Inspection Results » Willows Center

Health Inspection on June 14, 2018 ^[1]

1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-07-23)
   • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne (Corrected 2018-07-23)
   • 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. (Corrected 2018-07-23)
   • Provide and implement an infection prevention and control program. (Corrected 2018-07-23)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-07-23)
   • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (Corrected 2018-07-23)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-07-23)

2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-07-23)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-07-23)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-07-23)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-07-23)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-07-23)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-07-23)
   • Honor each resident's preferences, choices, values and beliefs. (Corrected 2018-07-23)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-07-23)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-07-23)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-07-23)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-07-23)

3. Pattern: No actual harm with potential for minimal harm

   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-07-23)