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Deficiency Records for Willow Brook Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Willow Brook Rehabilitation and Healthcare 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 Brook Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-15 | 2024-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-15 | 2024-04-16 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-03-26 | 2024-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-26 | 2024-04-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-03-26 | 2024-04-16 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-03-26 | 2024-04-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-26 | 2024-04-16 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-01-23 | 2024-02-29 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-01-23 | 2024-02-29 | Y |
| Meet other general requirements. | Fire Safety | 2023-03-27 | 2023-05-11 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-03-27 | 2023-05-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-03-27 | 2023-05-11 | 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 | 2023-03-27 | 2023-05-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-27 | 2023-05-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-27 | 2023-05-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-27 | 2023-05-11 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-03-27 | 2023-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-27 | 2023-05-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-16 | 2023-04-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-16 | 2023-04-28 | N |
| 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 | 2023-03-16 | 2023-04-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-14 | 2023-02-28 | Y |
| Meet other general requirements. | Fire Safety | 2022-04-26 | 2022-06-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-26 | 2022-06-07 | 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 | 2022-04-26 | 2022-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-26 | 2022-06-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-26 | 2022-06-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-26 | 2022-06-07 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-04-26 | 2022-06-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-15 | 2022-05-24 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-04-15 | 2022-05-24 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-04-15 | 2022-05-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-15 | 2022-05-24 | 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 | 2022-04-15 | 2022-05-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-15 | 2022-05-24 | Y |
| 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 | 2022-04-15 | 2022-05-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-15 | 2022-05-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-15 | 2022-05-24 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-15 | 2022-05-24 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-15 | 2022-05-24 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-04-15 | 2022-05-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-15 | 2022-05-24 | Y |
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