Deficiency Records for Champions Healthcare at Willowbrook
Updated as of September 01, 2016
This is not the most recent data for Champions Healthcare at Willowbrook. For the most recent information, click here.
A list of the most recent deficiencies for Champions Healthcare at Willowbrook. 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? |
|---|---|---|---|---|
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-04-27 | 2016-05-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-09-03 | 2015-09-10 | Y |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
| An adequate water supply for the sprinkler system. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-07-30 | 2015-08-21 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-07-30 | 2015-08-21 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-07-30 | 2015-08-21 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2015-07-30 | 2015-08-21 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-11-04 | 2014-12-28 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-08-22 | 2014-09-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-08-22 | 2014-09-20 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-08-22 | 2014-09-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-08-22 | 2014-09-20 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-08-19 | 2014-09-20 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-08-19 | 2014-09-20 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2014-08-19 | 2014-09-20 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2014-08-19 | 2014-09-20 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-08-19 | 2014-09-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-03-07 | 2014-03-20 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-03-07 | 2014-03-20 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-02-14 | 2014-02-27 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2013-07-26 | 2013-10-03 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2013-07-26 | 2013-10-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2013-07-26 | 2013-08-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2013-07-26 | 2013-08-23 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2013-07-26 | 2013-08-23 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2013-07-26 | 2013-08-23 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2013-07-26 | 2013-08-23 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-07-26 | 2013-08-23 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2013-07-26 | 2013-08-23 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2013-07-26 | 2013-08-23 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2013-07-26 | 2013-08-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-07-26 | 2013-08-23 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2013-07-26 | 2013-08-23 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2013-07-26 | 2013-08-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-07-26 | 2013-08-23 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2013-07-26 | 2013-08-23 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2013-07-26 | 2013-08-23 | N |
| Portable fire extinguishers. | Fire Safety | 2013-07-23 | 2013-08-12 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2013-07-23 | 2013-08-12 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-07-23 | 2013-08-12 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-07-23 | 2013-08-09 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-07-23 | 2013-08-08 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2013-07-23 | 2013-07-29 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2013-07-23 | 2013-07-29 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-01-24 | Not Fixed | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-09-04 | Not Fixed | Y |
