Deficiency Records for Willow Park Rehabilitation and Care Center
Updated as of January 01, 2022
This is not the most recent data for Willow Park Rehabilitation and Care Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-01 | 2020-09-05 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-07-15 | 2020-07-21 | Y |
| 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 |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-01-24 | 2020-02-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-01-24 | 2020-02-06 | Y |
| 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 |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-25 | 2019-11-12 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-02-01 | 2019-02-27 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-02-01 | 2019-02-25 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2019-02-01 | 2019-02-25 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-01-30 | 2019-02-12 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-01-30 | 2019-02-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-30 | 2019-02-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-01 | 2019-02-10 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-02-01 | 2019-02-08 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-01 | 2019-02-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-01 | 2019-02-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-01 | 2019-02-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-01 | 2019-02-08 | Y |
| Have a properly installed medical gas master alarm panel. | Fire Safety | 2018-01-19 | 2018-03-02 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-01-19 | 2018-02-28 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-01-19 | 2018-02-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-01-19 | 2018-02-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-01-19 | 2018-02-28 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2018-01-19 | 2018-02-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-01-19 | 2018-02-28 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2018-01-19 | 2018-02-28 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-01-19 | 2018-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-19 | 2018-02-19 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-01-19 | 2018-01-20 | N |
