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Deficiency Records for Willow Knoll Post-Acute and Senior Living
A list of the most recent deficiencies for Willow Knoll Post-Acute and Senior Living. 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 Knoll Post-Acute and Senior Living. 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? |
|---|---|---|---|---|
| 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 | 2024-08-19 | 2024-10-04 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-19 | 2024-10-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-09 | 2021-11-23 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-07-09 | 2021-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-09 | 2021-08-25 | 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 | 2021-07-09 | 2021-08-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-07-09 | 2021-08-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-09 | 2021-08-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-09 | 2021-08-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Develop a communication plan. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-28 | 2021-08-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-14 | 2019-05-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-03-14 | 2019-05-31 | 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 | 2019-03-14 | 2019-05-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-14 | 2019-05-31 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-03-14 | 2019-05-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-14 | 2019-05-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-14 | 2019-05-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-03-14 | 2019-05-31 | N |
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