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Deficiency Records for Willow Point Rehabilitation and Nursing Center
A list of the most recent deficiencies for Willow Point Rehabilitation and Nursing Center. 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 Point Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-22 | 2024-05-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-03-22 | 2024-05-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-03-22 | 2024-05-21 | 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 | 2024-03-22 | 2024-05-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-22 | 2024-05-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-22 | 2024-05-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-22 | 2024-05-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-22 | 2024-05-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-03-22 | 2024-05-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-04-30 | 2024-05-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-30 | 2024-05-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-30 | 2024-05-17 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-03-29 | 2024-05-06 | N |
| 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 | 2024-03-29 | 2024-05-06 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-03-29 | 2024-05-06 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-03-29 | 2024-05-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-29 | 2024-05-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-29 | 2024-05-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-29 | 2024-05-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-29 | 2024-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-29 | 2024-05-06 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-01-02 | 2024-02-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-27 | 2023-02-24 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-28 | 2022-02-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-10-29 | 2021-12-27 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-29 | 2021-12-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-29 | 2021-12-27 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-10-29 | 2021-12-27 | 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 | 2021-10-29 | 2021-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-29 | 2021-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-29 | 2021-12-27 | 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 | 2021-11-23 | 2021-12-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-23 | 2021-12-27 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-28 | 2021-12-27 | 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 | 2021-10-28 | 2021-12-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-10-28 | 2021-12-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-04-05 | 2019-06-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-05 | 2019-06-04 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2019-04-05 | 2019-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-05 | 2019-06-04 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-04-04 | 2019-06-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-04 | 2019-06-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-04 | 2019-06-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-04 | 2019-06-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-04 | 2019-06-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-04 | 2019-06-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-04 | 2019-06-03 | N |
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