04-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-06 | 2017-04-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-06 | 2017-04-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-06 | 2017-04-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-03-06 | 2017-04-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-05 | 2017-02-03 | Y |
| Maintain comfortable and safe temperature levels. | Health | 2016-07-24 | 2016-09-22 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-07-24 | 2016-09-22 | Y |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-02-22 | 2016-05-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-19 | 2016-04-05 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-19 | 2016-04-05 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-02-19 | 2016-04-05 | Y |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-02-22 | 2016-03-31 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-02-22 | 2016-03-31 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2016-02-22 | 2016-03-31 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-02-22 | 2016-03-31 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-02-22 | 2016-03-31 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2016-02-22 | 2016-03-31 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2016-02-22 | 2016-03-31 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-22 | 2016-03-31 | N |
| Portable fire extinguishers. | Fire Safety | 2016-02-22 | 2016-03-31 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-02-22 | 2016-03-31 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-02-22 | 2016-03-31 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-02-22 | 2016-03-31 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-03-20 | 2015-05-15 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2015-03-20 | 2015-05-15 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-03-06 | 2015-04-24 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-03-06 | 2015-04-24 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-03-06 | 2015-04-24 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-03-06 | 2015-04-24 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-03-06 | 2015-04-24 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-03-06 | 2015-04-24 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-03-06 | 2015-04-24 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-03-06 | 2015-04-24 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-03-06 | 2015-04-24 | N |
