CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Willow Springs Care and Rehabilitation
View the most recent health deficiencies and inspection results for Willow Springs Care and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willow Springs Care and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-07-25 | 2025-09-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-07-25 | 2025-09-03 | N |
| Post nurse staffing information every day. | Health | 2025-07-25 | 2025-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-25 | 2025-09-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-07-25 | 2025-09-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-07-25 | 2025-08-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-25 | 2025-08-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-25 | 2025-08-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-07-25 | 2025-08-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-25 | 2025-08-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-07-25 | 2025-08-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-07-25 | 2025-08-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-07-25 | 2025-08-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-09-10 | 2024-11-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-10 | 2024-11-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-10 | 2024-11-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-10 | 2024-11-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-09-10 | 2024-11-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-10 | 2024-10-12 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-09-10 | 2024-10-12 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-09-10 | 2024-10-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-10 | 2024-10-12 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-09-10 | 2024-10-12 | 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 | 2024-09-10 | 2024-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-10 | 2024-10-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-10 | 2024-10-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-09-10 | 2024-10-10 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-09-10 | 2024-10-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-10 | 2024-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-10 | 2024-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-10 | 2024-10-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-10 | 2024-10-10 | N |
| Meet other general requirements. | Fire Safety | 2024-09-10 | 2024-10-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-09-10 | 2024-10-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-09-10 | 2024-10-10 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-08-14 | 2024-09-06 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-14 | 2024-09-06 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-07-22 | 2023-08-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-22 | 2023-08-18 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-07-22 | 2023-08-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-07-22 | 2023-08-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-22 | 2023-08-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-22 | 2023-08-18 | 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 | 2023-07-22 | 2023-08-18 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-07-22 | 2023-08-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-07-22 | 2023-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-22 | 2023-08-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-07-22 | 2023-08-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-22 | 2023-08-18 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-22 | 2023-08-18 | 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 | 2023-07-22 | 2023-08-18 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-22 | 2023-08-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-22 | 2023-08-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-07-22 | 2023-08-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-22 | 2023-08-18 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-07-22 | 2023-08-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-22 | 2023-08-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-22 | 2023-08-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-22 | 2023-08-18 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-07-22 | 2023-08-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-07-22 | 2023-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-22 | 2023-08-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-22 | 2023-08-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-22 | 2023-08-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-22 | 2023-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-22 | 2023-08-15 | N |
| Meet other general requirements. | Fire Safety | 2023-07-22 | 2023-08-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-07-22 | 2023-08-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-22 | 2023-08-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-22 | 2023-08-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-07-22 | 2023-08-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-22 | 2023-08-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-07-22 | 2023-08-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-22 | 2023-08-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-22 | 2023-08-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-22 | 2023-08-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-22 | 2023-08-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-22 | 2023-08-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-22 | 2023-07-19 | N |