Independent · Federal inspection records, searchable
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Facility profile · CCN 175135

Willow Point Rehabilitation And Nursing Center

60 federal citations on record , including 5 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $44,830.

5 Immediate Jeopardy

Record summary

Federal record · Q1 2026
60
Total citations
38
Last 3 years
7
Actual harm+
2
Federal penalties
$44,830
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

60 on record
SurveyF-TagViolationSeveritySource
Oct 24, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Oct 24, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint
Oct 24, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Oct 24, 2024F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EComplaint
Oct 24, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Oct 24, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Oct 24, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Oct 24, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Oct 24, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Oct 24, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Apr 10, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Mar 11, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 20, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.JComplaint
Jun 12, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
May 4, 2023F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
May 4, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
May 4, 2023F880Provide and implement an infection prevention and control program.LStandard
May 4, 2023F865Have a plan that describes the process for conducting QAPI and QAA activities.EStandard
May 4, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 4, 2023F761Ensure 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.EStandard
May 4, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
May 4, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
May 4, 2023F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
May 4, 2023F732Post nurse staffing information every day.CStandard
May 4, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 4, 2023F692Provide enough food/fluids to maintain a resident's health.GStandard
May 4, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
May 4, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
May 4, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 4, 2023F679Provide activities to meet all resident's needs.EStandard
May 4, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
May 4, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
May 4, 2023F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
May 4, 2023F660Plan the resident's discharge to meet the resident's goals and needs.DStandard
May 4, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
May 4, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JStandard
May 4, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
May 4, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Mar 30, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Mar 9, 2023F919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint
Oct 13, 2021F881Implement a program that monitors antibiotic use.FStandard
Oct 13, 2021F880Provide and implement an infection prevention and control program.FStandard
Oct 13, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Oct 13, 2021F758Implement 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.DStandard
Oct 13, 2021F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Oct 13, 2021F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Oct 13, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Oct 13, 2021F732Post nurse staffing information every day.CStandard
Oct 13, 2021F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
Oct 13, 2021F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Oct 13, 2021F693Ensure 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.DStandard
Oct 13, 2021F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Oct 13, 2021F688Provide 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.EStandard
Oct 13, 2021F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Oct 13, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Oct 13, 2021F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Oct 13, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 13, 2021F584Honor 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.EStandard
Oct 13, 2021F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Oct 13, 2021F558Reasonably accommodate the needs and preferences of each resident.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $44,830 .

DateTypeFinePayment denial
Feb 20, 2024Fine$15,170
May 4, 2023Fine$29,660
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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