CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Willowcrest Health Services
View the most recent health deficiencies and inspection results for Willowcrest Health Services. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willowcrest Health Services. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2025-06-05 | 2025-08-28 | 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 | 2025-06-05 | 2025-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-05 | 2025-07-05 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-06-05 | 2025-07-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-06-05 | 2025-07-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-06-05 | 2025-07-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-06-05 | 2025-07-05 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-06-05 | 2025-07-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-05 | 2025-07-05 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-06-05 | 2025-07-05 | 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 | 2025-06-05 | 2025-07-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-06-05 | 2025-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-05 | 2025-07-05 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-06-05 | 2025-07-05 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-06-05 | 2025-07-05 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-06-05 | 2025-07-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-05 | 2025-07-05 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2025-06-05 | 2025-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-05 | 2025-07-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-06-05 | 2025-07-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-06-05 | 2025-07-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-06-05 | 2025-07-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-05 | 2025-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-05 | 2025-03-31 | Y |
| Post nurse staffing information every day. | Health | 2024-10-14 | 2024-11-12 | Y |
| 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 | 2024-03-29 | 2024-09-30 | 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 | 2024-03-29 | 2024-09-30 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-03-29 | 2024-08-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-29 | 2024-07-30 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-03-29 | 2024-04-26 | 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 | 2024-03-29 | 2024-04-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-29 | 2024-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-29 | 2024-04-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-29 | 2024-04-26 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-03-29 | 2024-04-26 | 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 | 2024-03-29 | 2024-04-26 | 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 | 2024-03-29 | 2024-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-29 | 2024-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-29 | 2024-04-26 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-03-29 | 2024-04-26 | N |
| Provide training in compliance and ethics. | Health | 2024-03-29 | 2024-04-26 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-03-29 | 2024-04-26 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-03-29 | 2024-04-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-29 | 2024-04-26 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-03-29 | 2024-04-26 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-29 | 2024-04-26 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2024-03-29 | 2024-04-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-29 | 2024-04-26 | 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 | 2024-03-29 | 2024-04-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-29 | 2024-04-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-29 | 2024-04-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-29 | 2024-04-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-12 | 2023-07-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-12 | 2023-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-02-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-12 | 2023-02-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-12 | 2023-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-12 | 2023-02-10 | 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 | 2023-01-12 | 2023-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-12 | 2023-02-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-12 | 2023-02-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-12 | 2023-02-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-12 | 2023-02-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-12 | 2023-02-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-12 | 2023-02-10 | N |