All citations for Willows Health Center

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 Center

Last standard health inspection on record

November 25, 2025

Showing 1 to 25 of 33 citations

  1. 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 August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  2. 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 August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  3. 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 August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

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

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

  9. 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 September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

  10. 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 September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

  12. 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 September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

  14. 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 September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2023).

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2022).

  16. 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 July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2022).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2022).

  18. 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 August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

    Install proper backup exit lighting.

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

    Fire safety citation K-0281, Egress Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

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

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

    Fire safety citation K-0531, Services Deficiencies. Inspection of August 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

  24. 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 September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

  25. 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 September 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 26, 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.