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Deficiency Records for Willow Creek Lodge
A list of the most recent deficiencies for Willow Creek Lodge. 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 Creek Lodge. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-13 | 2024-06-20 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-06-13 | 2024-06-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-06-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-12 | 2024-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-12 | 2024-06-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-12 | 2024-06-18 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-09-20 | 2023-10-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-20 | 2023-10-16 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2023-03-24 | 2023-04-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-24 | 2023-04-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-24 | 2023-04-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-24 | 2023-03-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-24 | 2023-03-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-24 | 2023-03-25 | 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 | 2023-03-23 | 2023-03-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-23 | 2023-03-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-30 | 2023-02-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-30 | 2023-02-20 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-13 | 2022-03-01 | 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 | 2022-01-13 | 2022-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-13 | 2022-03-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-01-13 | 2022-02-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-11 | 2022-02-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-11 | 2022-01-13 | N |
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