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Deficiency Records for Willows Post Acute
View the most recent health deficiencies and inspection results for Willows Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willows Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to manage his or her financial affairs. | Health | 2026-02-20 | 2026-03-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-14 | 2025-09-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-30 | 2025-07-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-03 | 2025-04-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-03 | 2025-04-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-03 | 2025-04-25 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-04-03 | 2025-04-25 | 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 | 2025-04-03 | 2025-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-03 | 2025-04-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-04-03 | 2025-04-10 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-04-04 | 2024-05-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-04 | 2024-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-04 | 2024-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-04 | 2024-05-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-04-04 | 2024-05-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-04 | 2024-05-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-04 | 2024-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-04 | 2024-04-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-04 | 2024-04-28 | 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 | 2024-04-04 | 2024-04-28 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-04-04 | 2024-04-28 | N |
| Provide or obtain dental services for each resident. | Health | 2024-04-04 | 2024-04-28 | 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 | 2024-04-04 | 2024-04-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-04 | 2024-04-28 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-04-04 | 2024-04-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-04-04 | 2024-04-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-04 | 2024-04-28 | 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 | 2024-04-04 | 2024-04-28 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-05-01 | 2023-05-17 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-07 | 2022-04-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-07 | 2022-04-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-07 | 2022-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-07 | 2022-04-27 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-04-07 | 2022-04-26 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-04-07 | 2022-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-07 | 2022-04-26 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-04-07 | 2022-04-26 | N |