All citations for Willow Valley Center for Nursing and Rehabilitatio

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 Valley Center for Nursing and Rehabilitatio

Last standard health inspection on record

August 29, 2025

Showing 51 to 71 of 71 citations

  1. 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 July 2, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of July 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 21, 2023. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (August 29, 2023).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of November 21, 2023. Found during a complaint inspection.

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

  5. 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 August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  7. 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 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  8. 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 August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 6, 2023).

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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 6, 2023).

  11. 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 August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 6, 2023).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of May 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

  13. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

  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 May 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

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

    Have properly installed hallway dispensers for alcohol-based hand rub.

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

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of May 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

  16. 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 May 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

  18. No harm, with potential for minimal harm

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Widespread (many residents). CMS level C.

    Health citation F-0576, Resident Rights Deficiencies. Inspection of July 2, 2024. Found during a standard inspection and a complaint inspection.

    The home has a plan to correct it (July 17, 2024).

  19. No harm, with potential for 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.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of August 29, 2025. Found during a standard inspection and a complaint inspection.

    No follow-up visit needed (September 23, 2025).

  20. No harm, with potential for minimal harm

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

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

    Health citation F-0569, Resident Rights Deficiencies. Inspection of July 2, 2024. Found during a standard inspection and a complaint inspection.

    The home has a plan to correct it (July 17, 2024).

  21. No harm, with potential for minimal harm

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home has a plan to correct it (September 6, 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.