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Facility profile · CCN 395713

Willows Of Presbyterian Senior

56 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $57,886.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
56
Total citations
56
Last 3 years
4
Actual harm+
2
Federal penalties
$57,886
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

56 on record
SurveyF-TagViolationSeveritySource
Dec 2, 2025F880Provide and implement an infection prevention and control program.EStandard
Dec 2, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 2, 2025F761Ensure 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
Dec 2, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 2, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Dec 2, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Dec 2, 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
Dec 2, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 2, 2025F638Assure that each resident’s assessment is updated at least once every 3 months.EStandard
Dec 2, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Dec 2, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard
Dec 2, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard
Dec 2, 2025F583Keep residents' personal and medical records private and confidential.EStandard
Dec 2, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Dec 2, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Oct 15, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HComplaint
Oct 15, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.HComplaint
May 23, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
May 23, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
May 23, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 8, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Nov 22, 2024F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Nov 22, 2024F808Ensure 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.DStandard
Nov 22, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Nov 22, 2024F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.DStandard
Nov 22, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Nov 22, 2024F688Provide 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
Nov 22, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Nov 22, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Nov 22, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Nov 22, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Nov 22, 2024F641Ensure each resident receives an accurate assessment.DStandard
Nov 22, 2024F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Nov 22, 2024F625Notify 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.CStandard
Nov 22, 2024F584Honor 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.EStandard
Nov 22, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Jul 9, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Mar 20, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Mar 20, 2024F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.DComplaint
Nov 20, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Nov 20, 2023F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Nov 20, 2023F814Dispose of garbage and refuse properly.FStandard
Nov 20, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Nov 20, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.EStandard
Nov 20, 2023F761Ensure 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
Nov 20, 2023F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Nov 20, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Nov 20, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Nov 20, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Nov 20, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Nov 20, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Nov 20, 2023F637Assess the resident when there is a significant change in conditionDStandard
Nov 20, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Nov 20, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Nov 20, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Nov 20, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $57,886 .

DateTypeFinePayment denial
May 8, 2025Fine$8,278
May 8, 2025Fine$49,608
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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