A list of the most recent deficiencies for Willowdale Health Services. 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? |
---|---|---|---|---|
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 |
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 |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-08 | 2023-12-08 | 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 |
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 |
Install an approved automatic sprinkler system. | 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 |
Have restrictions on the use of portable space heaters. | 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 generator or other power source capable of supplying service within 10 seconds. | 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 |
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 approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-11 | 2022-11-12 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-10-11 | 2022-11-12 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-11 | 2022-11-12 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-10-11 | 2022-11-12 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-11 | 2021-09-01 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-11 | 2021-09-01 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-11 | 2021-09-01 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-11 | 2021-09-01 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-08-11 | 2021-09-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-11 | 2021-09-01 | N |