All citations for Willow Springs Rehabilitation and Healthcare Cente

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 Rehabilitation and Healthcare Cente

Last standard health inspection on record

January 8, 2026

Showing 26 to 45 of 45 citations

  1. 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 January 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2026).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2026).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of December 9, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 17, 2025).

  4. 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 July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Install proper backup exit lighting.

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

    Fire safety citation K-0281, Egress Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 2024).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Install properly constructed and protected linen or trash chutes.

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

    Fire safety citation K-0541, Services Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2024).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2024).

  11. 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 July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of July 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of July 5, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of July 5, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of July 5, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of December 20, 2022. Found during a standard inspection.

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

  17. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 20, 2022. Found during a standard inspection.

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

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 20, 2022. Found during a standard inspection.

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

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

    Ensure staff are vaccinated for COVID-19

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

    Health citation F-0888, Infection Control Deficiencies. Inspection of December 20, 2022. Found during a standard inspection.

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

  20. No harm, with potential for minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of November 3, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 22, 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.