Facility profile · CCN 315213
Willow Springs Rehabilitation And Healthcare Ctr
19 federal citations on record , and 1 federal enforcement actions totaling $8,512.
Record summary
Federal record · Q1 202619
Total citations
10
Last 3 years
1
Actual harm+
1
Federal penalties
$8,512
Total fines
5
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
19 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 9, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jul 12, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint |
| Jul 12, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jul 12, 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 |
| Jul 12, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jul 12, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Jul 5, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Jul 5, 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. | D | Complaint |
| Jul 5, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Nov 3, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Complaint |
| Dec 20, 2022 | F888 | Ensure staff are vaccinated for COVID-19 | D | Standard |
| Dec 20, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Dec 20, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Dec 20, 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 |
| Dec 20, 2022 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Oct 7, 2020 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | B | Standard |
| Oct 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 |
| Oct 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. | B | Standard |
| Oct 7, 2020 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $8,512 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 5, 2024 | Fine | $8,512 | — |
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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