All citations for Willow Haven Health and Rehab, LLC

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 Willow Haven Health and Rehab, LLC

Last standard health inspection on record

August 1, 2025

Showing 1 to 25 of 29 citations

  1. Harm to a resident

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

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

    Health citation F-0627, Resident Rights Deficiencies. Inspection of March 24, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 14, 2026).

  2. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 11, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 2, 2026).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Widespread (many residents). CMS level F.

    Health citation F-0921, Environmental Deficiencies. Inspection of December 11, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 2, 2026).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2023).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2023).

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

    Conduct risk assessment and an All-Hazards approach.

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

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2023).

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

    Address subsistence needs for staff and patients.

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

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2023).

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

    Establish policies and procedures including evacuation.

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

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2023).

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

    Establish policies and procedures for volunteers.

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

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2023).

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

    Develop a communication plan.

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

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2023).

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

    Establish staff and initial training requirements.

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

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2023).

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

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

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

    Fire safety citation K-0232, Egress Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2023).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2023).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2023).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2023).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2023).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

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

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2023).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 19, 2023).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 31, 2026. Found during a complaint inspection.

    No plan of correction on record.

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 31, 2026. Found during a complaint inspection.

    No plan of correction on record.

  21. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 26, 2026. Found during a complaint inspection.

    No follow-up visit needed (July 22, 2026).

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

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

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of May 26, 2026. Found during a complaint inspection.

    No follow-up visit needed (July 22, 2026).

  23. 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 August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of August 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.