Deficiency Records for Willow Branch Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Willow Branch Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-03 | 2022-06-21 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-06-03 | 2022-06-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-03 | 2022-06-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-03 | 2022-06-21 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-06-03 | 2022-06-21 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-06-03 | 2022-06-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-23 | 2022-05-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-23 | 2022-05-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-21 | 2022-03-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-16 | 2021-10-12 | 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 | 2021-09-16 | 2021-10-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-07 | 2019-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-07 | 2019-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-07 | 2019-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-07 | 2019-09-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-05 | 2019-09-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-05 | 2019-09-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-22 | 2018-10-01 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-08-22 | 2018-09-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-08-22 | 2018-09-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-22 | 2018-09-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-22 | 2018-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-22 | 2018-09-04 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-22 | 2018-09-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-22 | 2018-09-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-08-22 | 2018-08-28 | N |
