All citations for Willowcrest Health Services

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 Willowcrest Health Services

Last standard health inspection on record

June 5, 2025

Showing 1 to 25 of 29 citations

  1. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of March 29, 2024. Found during a standard inspection and a complaint inspection.

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

  2. 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 March 29, 2024. Found during a standard inspection and a complaint inspection.

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

  3. 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 March 29, 2024. Found during a standard inspection.

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

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

  5. 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 March 29, 2024. Found during a standard inspection.

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

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

  7. 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 March 29, 2024. Found during a standard inspection.

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

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    A waiver was granted (July 30, 2024).

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

    Have elevators that firefighters can control in the event of a fire.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0531, Services Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    A waiver was granted (August 30, 2024).

  10. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

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

    Health citation F-0944, Administration Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Provide training in compliance and ethics.

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

    Health citation F-0946, Administration Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

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

    Health citation F-0949, Administration Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

  15. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    A waiver was granted (September 30, 2024).

  16. 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.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    A waiver was granted (September 30, 2024).

  17. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of March 29, 2024. Found during a standard inspection and a complaint inspection.

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

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

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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

    Health citation F-0694, Quality of Life and Care Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

  24. 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 March 29, 2024. Found during a standard inspection.

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

  25. 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 March 29, 2024. Found during a standard inspection.

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

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.