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 51 to 75 of 90 citations

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 18, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  2. 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 August 31, 2023. Found during a standard inspection.

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

  3. 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 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

  5. 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 August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

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

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

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

    Health citation F-0603, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

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

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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

    Health citation F-0694, Quality of Life and Care Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

  11. 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 August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

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

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

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 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 August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

  14. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

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

    Develop and maintain an Emergency Preparedness Program (EP).

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

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of June 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2022).

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

    Establish emergency prep training and testing.

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

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of June 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2022).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of June 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2022).

  20. 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 June 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2022).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2022).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2022).

  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 June 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 27, 2022).

  24. 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 June 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 27, 2022).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 27, 2022).

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.