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Deficiency Records for Willowbend Nursing and Rehabilitation Center

A list of the most recent deficiencies for Willowbend Nursing and Rehabilitation 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 Willowbend Nursing and Rehabilitation 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 appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-17 2024-01-17 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-01-17 2023-12-18 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-11-03 2023-11-30 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-15 2023-10-06 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-09-15 2023-10-06 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-09-15 2023-10-06 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-09-13 2023-10-06 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-09-13 2023-10-06 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 2023-09-13 2023-10-06 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-09-13 2023-10-06 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2023-09-13 2023-10-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-09-13 2023-10-06 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-09-13 2023-10-06 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-09-13 2023-10-06 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-09-13 2023-10-06 N
Have proper medical gas storage and administration areas. Fire Safety 2023-09-13 2023-10-06 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2023-09-13 2023-10-06 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-03 2023-09-15 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-07-27 2023-09-06 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-07-27 2023-09-06 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-07-27 2023-09-06 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 2023-07-27 2023-09-06 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-07-27 2023-09-06 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-06-08 2023-07-24 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-06-08 2023-07-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-08 2023-07-24 Y
Provide and implement an infection prevention and control program. Health 2023-05-22 2023-06-23 Y
Provide and implement an infection prevention and control program. Health 2022-09-21 2022-10-17 Y
Provide and implement an infection prevention and control program. Health 2022-07-22 2022-08-19 Y
Perform COVID19 testing on residents and staff. Health 2022-07-22 2022-08-19 Y
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 2022-07-20 2022-08-19 N
Install proper backup exit lighting. Fire Safety 2022-07-20 2022-08-19 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-07-20 2022-08-19 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 2022-07-20 2022-08-19 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-07-20 2022-08-19 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-07-20 2022-08-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-15 2022-07-15 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-06-15 2022-07-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-22 2021-09-23 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-04-01 2021-04-22 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 2021-04-01 2021-04-13 N

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