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Deficiency Records for Willow Creek Lodge
View the most recent health deficiencies and inspection results for Willow Creek Lodge. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Willow Creek Lodge. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Post nurse staffing information every day. | Health | 2025-11-19 | 2025-11-20 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-17 | 2025-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-17 | 2025-08-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2025-07-17 | 2025-08-29 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-07-17 | 2025-08-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-17 | 2025-08-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-17 | 2025-08-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-07-17 | 2025-08-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-07-17 | 2025-08-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-07-17 | 2025-08-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-07-17 | 2025-08-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-17 | 2025-08-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-07-17 | 2025-08-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-07-17 | 2025-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-17 | 2025-08-29 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-07-17 | 2025-08-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-02 | 2025-07-25 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-13 | 2024-06-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-13 | 2024-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-13 | 2024-06-20 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-06-13 | 2024-06-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-06-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-13 | 2024-06-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-20 | 2023-10-16 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-09-20 | 2023-10-16 | Y |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2023-03-24 | 2023-04-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-24 | 2023-04-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-24 | 2023-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-24 | 2023-03-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-24 | 2023-03-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-24 | 2023-03-25 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-03-24 | 2023-03-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-24 | 2023-03-24 | N |