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Deficiency Records for Willow Springs Rehabilitation and Healthcare Ctr

A list of the most recent deficiencies for Willow Springs Rehabilitation and Healthcare Ctr. 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 Willow Springs Rehabilitation and Healthcare Ctr. 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 services provided by the nursing facility meet professional standards of quality. Health 2024-07-12 2024-08-29 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-07-12 2024-08-29 Y
Keep residents' personal and medical records private and confidential. Health 2024-07-05 2024-08-29 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 2024-07-05 2024-08-29 Y
Ensure that residents are free from significant medication errors. Health 2024-07-05 2024-08-29 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-11-03 2023-11-22 Y
Ensure each resident receives an accurate assessment. Health 2022-12-20 2023-01-19 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 2022-12-20 2023-01-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-20 2023-01-19 N
Provide and implement an infection prevention and control program. Health 2022-12-20 2023-01-19 N
Ensure staff are vaccinated for COVID-19 Health 2022-12-20 2023-01-19 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-06-22 2022-07-18 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-06-22 2022-07-18 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2020-10-07 2020-10-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-10-07 2020-10-30 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2020-10-07 2020-10-30 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 2020-10-07 2020-10-26 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-04-12 2019-04-15 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2019-04-12 2019-04-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-04-12 2019-04-15 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-04-12 2019-04-15 N
Provide and implement an infection prevention and control program. Health 2019-04-12 2019-04-15 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-04-12 2019-04-15 N

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