A list of the most recent deficiencies for Willowbrook Nursing Center. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-07 | 2023-06-27 | 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 | 2023-04-19 | 2023-05-05 | 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 | 2023-04-19 | 2023-05-05 | 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 | 2023-04-19 | 2023-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-19 | 2023-05-05 | N |
| Have policies on smoking. | Health | 2023-04-19 | 2023-05-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-30 | 2022-04-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-09 | 2022-03-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-09 | 2022-03-31 | N |
| Respond appropriately to all alleged violations. | Health | 2022-03-09 | 2022-03-31 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-03-09 | 2022-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-09 | 2022-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-09 | 2022-03-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-29 | 2021-07-01 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-04-06 | 2021-04-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-07 | 2021-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-07 | 2021-04-08 | N |
| Keep all essential equipment working safely. | Health | 2021-04-07 | 2021-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-06 | 2021-04-08 | N |
