Cook Willow Health & Rehabilitation Center, Inc.

In the surveyor’s words

From the most serious findings on record at Cook Willow Health & Rehabilitation Center, Inc., in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 6, 2024

  Based on the tour of the Dietary Department, staff interview, facility documentation and policy, the facility failed to ensure the Dietary department consistently labeled canned food to reflect their age or shelf life, failed to discard dented cans and failed to ensure proper hair covering for a beard. The findings included: Tour of the Dietary Department on 1/31/24 at 10:37 AM during the initial walk through of the kitchen with the Cook Supervisor identified the following: a. […]

• No harm, potential for more than minimal, patternF812Sep 12, 2025

  Based on tour of the Dietary Department, review of facility policy and staff interview, the facility failed to ensure perishable food items were dated upon opening and dishwasher temperatures were consistently monitored. The findings include:1. Tour of the Dietary Department on 9/4/25 at 9:40 AM with the Director of Food Services identified the following:a. The dry storage area was observed to contain the following items which were not labeled/dated when opened: a 10 pound (lb.) bag of acini pasta that was 9/10 full, a 10 lb. bag of penne pasta that was 1/3 full, a 10 lb. bag of ziti pasta that was 3/4 full, a 20 lb. bag of split peas that was 1/3 full, and a 2 lb. bag of bread crumbs that was 3/4 full.b. […]

• No harm, potential for more than minimal, isolatedF559Apr 29, 2026

  Based on review of the clinical record, facility documentation, facility policy and interviews for one (1) of two (2) sampled residents (Resident #1) reviewed for abuse, the facility failed to ensure the victim of a resident-to-resident altercation was afforded the choice to remain in his/her original room before staff initiated a room change following an incident in which Resident #2 threatened Resident #1 with a plastic knife. The facility further failed to ensure the room relocation promoted Resident #1's sense of safety and access within the facility when Resident #1 was moved four (4) rooms away from Resident #2 to a room located at the end of a corridor with no alternate route of exit/access, requiring Resident #1 to routinely pass Resident #2's room to access common areas of the… […]

• No harm, potential for more than minimal, isolatedF609Sep 12, 2025

  Based on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #56) reviewed for abuse, the facility failed to ensure staff reported an allegation of mistreatment timely, and failed to ensure the State Agency was notified timely of an allegation of mistreatment. The findings include: Based on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #56) reviewed for abuse, the facility failed to ensure staff reported an allegation of mistreatment timely, and failed to ensure the State Agency was notified timely of an allegation of mistreatment. […]

• No harm, potential for more than minimal, isolatedF610Sep 12, 2025

  Based on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #56) reviewed for abuse, the facility failed to ensure timely investigation of an allegation of mistreatment. The findings include: Based on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #56) reviewed for abuse, the facility failed to ensure timely investigation of an allegation of mistreatment. The findings include: Resident #56's diagnoses included cerebral infarction, dementia, and anxiety disorder. […]