Inspection Results » Willow Manor

Health Inspection on January 9, 2019 ^[1]

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

   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-02-18)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-02-18)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-03-13)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-02-18)
   • Provide and implement an infection prevention and control program. (Corrected 2019-02-18)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-02-18)
   • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2019-02-18)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-02-18)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-02-18)

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

   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-02-18)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-02-18)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-02-18)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-02-18)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-02-18)
   • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Corrected 2019-02-18)

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

   • Post nurse staffing information every day. (Corrected 2019-03-13)
   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2019-02-18)