Facility profile · CCN 505367
Willow Springs Care And Rehabilitation
37 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $21,442.
Record summary
Federal record · Q1 202637
Total citations
37
Last 3 years
1
Actual harm+
1
Federal penalties
$21,442
Total fines
5
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
37 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jul 25, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Jul 25, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jul 25, 2025 | F732 | Post nurse staffing information every day. | C | Standard |
| Jul 25, 2025 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Jul 25, 2025 | 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 |
| Sep 10, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Sep 10, 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. | E | Standard |
| Sep 10, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Sep 10, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Sep 10, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard |
| Sep 10, 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 |
| Sep 10, 2024 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard |
| Aug 14, 2024 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint |
| Aug 14, 2024 | 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 |
| Jul 22, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jul 22, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard |
| Jul 22, 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 |
| Jul 22, 2023 | 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 |
| Jul 22, 2023 | 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 |
| Jul 22, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard |
| Jul 22, 2023 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Jul 22, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jul 22, 2023 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Jul 22, 2023 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Jul 22, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Jul 22, 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 | Standard |
| Jul 22, 2023 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Jul 22, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jul 22, 2023 | 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 |
| Jul 22, 2023 | 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 |
| Jul 22, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Jul 22, 2023 | 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 |
| Jul 22, 2023 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Jul 22, 2023 | 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. | E | Standard |
| Jul 22, 2023 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard |
| Jul 22, 2023 | F572 | Give residents a notice of rights, rules, services and charges. | E | Standard |
| Jul 22, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $21,442 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 22, 2023 | Fine | $21,442 | — |
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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