All citations for The Laurels of Willow Creek

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to The Laurels of Willow Creek

Last standard health inspection on record

September 13, 2023

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 23 of 23 citations

  1. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  2. No harm, with potential for more than minimal harm

    Provide safe, appropriate pain management for a resident who requires such services.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  3. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  4. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  5. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  6. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  7. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  8. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  9. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  10. No harm, with potential for more than minimal harm

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  11. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  12. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  13. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  14. No harm, with potential for more than minimal harm

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  15. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  16. No harm, with potential for more than minimal harm

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0800, Nutrition and Dietary Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  17. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  18. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 8, 2023).

  19. No harm, with potential for more than minimal harm

    Meet other general requirements that are deficient.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0300, Egress Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 8, 2023).

  20. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 8, 2023).

  21. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 8, 2023).

  22. No harm, with potential for more than minimal harm

    Have properly sized and located compartments to protect residents from smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0371, Smoke Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 8, 2023).

  23. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Widespread (many residents). CMS level C.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.