Willow Care Nursing Home

In the surveyor’s words

From the most serious findings on record at Willow Care Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 8, 2026

  Based on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This had the potential to affect all residents. The facility census was 68.The facility did not provide a dietary cleaning rotation or food storage policy. 1. Observations on 1/05/26 at 10:35 A.M., and 1/07/26 at 10:22 A.M., of the kitchen showed:- The commercial dishwasher exterior with flaky white grime build-up and scattered debris on the floor beneath;- The floor and plumbing pipes below the dishwashing area counters and three compartment sinks with scattered debris, oily film, and brown grime build-up;- The wall with a dark colored grime build-up behind the dishwashing sink spray rinsing and… […]

• No harm, potential for more than minimal, widespreadF880Feb 10, 2023

  Based on interview and record review, the facility failed to maintain an effective infection control program for all residents when the facility failed to have a program in place for the prevention of the growth of Legionella bacteria (a bacteria which causes a respiratory disease when breathing in small droplets of water in the air that contain Legionella. It can become a health concern when it grows and spreads in human-made water systems) in the facility water supply or where moist conditions existed. The facility had a census of 73. […]

• No harm, potential for more than minimal, patternF569Jan 8, 2026

  Based on interview and record review, the facility failed to refund resident funds within 30 days of when a resident expired for seven residents (Residents #80, #81, #83, #84, #85, #86, and #87) out of a sample of eight residents, and failed to complete a final accounting of resident personal funds within 30 days of discharge for six residents (Residents #88, #89, #90, #91, #93, and #94) out of a sample of seven residents. The facility also failed to ensure residents and/or responsible parties were notified in a timely manner when a resident's account was within the $200.00 Social Security Income (SSI) limit ($6,068.80) or when the resident's account was over the SSI limit. This affected one resident (Resident #43) out of a sample of 17 residents reviewed who received Medicaid benefits. […]

• No harm, potential for more than minimal, patternF881Jan 8, 2026

  Based on interview and record review, the facility failed to maintain an Infection Prevention and Control Program (IPCP) that included an antibiotic stewardship program to include an infection surveillance program and antibiotic use protocols. This deficient practice had the potential to affect all residents in the facility. The facility also failed to ensure correct antibiotic therapy duration for one resident (Resident #73) out of two sampled residents. The facility census was 69.Review of the facility's policy titled, Infection Prevention and Control Program, revised October 2018, showed:- Infection prevention and control program is developed to address the facility specific infection control needs and requirements identified in the facility assessment and the infection control risk… […]

• No harm, potential for more than minimal, patternF625Feb 10, 2023

  Based on interview and record review, the facility failed to ensure all residents received a written notice of the bed-hold policy upon transfer when staff failed to provide three residents (Residents #24, #32 and #39) written notices of the facility's bed-hold policy when transferred to the hospital. The facility census was 73. Record review of the facility's policy entitled Bed-Holds and Returns, revised March 2017, showed the following information: -Prior to transfers and therapeutic leaves, residents or resident representatives will be informed in writing of the bed-hold and return policy; -Residents may return to and resume residence in the facility after hospitalization as outlined in this policy; -Prior to a transfer, written information will be given to the residents and the… […]