Life Care Center of the Willows

In the surveyor’s words

From the most serious findings on record at Life Care Center of the Willows, in the surveyor’s own words.

• Actual harm, isolatedF684Apr 21, 2023

  Based on record review and interview, the facility failed to ensure residents received treatment and care in accordance with professional standards for 2 of 3 residents reviewed for quality of care, related to not obtaining a neurological consult for a cerebrospinal shunt assessment for a resident experiencing increased seizures and behaviors resulting in the resident being transferred to the hospital after a Grand Mal seizure and found to have a malfunctioning shunt in the brain a which then required emergency surgery and not following up timely on laboratory results which required changes in the resident's seizure medications. (Resident B) The facility also failed to monitor blood sugar levels and administer insulin as ordered by the Physician. (Resident D) Findings include: 1. […]

• Actual harm, isolatedF692Apr 21, 2023

  Based on record review and interview, the facility failed to provide sufficient fluid intake to maintain proper hydration and health related to lack of timely follow up on laboratory results which required changes in the feeding tube water flushes and failure to clarify and implement correct Physician's admission orders which contributed to the residents being admitted /readmitted into the hospital with severe dehydration for 2 of 3 residents reviewed for quality of care. (Residents B & D) Findings include: 1. Resident B's closed record was reviewed on 4/18/23 at 9:24 a.m. The diagnoses included, but were not limited to, cerebral palsy, epilepsy, and cerebrospinal fluid drainage device (shunt, used to drain excess fluid from the brain). […]

• Actual harm, isolatedF689Dec 28, 2021

  Based on record review and interview, the facility failed to ensure a resident received adequate assistance to prevent accidents, related to a resident who was dependent on two staff members for transfers being transferred by one staff member. The resident fell from a mechanical lift, which resulted in fractures of the left leg and pain for 1 of 3 residents reviewed for accidents. (Resident B) Finding includes: Record review for Resident B was completed on 12/28/21 at 9:54 a.m. Diagnoses included, but were not limited to, [CONDITION(S)], anxiety, [CONDITION(S)], and muscle weakness. The resident was admitted to the facility on [DATE]. The Admission Minimum Data Set (MDS) assessment, dated 9/22/21, indicated the resident was cognitively impaired. […]

• No harm, potential for more than minimal, widespreadF921Jan 27, 2026

  Based on observation, interview, and record review, the facility failed to maintain comfortable water temperatures. This had the potential to affect all 67 residents who resided in the facility. Finding includes:On 1/21/26 at 11:43 a.m., Resident 9 was observed sitting on the bed in her room. The resident indicated the sink water did not get hot in her room. Her roommate was on Hospice Services and Hospice would have to heat water up in a basin in the microwave to give her roommate a bed bath. The sink water was turned on at this time and let it run for approximately a minute. The water was only slightly warm to touch.During an interview on 1/27/26 at 11:50 a.m., Hospice CNA 1 indicated the water at the facility did not get hot. […]

• No harm, potential for more than minimal, patternF812Jan 27, 2026

  Based on observation, record review, and interview, the facility failed to serve food under sanitary conditions related to staff touching food directly with gloved hands after touching non-food items for 1 of 1 meal service observed in the main kitchen. (Cook 1) Finding includes: On 1/22/26 at 11:52 a.m., [NAME] 1 was observed placing items on plates to prepare a lunch meal. She had on clean gloves. She turned to the prep area to prepare a grilled cheese sandwich. She opened a bag of bread using her gloved hands, reached into the bag and grabbed a piece of bread and placed it on a pan on the stove top. […]