Deficiency Records for Willowdale Health Services
Updated as of March 01, 2023
This is not the most recent data for Willowdale Health Services. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2020-12-21 | 2021-01-20 | N |
| 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 | 2019-11-14 | 2019-12-11 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-11-14 | 2019-12-11 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-11-14 | 2019-12-11 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-11-14 | 2019-12-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-15 | 2019-12-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-15 | 2019-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-15 | 2019-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-15 | 2019-11-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-15 | 2019-11-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-14 | 2019-11-15 | N |
