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Deficiency Records for Willowdale Village

A list of the most recent deficiencies for Willowdale Village. 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 Willowdale Village. 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?
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-12-21 2024-01-19 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2023-12-21 2024-01-19 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2023-12-21 2024-01-19 N
Implement emergency and standby power systems. Fire Safety 2024-01-08 2024-01-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-01-08 2024-01-19 N
Provide and implement an infection prevention and control program. Health 2023-06-28 2023-07-12 Y
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2020-02-26 2020-03-13 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-02-26 2020-03-13 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2020-01-10 2020-02-09 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2020-01-10 2020-02-09 N
Ensure each resident receives an accurate assessment. Health 2020-01-10 2020-02-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-01-10 2020-02-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-01-10 2020-02-09 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2020-01-10 2020-02-09 N
Post nurse staffing information every day. Health 2020-01-10 2020-02-09 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2020-01-10 2020-02-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-01-10 2020-02-09 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2020-01-10 2020-02-09 N

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