Facility profile · CCN 215235
Willow Brooke Ct Skilled Care Ctr At Heron Point
31 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $15,440.
Record summary
Federal record · Q1 202631
Total citations
10
Last 3 years
1
Actual harm+
1
Federal penalties
$15,440
Total fines
5
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
31 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Feb 23, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Feb 23, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Feb 23, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Feb 23, 2024 | F610 | Respond appropriately to all alleged violations. | E | Complaint |
| Feb 23, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Feb 23, 2024 | F761 | 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. | D | Standard |
| Feb 23, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Feb 23, 2024 | F758 | 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 necessary and PRN use is limited. | D | Standard |
| Feb 23, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard |
| Feb 23, 2024 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard |
| Apr 9, 2019 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Apr 9, 2019 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard |
| Apr 9, 2019 | F758 | 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 necessary and PRN use is limited. | E | Standard |
| Apr 9, 2019 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Apr 9, 2019 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Standard |
| Apr 9, 2019 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Apr 9, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Apr 9, 2019 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Apr 9, 2019 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard |
| Apr 9, 2019 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Apr 9, 2019 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| Apr 9, 2019 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Apr 9, 2019 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Apr 9, 2019 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Apr 9, 2019 | F551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard |
| Nov 6, 2017 | F514 | Keep accurate, complete and organized clinical records on each resident that meet professional standards. | D | Standard |
| Nov 6, 2017 | F456 | Keep all essential equipment working safely. | C | Standard |
| Nov 6, 2017 | F441 | Have a program that investigates, controls and keeps infection from spreading. | C | Standard |
| Nov 6, 2017 | F431 | Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | D | Standard |
| Nov 6, 2017 | F329 | Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | D | Standard |
| Nov 6, 2017 | F309 | Provide necessary care and services to maintain or improve the highest well being of each resident . | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $15,440 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 23, 2024 | Fine | $15,440 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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