All citations for Willowdale 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.

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Last standard health inspection on record

February 11, 2026

Showing 1 to 25 of 39 citations

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 February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 10, 2026).
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 February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 24, 2026).
No harm, with potential for more than minimal harm
Establish policies and procedures including evacuation.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 2, 2024).
No harm, with potential for more than minimal harm
Provide emergency officials' contact information.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 2, 2024).
No harm, with potential for more than minimal harm
Provide family notifications of emergency plan.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 2, 2024).
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 October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 2, 2024).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level F.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 2, 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 October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 2, 2024).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 2, 2024).
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 November 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2023).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Widespread (many residents). CMS level F.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2023).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2023).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0293, Egress Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 10, 2026).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 10, 2026).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 10, 2026).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 2, 2024).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 2, 2024).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0521, Services Deficiencies. Inspection of October 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 2, 2024).
No harm, with potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Pattern (more than a few residents). CMS level E.
Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2023).
No harm, with potential for more than minimal harm
Have restrictions on the use of portable space heaters.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2023).
No harm, with potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Isolated (one or a few residents). CMS level D.
Health citation F-0580, Resident Rights Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 10, 2026).
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 February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 10, 2026).
No harm, with potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Isolated (one or a few residents). CMS level D.
Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 10, 2026).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Isolated (one or a few residents). CMS level D.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 10, 2026).
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 February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 10, 2026).

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.