Willis Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Willis Nursing and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 20, 2023

  Based on observation, interview and record review, the facility failed to ensure each resident received adequate supervision for 1 of 2 residents (Resident #1) reviewed for accidents. -The facility failed to safely transfer Resident #1 and prevent injury during a mechanical lift transfer that resulted in Resident #1 sustaining a laceration to her left leg requiring her to be sent to the hospital This failure could place resident at risk for accidents, injuries, and hospitalization . The noncompliance was identified as PNC. The noncompliance began on [DATE] and ended on [DATE]. […]

• No harm, potential for more than minimal, patternF812Jun 28, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 unit refrigerators. 1. The facility failed to ensure foods were labeled in order to identify the contents and dated when opened. 2. The facility failed to ensure food was properly stored in designated areas at all times. These failures could place residents who ate food from the unit refrigerator at risk of food borne illness and disease. Findings Included: Observation of the unit refrigerator located in the medication room [ROOM NUMBER]/25/24 at 8:50 AM revealed the following: 1. […]

• No harm, potential for more than minimal, patternF550May 11, 2023

  Based on interview, observation, and record review, the facility failed to honor the rights of the resident to self-determination and to make decisions about their care for 1 of 6 residents (Resident #25) reviewed for resident rights. The facility failed to accommodate Resident #25's right to refuse her therapeutic diet. This failure could place residents at psychosocial and emotional risk by not having their rights upheld. Findings included: Record review of Resident #25's face sheet revealed a [AGE] year-old female admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF553May 11, 2023

  Based on interview, observation, and record review the facility failed to honor the right of the resident to participate in the planning process and revision of the care plan to for 1 of 6 residents (Resident #25) reviewed for care plan. The facility failed to accommodate Resident #25's right to refuse her therapeutic diet and include accommodations in the resident's care plan. This failure could place residents at risk for not having their right to participate in the planning process of their individual person-centered plans of care. Findings included: Record review of Resident #25's face sheet revealed a [AGE] year-old female admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF880Dec 3, 2025

  Based on observations, interviews, and record reviews, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 (Resident #1) of 5 residents viewed for infection control. - LVN B did not wear appropriate PPE when performing wound care on Resident #1, when he was on Enhanced Barrier Precautions. This failure could place residents and staff at risk for cross-contamination, spread of infection and could potentially affect all others in the building. […]