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 26 to 48 of 48 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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 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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 4, 2019).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of January 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 4, 2019).

  21. 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 January 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 4, 2019).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of January 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 4, 2019).

  23. 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 January 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 4, 2019).

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.