All citations for Willows Health and Rehab Ctr

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 Willows Health and Rehab Ctr

Last standard health inspection on record

May 23, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 25 of 29 citations

  1. Harm to a resident

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

  2. 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 May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

  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 May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

  5. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

  6. 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 May 9, 2022. Found during a standard inspection.

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

  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 May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

  9. 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 May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

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

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

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

    Health citation F-0568, Resident Rights Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

  13. 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 May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

  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 May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

  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 May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

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

    Meet other general requirements that are deficient.

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

    Fire safety citation K-0500, Services Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

  21. 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 May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

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

    Honor the resident's right to manage his or her financial affairs.

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

    Health citation F-0567, Resident Rights Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

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

    Plan the resident's discharge to meet the resident's goals and needs.

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

    Health citation F-0660, Resident Assessment and Care Planning Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 9, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2022).

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.