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Deficiency Records for Willowdale Health Services
View the most recent health deficiencies and inspection results for Willowdale Health Services. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willowdale Health Services. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-01-22 | 2025-02-22 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2024-10-02 | 2024-11-02 | N |
| Respond appropriately to all alleged violations. | Health | 2024-10-02 | 2024-11-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-02 | 2024-11-02 | Y |
| 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 | 2024-10-02 | 2024-11-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-02 | 2024-11-02 | 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 | 2024-10-02 | 2024-11-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-02 | 2024-11-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-10-02 | 2024-11-02 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-10-02 | 2024-11-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-10-02 | 2024-11-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-02 | 2024-11-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-10-02 | 2024-11-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-02 | 2024-11-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-02 | 2024-11-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-02 | 2024-11-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-10-02 | 2024-11-02 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-08 | 2023-12-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-08 | 2023-12-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-08 | 2023-12-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-08 | 2023-12-08 | 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 | 2023-11-08 | 2023-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-08 | 2023-12-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-11-08 | 2023-12-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-08 | 2023-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-08 | 2023-12-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-11-08 | 2023-12-08 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-11-08 | 2023-12-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-08 | 2023-12-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-12 | 2022-11-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-12 | 2022-11-12 | 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 | 2022-10-12 | 2022-11-12 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-10-12 | 2022-11-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-12 | 2022-11-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-12 | 2022-11-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-12 | 2022-11-12 | N |