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 |