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Deficiency Records for Willis Nursing and Rehabilitation LP

A list of the most recent deficiencies for Willis Nursing and Rehabilitation LP. 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 Willis Nursing and Rehabilitation LP. 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?
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-06-28 2024-08-09 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-06-28 2024-08-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-28 2024-07-23 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 2023-10-20 2023-11-30 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-10-19 2023-11-30 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-10-19 2023-11-30 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-10-19 2023-11-30 Y
Provide and implement an infection prevention and control program. Health 2023-10-19 2023-11-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-20 2023-10-20 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-05-11 2023-06-22 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2023-05-11 2023-06-22 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-11 2023-06-22 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 2023-05-10 2023-06-22 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-05-10 2023-06-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-05-10 2023-06-22 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-03-10 2022-03-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-12-03 2022-01-18 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-12-03 2022-01-18 Y

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