All citations for Willow Pass Healthcare Center

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 Pass Healthcare Center

Last standard health inspection on record

October 14, 2022

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 25 of 26 citations

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

  3. 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 February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

  6. 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 February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

  7. 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 February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

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

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Conduct risk assessment and an All-Hazards approach.

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

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Address subsistence needs for staff and patients.

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

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Establish procedures for tracking staff and patients during an emergency.

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

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Establish policies and procedures including evacuation.

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

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Establish policies and procedures for medical documentation.

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

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Establish roles under a Waiver declared by secretary.

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

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    List the names and contact information of those in the facility.

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

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Provide emergency officials' contact information.

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

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Provide primary/alternate means for communication.

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

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Provide family notifications of emergency plan.

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

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Implement emergency and standby power systems.

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

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

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

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

  24. 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 February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2020).

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.