Facility profile · CCN 215137
Willowbrooke Ct Skilled Care Ctr At Bayleigh Chase
38 federal citations on record , including 1 at the Immediate Jeopardy level.
Record summary
Federal record · Q1 202638
Total citations
12
Last 3 years
2
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
38 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 17, 2025 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Complaint |
| Jan 17, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jan 17, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint |
| Jan 17, 2025 | F730 | Observe each nurse aide's job performance and give regular training. | F | Complaint |
| Jan 17, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Jan 17, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jan 17, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jan 17, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jan 17, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Jan 17, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Jan 17, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 17, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jul 12, 2019 | F923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | D | Standard |
| Jul 12, 2019 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Jul 12, 2019 | 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 |
| Jul 12, 2019 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jul 12, 2019 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard |
| Jul 12, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jul 12, 2019 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Jul 12, 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. | E | Standard |
| Jul 12, 2019 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jul 12, 2019 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Jul 12, 2019 | 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 |
| Feb 21, 2018 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 21, 2018 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Feb 21, 2018 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Feb 21, 2018 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Feb 21, 2018 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Feb 21, 2018 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Feb 21, 2018 | 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 |
| Feb 21, 2018 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Feb 21, 2018 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard |
| Feb 21, 2018 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Feb 21, 2018 | 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 |
| Feb 21, 2018 | 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 |
| Feb 21, 2018 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Feb 21, 2018 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Feb 21, 2018 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
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.
Concerned about care at Willowbrooke Ct Skilled Care Ctr At Bayleigh Chase?
An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.
- Consultation is free and confidential
- You pay nothing unless there is a recovery
- Your note is shared only with vetted plaintiff attorneys