Deficiency Records for Willowbend Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Willowbend Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-03 | 2023-11-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-15 | 2023-10-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-09-15 | 2023-10-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-15 | 2023-10-06 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-09-13 | 2023-10-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-13 | 2023-10-06 | 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 | 2023-09-13 | 2023-10-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-13 | 2023-10-06 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-09-13 | 2023-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-13 | 2023-10-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-13 | 2023-10-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-13 | 2023-10-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-13 | 2023-10-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-13 | 2023-10-06 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-09-13 | 2023-10-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-03 | 2023-09-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-27 | 2023-09-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-27 | 2023-09-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-27 | 2023-09-06 | Y |
| 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 | 2023-07-27 | 2023-09-06 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-07-27 | 2023-09-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-08 | 2023-07-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-08 | 2023-07-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-08 | 2023-07-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-22 | 2023-06-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-21 | 2022-10-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-22 | 2022-08-19 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-22 | 2022-08-19 | 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 | 2022-07-20 | 2022-08-19 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-07-20 | 2022-08-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-20 | 2022-08-19 | 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 | 2022-07-20 | 2022-08-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-20 | 2022-08-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-20 | 2022-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-15 | 2022-07-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-15 | 2022-07-15 | Y |
| 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 | 2021-10-07 | 2021-10-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-22 | 2021-09-23 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-01 | 2021-04-22 | 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 | 2021-04-01 | 2021-04-13 | N |
