Facility profile · CCN 345092
Willow Valley Center For Nursing And Rehabilitatio
48 federal citations on record , including 4 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $283,330.
Record summary
Federal record · Q1 202648
Total citations
48
Last 3 years
7
Actual harm+
5
Federal penalties
$283,330
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
48 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 29, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Aug 29, 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. | B | Complaint |
| Aug 29, 2025 | F880 | Provide and implement an infection prevention and control program. | J | Standard |
| Aug 29, 2025 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Aug 29, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 29, 2025 | F646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard |
| Aug 29, 2025 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard |
| Jun 25, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Jun 25, 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 | Complaint |
| Nov 22, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jul 2, 2024 | F924 | Put firmly secured handrails on each side of hallways. | E | Complaint |
| Jul 2, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Jul 2, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Jul 2, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jul 2, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Jul 2, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jul 2, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Jul 2, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jul 2, 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 2, 2024 | 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 | Complaint |
| Jul 2, 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. | E | Complaint |
| Jul 2, 2024 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | Complaint |
| Jul 2, 2024 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | B | Complaint |
| Jul 2, 2024 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint |
| Jul 2, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Complaint |
| Jul 2, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Jul 2, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jul 2, 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 |
| Jul 2, 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 2, 2024 | 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 |
| Jul 2, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jul 2, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard |
| Jul 2, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jul 2, 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 | Standard |
| Jul 2, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Nov 21, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint |
| Nov 21, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 7, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint |
| Aug 7, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Aug 7, 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 | Complaint |
| Aug 7, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | J | Complaint |
| Aug 7, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Aug 7, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint |
| Aug 7, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Aug 7, 2023 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | B | Standard |
| Aug 7, 2023 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Aug 7, 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. | D | Standard |
| Aug 7, 2023 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 5 civil money penalties totaling $283,330 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jun 25, 2025 | Fine | $22,320 | — |
| Nov 22, 2024 | Fine | $12,529 | — |
| Jul 2, 2024 | Fine | $8,018 | — |
| Jul 2, 2024 | Fine | $8,783 | — |
| Aug 7, 2023 | Fine | $231,680 | — |
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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