The Willows at Tiffin

In the surveyor’s words

From the most serious findings on record at The Willows at Tiffin, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 20, 2025

  Based on observation, staff interview, and review of facility policy, the facility failed to ensure the kitchen area was maintained in a clean and sanitary manner and refrigerator temperatures were monitored daily in the kitchen. This had the potential to affect all residents who eat food from the kitchen. The facility identified one resident (#157) who does not eat food from the kitchen. The facility census was 57. Findings include: 1. Observations on 03/17/25 from 8:02 A.M. to 8:20 A.M. of the kitchen revealed a buildup of food particles in the microwave closest to the hallway door. […]

• No harm, potential for more than minimal, isolatedF693Mar 20, 2025

  Based on observation, staff interview, medical record review, and review of facility, the facility failed to ensure staff followed physician orders while administering bolus enteral feedings to the residents. This affected one (#32) of one resident reviewed for enteral feedings. The facility identified three residents who receive enteral feedings. The facility census was 57. Findings include: Medical record review for Resident #32 revealed an admitted [DATE] with diagnoses including acute respiratory failure with hypoxia, pneumonia, chronic obstructive pulmonary disease (COPD), moderate protein-calorie malnutrition, and dysphagia. […]

• No harm, potential for more than minimal, isolatedF761Mar 20, 2025

  Based on observation, resident and staff interview, review of facility policy, and medical record review, the facility failed to ensure medications were not left at the resident's bedside when the resident does not have a self-administration order. This affected one (#17) of one resident reviewed for medication storage. The facility census was 57. Findings Include: Medical record review for Resident #17 revealed an admitted [DATE]. Diagnoses included chronic kidney disease, congestive heart failure (CHF), atrial fibrillation, hypothyroidism, hyperlipidemia, and cervical disc degeneration. […]

• No harm, potential for more than minimal, isolatedF880Mar 20, 2025

  Based on medical record review, observation, staff interview, review of Centers for Disease Control and Prevention (CDC) guidance, and policy review, the facility failed to follow infection control practices during medication pass and failed to don the appropriate personnel protective equipment (PPE) for a resident on Enhanced Barrier Precautions (EBP). This affected one (Resident #40) of 11 residents observed during medication administration and one (Resident #32) of two residents observed for tube feed administration. The facility census was 57. Findings include: 1. Medical record review for Resident #40 revealed an admitted [DATE] with diagnoses including atrial fibrillation, cardiac arrhythmia, hypertension, arthritis, and tachycardia. […]

• No harm, potential for more than minimal, isolatedF554Mar 23, 2023

  Based on observations, medical record review, staff and resident interview, and review of policy, the facility failed to assess a resident for self-medication administration. This affected one (#12) of three residents reviewed for self-administration of medication. The facility census is 65. Findings include: Review of the medical record for Resident #12 revealed an admitted [DATE]. Diagnoses included chronic obstructive pulmonary disease, pleural effusion, idiopathic hypotension, atrial fibrillation, dementia, polyneuropathy, anxiety disorder, allergic rhinitis, hypertension, chronic pain, cardiomegaly, osteoarthritis, depression, protein calorie malnutrition and on 03/21/23 dry eyes. […]