Facility profile · CCN 396129
Willow Terrace
57 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $9,113.
Record summary
Federal record · Q1 202657
Total citations
56
Last 3 years
2
Actual harm+
1
Federal penalties
$9,113
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
57 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 11, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint |
| Dec 11, 2025 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Dec 11, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Nov 20, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Aug 7, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint |
| Aug 7, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Jan 31, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 31, 2025 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard |
| Jan 31, 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 |
| Jan 31, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jan 31, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Jan 31, 2025 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Jan 31, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard |
| Jan 31, 2025 | F710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Standard |
| Jan 31, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Jan 31, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jan 31, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jan 31, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Jan 31, 2025 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Jan 31, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jan 31, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jan 31, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Jan 31, 2025 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard |
| Jan 31, 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 | Standard |
| Jan 31, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Sep 11, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Sep 11, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Aug 29, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Jul 17, 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 |
| May 31, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 1, 2024 | F908 | Keep all essential equipment working safely. | D | Complaint |
| Apr 1, 2024 | F840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | Complaint |
| Apr 1, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint |
| Apr 1, 2024 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Complaint |
| Apr 1, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint |
| Apr 1, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Apr 1, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Apr 1, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Apr 1, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Apr 1, 2024 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint |
| Apr 1, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Feb 14, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Nov 8, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Sep 28, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint |
| Jun 2, 2023 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint |
| Jun 2, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint |
| Jun 2, 2023 | F679 | Provide activities to meet all resident's needs. | E | Complaint |
| Jun 2, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Jun 2, 2023 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Jun 2, 2023 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard |
| Jun 2, 2023 | F710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Standard |
| Jun 2, 2023 | F688 | Provide 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. | D | Standard |
| Jun 2, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jun 2, 2023 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Jun 2, 2023 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard |
| Jun 2, 2023 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
| Mar 28, 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 | Complaint |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $9,113 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 7, 2025 | Fine | $9,113 | — |
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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