Deficiency Records for Willow Rehab and Nursing
Updated as of November 01, 2022
This is not the most recent data for Willow Rehab and Nursing. For the most recent information, click here.
A list of the most recent deficiencies for Willow Rehab and Nursing. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-30 | 2022-09-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-30 | 2022-09-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-30 | 2022-09-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-06 | 2021-09-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-06 | 2021-09-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-06 | 2021-09-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-08-06 | 2021-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-06 | 2021-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-17 | 2021-09-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-17 | 2021-09-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-20 | 2019-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-20 | 2019-10-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-21 | 2019-10-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-21 | 2019-10-01 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-21 | 2019-10-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-21 | 2019-10-01 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-08-21 | 2019-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-21 | 2019-10-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-10-26 | 2018-11-30 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-10-26 | 2018-11-30 | N |
| 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 | 2018-10-26 | 2018-11-30 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-10-26 | 2018-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-26 | 2018-11-30 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2018-10-24 | 2018-11-30 | N |
