Facility profile · CCN 055241
Willow Pass Healthcare Center
46 federal citations on record , and 2 federal enforcement actions totaling $45,702.
Record summary
Federal record · Q1 202646
Total citations
8
Last 3 years
2
Actual harm+
2
Federal penalties
$45,702
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
46 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 7, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Jul 9, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Apr 25, 2024 | F918 | Provide a bathroom in or located near each resident’s room. | D | Complaint |
| Apr 25, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Apr 11, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Feb 21, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Aug 31, 2023 | 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 |
| Jun 21, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint |
| Oct 14, 2022 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Oct 14, 2022 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Oct 14, 2022 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | C | Standard |
| Oct 14, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Oct 14, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Oct 14, 2022 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard |
| Oct 14, 2022 | 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. | E | Standard |
| Oct 14, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Oct 14, 2022 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Oct 14, 2022 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Oct 14, 2022 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Oct 14, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Oct 14, 2022 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Oct 14, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Oct 14, 2022 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Oct 14, 2022 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Oct 14, 2022 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Oct 14, 2022 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard |
| Oct 14, 2022 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Feb 7, 2020 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard |
| Feb 7, 2020 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Feb 7, 2020 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Feb 7, 2020 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 7, 2020 | 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. | E | Standard |
| Feb 7, 2020 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Feb 7, 2020 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 7, 2020 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Feb 7, 2020 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Feb 7, 2020 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Feb 7, 2020 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
| Feb 7, 2020 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Feb 7, 2020 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| Feb 7, 2020 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Jan 9, 2019 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Jan 9, 2019 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Standard |
| Jan 9, 2019 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Jan 9, 2019 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Jan 9, 2019 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $45,702 and 1 payment-denial actions spanning 27 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 11, 2024 | Fine | $45,702 | — |
| Apr 11, 2024 | Payment Denial | — | May 3, 2024 · 27 days |
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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