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Deficiency Records for Willow Rehab and Nursing
View the most recent health deficiencies and inspection results for Willow Rehab and Nursing. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willow Rehab and Nursing. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-04-01 | 2026-04-06 | 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 | 2026-04-01 | 2026-04-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-04-01 | 2026-04-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-01 | 2026-04-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-04-01 | 2026-04-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-04-01 | 2026-04-05 | 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 | 2026-04-01 | 2026-04-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-13 | 2025-06-30 | Y |
| 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 | 2025-01-30 | 2025-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-30 | 2025-02-28 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-01-30 | 2025-02-28 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-01-30 | 2025-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-30 | 2025-02-28 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-01-30 | 2025-02-28 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-01-30 | 2025-02-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-30 | 2025-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-30 | 2025-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-30 | 2025-02-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-01-30 | 2025-02-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-01-30 | 2025-02-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-01-30 | 2025-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-30 | 2025-02-28 | 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 | 2025-01-30 | 2025-02-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-01-30 | 2025-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-12 | 2024-12-13 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-12-12 | 2024-12-13 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-12 | 2024-04-08 | 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 | 2023-12-12 | 2024-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-12 | 2024-01-11 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-12-12 | 2024-01-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-12 | 2024-01-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-12 | 2024-01-11 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-12-12 | 2024-01-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-12 | 2024-01-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-12 | 2024-01-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-12 | 2024-01-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-12 | 2024-01-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-12 | 2024-01-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-16 | 2023-11-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-16 | 2023-11-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-16 | 2023-11-17 | Y |