Facility profile · CCN 365708
Willow Woods Rehabilitation And Nursing
32 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $49,422.
Record summary
Federal record · Q1 202632
Total citations
16
Last 3 years
3
Actual harm+
2
Federal penalties
$49,422
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
32 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 25, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Oct 7, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Apr 29, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Apr 10, 2025 | 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 |
| Apr 10, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Apr 10, 2025 | 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 |
| Apr 10, 2025 | 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 |
| Apr 10, 2025 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Apr 10, 2025 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | Standard |
| Dec 31, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Dec 31, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Dec 31, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Dec 31, 2024 | F559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | E | Complaint |
| Apr 24, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Apr 24, 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 |
| Apr 24, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Mar 6, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint |
| Mar 6, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Mar 6, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Oct 6, 2022 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Oct 6, 2022 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard |
| Oct 6, 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 6, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Oct 6, 2022 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Oct 24, 2019 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard |
| Oct 24, 2019 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard |
| Oct 24, 2019 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Oct 24, 2019 | 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 |
| Oct 24, 2019 | 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. | F | Standard |
| Oct 24, 2019 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Oct 24, 2019 | 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 | Standard |
| Oct 24, 2019 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $49,422 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Dec 18, 2024 | Fine | $13,438 | — |
| Dec 18, 2024 | Fine | $35,984 | — |
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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