Facility profile · CCN 345197
Willow Ridge Of Nc
34 federal citations on record , including 6 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $146,939.
Record summary
Federal record · Q1 202634
Total citations
22
Last 3 years
7
Actual harm+
5
Federal penalties
$146,939
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
34 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Feb 4, 2025 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | G | Complaint |
| Feb 4, 2025 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Feb 4, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Feb 4, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Feb 4, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Feb 4, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint |
| Feb 4, 2025 | F551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint |
| Feb 4, 2025 | 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 4, 2025 | 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 4, 2025 | 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 |
| Feb 4, 2025 | F732 | Post nurse staffing information every day. | C | Standard |
| Feb 4, 2025 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| Jan 16, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint |
| Jan 16, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Nov 3, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint |
| Nov 3, 2023 | F791 | Provide or obtain dental services for each resident. | E | Complaint |
| Nov 3, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Nov 3, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Nov 3, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Nov 3, 2023 | 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 |
| Nov 3, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Nov 3, 2023 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Oct 28, 2022 | F887 | Educate 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. | E | Standard |
| Oct 28, 2022 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Oct 28, 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 28, 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. | D | Standard |
| Oct 28, 2022 | 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 |
| Oct 28, 2022 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Oct 28, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Standard |
| Oct 28, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Oct 28, 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 28, 2022 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Standard |
| Oct 28, 2022 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Standard |
| Oct 28, 2022 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 4 civil money penalties totaling $146,939 and 1 payment-denial actions spanning 42 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 4, 2025 | Fine | $7,262 | — |
| Feb 4, 2025 | Fine | $7,262 | — |
| Nov 3, 2023 | Fine | $13,507 | — |
| Nov 3, 2023 | Fine | $118,908 | — |
| Nov 3, 2023 | Payment Denial | — | Dec 6, 2023 · 42 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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