All citations for Willow Springs Care and Rehabilitation

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 Springs Care and Rehabilitation

Last standard health inspection on record

July 25, 2025

Showing 1 to 25 of 80 citations

Immediate jeopardy to resident health or safety
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 J.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 18, 2023).
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.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 3, 2025).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 20, 2025).
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 July 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 20, 2025).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 20, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 20, 2025).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Widespread (many residents). CMS level F.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 20, 2025).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2024).
No harm, with potential for more than minimal harm
Establish emergency prep training and testing.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2024).
No harm, with potential for more than minimal harm
Meet other general requirements.
Widespread (many residents). CMS level F.
Fire safety citation K-0100, Construction Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2024).
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 September 10, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2024).
No harm, with potential for more than minimal harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0362, Smoke Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2024).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 13, 2024).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Widespread (many residents). CMS level F.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 13, 2024).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2024).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Widespread (many residents). CMS level F.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 13, 2024).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 10, 2024).
No harm, with potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Widespread (many residents). CMS level F.
Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of July 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 18, 2023).
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 July 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 7, 2023).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of July 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 7, 2023).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of July 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 7, 2023).
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 July 22, 2023. Found during a standard inspection.
A waiver was granted (August 15, 2023).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of July 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 7, 2023).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of July 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 7, 2023).

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.