Willow Park Rehabilitation Health Care Center

In the surveyor’s words

From the most serious findings on record at Willow Park Rehabilitation Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600Dec 19, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents had the right to be free from abuse for 5 (Resident #6, Resident #11, Resident #57, Resident #84, and Resident #85) of 13 residents reviewed for abuse. The facility failed to ensure the safety of Resident #84 on 12/3/25 when Resident #11 hit him in the chest causing the resident to fall and hit the ground hard resulting in Resident #84 being sent out to the hospital for evaluation of injuries. The facility failed to ensure the safety of Resident #85 on 11/19/25 when Resident #11 punched him in the face. The facility failed to ensure the safety of Resident #6 on 11/22/25 when Resident #11 pushed him to the ground. […]

• Immediate jeopardy, isolatedF684Jul 10, 2025

  Based on interviews and record reviews, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for 1 of 5 (Resident #1) residents reviewed for quality of care.The facility failed to activate 911 emergency services response on 06/13/2025 for Resident #1 when he had a choking episode while eating resulting in his death. An IJ (Immediate Jeopardy) was identified on 07/08/2025. The IJ template was provided to the facility on [DATE] at 5:12 PM. […]

• Immediate jeopardy, isolatedF678Sep 27, 2024

  Based on observation, interview, and record review, the facility failed to ensure personnel provided basic life support, which included CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for 1 of 5 residents (Resident #82) reviewed for cardio-pulmonary resuscitation. LVN B failed to initiate CPR when she found Resident #82, who was full code status, unresponsive and not breathing. Resident #82 was declared deceased . An Immediate Jeopardy (IJ) situation was identified on [DATE] at 4:42 PM. […]

• No harm, potential for more than minimal, widespreadF812Sep 27, 2024

  Based on observations, interviews, 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 kitchen reviewed for kitchen sanitation. The facility failed to ensure food was properly stored in the facility's kitchen. The facility failed to seal food and dispose of spoiled food. This failure could place residents at risk for food-borne illness. Findings Included: Observation of the facility's refrigerator on 09/24/24 beginning at 9:35 AM revealed: - 2 cantaloupes with fuzzy white and black spots; - 1 white onion with fuzzy white spots; - 1 bag of shredded carrots open and exposed to air; - 1 bag of shredded cheese open and exposed to air; - 1 red onion and small potato on the floor;… […]

• No harm, potential for more than minimal, widespreadF812Jun 8, 2022

  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 for 5 of 5 staff (Dietary Manager, Dietary staffs A, B, C and D), reviewed for 1 of 1 kitchen, in that: 1) Dietary staff (Dietary Manager, Dietary staff A and B) failed to ensure sanitizer levels were maintained and tested according to manufacturer recommendations, 2) Dietary staff (Dietary staff B, C and D) failed to use good hygienic practices during dietary duties 3) The facility failed to ensure foods and food contact equipment were protected from possible contamination during storage (walk-in, janitor's closet, employee restroom), 4) The facility failed to ensure foods were maintained in sound condition… […]