Willow Ridge Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jul 15, 2026

  Based on facility policy review, observations, and interviews, the facility failed to ensure the cleanliness of food preparation equipment which had the potential to affect 66 of 66 residents. The findings include: Review of the facility's policy titled Equipment, dated 5/2014 and revised 9/2017, revealed .All foodservice equipment will be clean, sanitary, and in proper working order .All food contact equipment will be cleaned and sanitized after every use . During an observation of the kitchen on 7/13/2026 at 10:22 AM, revealed the can opener had a buildup of a black, sticky substance on the blade, and a brown, speckled substance on both the blade and the surrounding surface. […]

• No harm, potential for more than minimal, widespreadF908Jul 15, 2026

  Based on facility policy review, record review, observations, and interviews, the facility failed to ensure essential kitchen equipment was maintained in safe operating condition which had the potential to affect 66 of 66 residents.The findings include: Review of the facility's policy titled Equipment, dated 5/2014 and revised 9/2017, revealed .All foodservice equipment will be clean, sanitary, and in proper working order .the Dining Services Director will submit requests for maintenance or repair to the Administrator and/or Maintenance Director as needed . […]

• No harm, potential for more than minimal, widespreadF812Jun 1, 2023

  Based on facility policy review, observation and interview, the facility failed to maintain a sanitary environment in the kitchen, with the potential to affect 72 of 74 residents in the facility. The findings include: Review of the facility policy titled Equipment revised 9/2018, showed .All foodservice equipment will be clean, sanitary, and in proper working order .All equipment will be routinely cleaned and maintained in accordance with manufacturer's directions and training materials .All staff members will be properly trained in the cleaning and maintenance of all equipment .All food contact equipment will be cleaned and sanitized after every use .All non-food contact equipment will be clean and free of debris . […]

• No harm, potential for more than minimal, patternF584Jun 1, 2023

  Based on facility policy review, observations and interviews, the facility failed to provide a safe, clean, and homelike environment for 1 Resident (#55) of 39 residents reviewed, failed to maintain the upkeep of painted walls in 2 of 4 hallways, failed to maintain the integrity and cleanliness of 2 speciality chairs of the 30 speciality chairs in the facility, failed to provide a safe, clean, and homelike environment for 1 of 1 shower rooms, and failed to provide a safe, clean, and homelike environment for 1 of 1 dining rooms. […]

• No harm, potential for more than minimal, isolatedF842Jul 15, 2026

  Based on facility policy review, medical record review, and interviews, the facility failed to ensure medications were documented as administered for 1 resident of 3 residents reviewed for medication administration. The findings include:Review of the facility's policy titled, NSG306 Medication Errors, dated 7/1/2024, revealed .Medication Error means .medication omission .nurses should verify .right documentation .Review of the medical record revealed Resident #26 was admitted to the facility on [DATE] with diagnoses including Urinary Tract Infection, Type 2 Diabetes Mellitus, Atrial Fibrillation, and Hypertension. […]