Willow Point Rehabilitation and Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880May 4, 2023

  The facility identified a census of 45 residents. The facility identified 22 COVID-19 (an acute respiratory illness capable of producing severe symptoms and in some cases death) positive residents on 05/02/23. Based on observations, record review, and interviews, the facility failed to ensure staff exercised appropriate infection control techniques to prevent the transmission of COVID-19 within the facility. The facility failed to disinfect shared equipment used on COVID-19 positive negative residents. […]

• Immediate jeopardy, isolatedF609Feb 20, 2024

  The facility identified a census of 36 residents with three residents reviewed for abuse and neglect. Based on record review, observation, and interview the facility failed to ensure staff identified and reported an allegation of physical abuse immediately to the Administrator as required. On 02/09/24 between 10:30 PM to 11:00 PM, Certified Nurse Aide (CNA) N and CNA M provided peri-care to Resident (R)1, a severely cognitively impaired resident who was dependent on staff for assistance with activities of daily living (ADL). As staff rolled R1 towards CNA M, R1 hit CNA M. CNA M allegedly became upset and smacked R1 on the hand. CNA N attempted to report the abuse to Licensed Nurse (LN) G, but CNA M approached, so CNA N ended the conversation and walked away. […]

• Immediate jeopardy, isolatedF600Jun 12, 2023

  The facility identified a census of 44 residents. The sample included three residents with one sampled for abuse and neglect. Based on record review and interviews, the facility failed to ensure Resident (R) 1 remained free from neglect when on 06/01/23, Transportation D dropped off R1 at the bus stop, per R1's request, after explicit instructions from Administrative Staff A to take R1 to the bank, but to keep R1 under constant staff supervision. R1 had moderate cognitive impairment, was at risk or falls, and required supervision from staff with activities of daily living (ADLs) and smoking. R1 left the facility via facility transportation to the bank at 01:19 PM on 06/01/23, accompanied by Transportation D. […]

• Immediate jeopardy, isolatedF600May 4, 2023

  The facility identified a census of 45 residents. The sample included 13 residents. Based on observation, record review, and interviews, the facility failed to ensure cognitively impaired, dependent Resident (R) 38 remained free from abuse when the facility failed to prevent an episode of staff to resident physical abuse. On 05/01/23 at 07:55 AM Certified Nurse Aide (CNA) M brought R38 to the common area in a Broda (special wheelchair with tilt abilities) chair. CNA M then forcefully grabbed R38 by R38's right wrist/forearm multiple times while attempting to adjust R38's shirt and hair, despite the fact the resident raised her right arm in objection to the provision of cares. […]

• Immediate jeopardy, isolatedF689Mar 30, 2023

  The facility identified a census of 51 residents. The sample included three residents reviewed for elopement (when a cognitive impaired resident or resident with poor safety awareness exits the facility without staff knowledge). Based on observation, record review, and interview, the facility failed to provide adequate supervision to prevent an elopement for Resident (R) 1, who was cognitively impaired, at risk for elopement, and had previous elopement attempts. On 03/24/23 at approximately 12:41 PM R1 exited the facility from the North door that led out to the resident smoking area. […]