Inspection Results » Willow Creek Nursing and Rehabilitation Center

Health Inspection on February 22, 2019 ^[1]

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

   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2019-03-22)
   • 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. (Corrected 2019-03-22)

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

   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-03-22)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-03-22)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2019-03-22)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-03-22)

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

   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2019-03-22)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-03-22)