Deficiency Records for Willow Park Rehabilitation and Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Willow Park Rehabilitation and Care Center. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-07 | 2023-10-13 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-12-15 | 2023-01-20 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-12-15 | 2023-01-20 | N |
| Post nurse staffing information every day. | Health | 2022-12-15 | 2023-01-20 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-12-15 | 2023-01-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-15 | 2023-01-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-02 | 2021-12-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-02 | 2021-12-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-02 | 2021-11-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-02 | 2021-11-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-14 | 2021-10-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-31 | 2021-10-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-31 | 2021-10-01 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-01-24 | 2020-02-06 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-01-24 | 2020-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-24 | 2020-02-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-22 | 2020-02-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-22 | 2020-02-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-01-22 | 2020-02-05 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-01-22 | 2020-02-05 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-01-22 | 2020-02-05 | 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 | 2020-01-22 | 2020-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-22 | 2020-02-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-22 | 2020-02-04 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-01-22 | 2020-01-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-22 | 2020-01-23 | N |
