Deficiency Records for The Legacy at Willow Bend
Updated as of February 01, 2018
This is not the most recent data for The Legacy at Willow Bend. For the most recent information, click here.
A list of the most recent deficiencies for The Legacy at Willow Bend. 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? |
|---|---|---|---|---|
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-27 | 2017-11-04 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-07-26 | 2017-08-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-07-26 | 2017-08-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-27 | 2017-08-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-26 | 2017-08-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-07-26 | 2017-07-26 | 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 | 2017-07-26 | 2017-07-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-26 | 2017-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-26 | 2017-07-26 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-04-07 | 2017-05-05 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-07 | 2017-05-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-07 | 2017-05-05 | Y |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2016-06-15 | 2016-07-15 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-06-15 | 2016-07-15 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-06-15 | 2016-07-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-06-16 | 2016-07-15 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-06-16 | 2016-07-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-16 | 2016-07-15 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-06-16 | 2016-07-15 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-06-16 | 2016-07-15 | Y |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2015-08-05 | 2015-09-07 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-08-05 | 2015-08-19 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-08-05 | 2015-08-10 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-08-05 | 2015-08-06 | N |
