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Deficiency Records for Willows at Willard The
A list of the most recent deficiencies for Willows at Willard The. 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 Willows at Willard The. 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-11-21 | 2024-12-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-21 | 2024-12-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-21 | 2024-12-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-21 | 2024-12-23 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-11-21 | 2024-12-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-21 | 2024-12-23 | 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 | 2024-11-21 | 2024-12-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-11-19 | 2024-12-23 | 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 | 2024-11-19 | 2024-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-19 | 2024-12-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-11-19 | 2024-12-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-11-19 | 2024-12-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-19 | 2024-12-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-09 | 2023-08-30 | Y |
| 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 | 2023-08-09 | 2023-08-30 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-04-05 | 2022-04-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-04-05 | 2022-04-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-05 | 2022-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-05 | 2022-04-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-13 | 2019-07-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-13 | 2019-07-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-13 | 2019-07-19 | 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 | 2019-06-13 | 2019-07-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-11 | 2019-07-19 | N |
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