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Deficiency Records for Willowwood Healthcare and Rehabilitation

A list of the most recent deficiencies for Willowwood Healthcare and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Willowwood Healthcare and Rehabilitation. 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?
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-08-28 2024-10-10 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-08-28 2024-10-10 Y
Provide and implement an infection prevention and control program. Health 2024-08-28 2024-10-10 Y
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2024-08-28 2024-10-10 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-08-27 2024-10-10 N
Provide properly protected cooking facilities. Fire Safety 2024-08-27 2024-10-10 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-08-27 2024-10-10 N
Have proper medical gas storage and administration areas. Fire Safety 2024-08-27 2024-10-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-06 2022-12-21 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-11-06 2022-12-21 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 2022-11-06 2022-12-21 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-11-06 2022-12-21 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-11-06 2022-12-21 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-11-06 2022-12-21 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2022-11-06 2022-12-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-11-06 2022-12-21 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2022-11-06 2022-12-21 N
Dispose of garbage and refuse properly. Health 2022-11-06 2022-12-21 N
Implement a program that monitors antibiotic use. Health 2022-11-06 2022-12-21 N
Keep all essential equipment working safely. Health 2022-11-06 2022-12-21 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2022-11-06 2022-12-21 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-11-06 2022-12-21 N
List the names and contact information of those in the facility. Fire Safety 2022-11-06 2022-12-21 N
Establish staff and initial training requirements. Fire Safety 2022-11-06 2022-12-21 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-11-06 2022-12-21 N
Provide properly protected cooking facilities. Fire Safety 2022-11-06 2022-12-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-06 2022-12-21 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-06-04 2021-07-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-06-04 2021-07-12 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-06-02 2021-07-12 N

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