Deficiency Records for Willow Park Rehabilitation and Care Center
Updated as of April 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? |
|---|---|---|---|---|
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-02-14 | 2024-03-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-15 | 2024-03-15 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-02-15 | 2024-03-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-15 | 2024-03-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-02-15 | 2024-03-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-15 | 2024-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-15 | 2024-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-14 | 2024-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-14 | 2024-03-15 | N |
| 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 |
