Willard Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 10, 2026

  Based on observation, interview, and record review, the facility failed to ensure food was protected from possible contamination at all times when fans and vents were free of dirt and dust, when staff failed to discard a box of baking soda in the walk-in cooler with black substance on the container, when staff failed to air dry dishes before stacking, and when staff failed to ensure dishes were clean before stacking. The deficient practice had the potential to harm all residents. The facility census was 57.1. […]

• No harm, potential for more than minimal, patternF684Apr 10, 2026

  Based on observation, interview, and record review, the facility failed to ensure all residents received care and treatment in accordance with professional standards of practice when facility nursing staff failed to provide appropriate neurological assessments (evaluation of the functioning of the nervous system, identifying any abnormalities or neurological deficits.) for three residents (Resident #5, Resident #15, and Resident #31) after each resident sustained a fall with potential for head injury. […]

• No harm, potential for more than minimal, patternF804Apr 10, 2026

  Based on observation, interview, and record review, the facility failed to ensure all food was served at a safe and appetizing temperature when staff failed to hold four pureed meals at an appropriate temperatures prior to serve out. The facility census was 57. Review of the facility policy titled, Food Temperatures, dated May 2015, showed the following:-The Dietary Manager (DM) or designee is responsible for seeing that all food is the proper serving temperature(s) before trays are assembled;-Keep the temperature of hot foods no less than 140degrees Fahrenheit (F) during meal service;-Hot food should be at least 120 degrees F when served to the resident.Review of the facility policy titled, Food Preparation and Distribution, dated May 2015, showed the following:-Food is not placed in the… […]

• No harm, potential for more than minimal, patternF880Apr 10, 2026

  Based on record review and interview, the facility failed to maintain an effective infection prevention and control program when the facility failed to have processes in place to ensure all new staff were screened prior to employment for tuberculosis (TB - a serious illness that mainly affects the lungs and can be spread when a person with the illness coughs, sneezes or sings) when the facility failed to fully complete TB testing for five staff (Maintenance Director (MD), Medical Records (MR), Housekeeper (HK) C, Certified Nursing Assistant (CNA) A, and Registered Nurse (RN) B). […]

• No harm, potential for more than minimal, patternF580Nov 14, 2025

  Based on interview and record review, the facility failed ensure notification to the resident's family/responsible party of changes of condition for all when residents when staff failed to document family/responsible party notification of four residents (Resident #1, #2, #3, and #4) for resident change in health condition, resident falls, and/or new physician orders. The facility had a census of 58.Review of the facility provided Patient [NAME] of Rights as provided by the Long-Term Care Ombudsman (advocate for residents in nursing homes and assisted living facilities who helps protect their rights, health, and quality of life) Program, showed the resident had the right to:-Be fully informed of services available to you;-Participate in planning your care and being informed of all aspects… […]