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Deficiency Records for Willowcreek Rehab and Nursing
View the most recent health deficiencies and inspection results for Willowcreek Rehab and Nursing. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willowcreek Rehab and Nursing. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-19 | 2026-01-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-30 | 2025-05-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-30 | 2025-05-12 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-02-27 | 2025-03-07 | 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 | 2025-02-27 | 2025-03-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-02-27 | 2025-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-27 | 2025-03-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-02-27 | 2025-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-27 | 2025-02-28 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2025-02-27 | 2025-02-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-27 | 2025-02-28 | 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 | 2025-02-27 | 2025-02-28 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-02-27 | 2025-02-28 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2025-02-27 | 2025-02-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-02-27 | 2025-02-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-02-27 | 2025-02-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-10 | 2024-02-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-10 | 2024-02-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-10 | 2024-02-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-10 | 2024-02-07 | Y |
| 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 | 2024-01-10 | 2024-02-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-10 | 2024-02-07 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-10 | 2024-02-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-10 | 2024-02-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-10 | 2024-02-07 | 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 | 2024-01-10 | 2024-02-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-10 | 2024-02-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-27 | 2023-10-12 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-11-10 | 2023-01-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-10 | 2023-01-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-10 | 2022-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-10 | 2022-12-13 | 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 | 2022-11-10 | 2022-12-13 | N |