Deficiency Records for Willowbend Nursing and Rehabilitation Center
Updated as of May 01, 2020
This is not the most recent data for Willowbend Nursing and Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 | 2019-04-03 | 2019-04-26 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-04 | 2019-04-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-04 | 2019-04-19 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-03-09 | 2018-04-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-03-09 | 2018-04-09 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-03-09 | 2018-04-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-09 | 2018-04-09 | 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 | 2018-03-09 | 2018-04-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-03-09 | 2018-04-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-09 | 2018-04-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-03-09 | 2018-04-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-09 | 2018-04-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-09 | 2018-04-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-09 | 2018-03-16 | 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 | 2018-03-09 | 2018-03-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-09 | 2018-03-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-23 | 2018-02-26 | Y |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-10-26 | 2017-11-01 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-07-07 | 2017-07-28 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-01-19 | 2017-02-22 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-01-19 | 2017-02-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-19 | 2017-02-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-01-19 | 2017-02-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-01-19 | 2017-02-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-01-19 | 2017-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-19 | 2017-01-25 | 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 | 2017-01-19 | 2017-01-23 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2017-01-19 | 2017-01-20 | 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 | 2017-01-19 | 2017-01-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-01-19 | 2017-01-20 | N |
