Independent · Federal inspection records, searchable
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Facility profile · CCN 525413

Willowcrest Health Services

36 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $21,285.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
36
Total citations
32
Last 3 years
2
Actual harm+
1
Federal penalties
$21,285
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

36 on record
SurveyF-TagViolationSeveritySource
Jun 5, 2025F880Provide and implement an infection prevention and control program.FStandard
Jun 5, 2025F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard
Jun 5, 2025F760Ensure that residents are free from significant medication errors.DStandard
Jun 5, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Jun 5, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jun 5, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jun 5, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jun 5, 2025F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Jun 5, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jun 5, 2025F688Provide 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.DStandard
Jun 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jun 5, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Jun 5, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
Mar 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 14, 2024F732Post nurse staffing information every day.CComplaint
Mar 29, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint
Mar 29, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Mar 29, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint
Mar 29, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EStandard
Mar 29, 2024F946Provide training in compliance and ethics.EStandard
Mar 29, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard
Mar 29, 2024F880Provide and implement an infection prevention and control program.FStandard
Mar 29, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 29, 2024F761Ensure 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.DStandard
Mar 29, 2024F758Implement 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.DStandard
Mar 29, 2024F730Observe each nurse aide's job performance and give regular training.EStandard
Mar 29, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Mar 29, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Mar 29, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Mar 29, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Mar 29, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Mar 29, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard
Jan 12, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jan 12, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jan 12, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jan 12, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $21,285 .

DateTypeFinePayment denial
Mar 29, 2024Fine$21,285
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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