Willow Ridge Healthcare

In the surveyor’s words

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

• Actual harm, isolatedF580Nov 20, 2023

  Based on record review and interview, the facility did not consult with the resident's physician, consistent with his or her authority, and notify the resident's representative when there was a significant change in the resident's physical, mental, or psychosocial status for 1 of 3 sampled residents (R2). The facility did not notify the physician or Power of Attorney (POA) promptly of R2's fall on 10/03/23 or consult with physician timely of increase in pain and change in ambulation status post fall. R2 was sent to the emergency room 4 days after the fall and was diagnosed with a fractured right hip. […]

• Actual harm, isolatedF684Nov 20, 2023

  Based on record review and interview, the facility did not ensure that 1 out of 3 sampled residents (R) R2 received assessment and appropriate medical care with a change in medical condition consistent with professional standards of practice for a licensed practical nurse (LPN) and a registered nurse (RN). R2 was not assessed for increased pain or change in ambulation ability after a fall on 10/03/23 to secure timely treatment for R2. On 10/07/23, four days after the fall, R2 was sent to the emergency room and was diagnosed with a fractured right hip. […]

• No harm, potential for more than minimal, widespreadF812Jul 30, 2025

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect all 26 residents residing in the facility.Surveyor observed a scoop left in the flour storage bin.Missed opportunities for litmus testing of sanitation solution (red bucket) in cook's area. Logs for sanitizer bucket Parts Per Million (PPM) and sanitization levels were not completed.Findings include:Example 1The facility policy, title Food Storage Standards, states:3. Criteria for Dry Food Storage.f. Working containers holding dry food or ingredients that are removed from their original packages are identified with the common name of the food, unless the food is easily recognizable such as pasta.g. […]

• No harm, potential for more than minimal, widespreadF812May 30, 2024

  Based on observation and staff interview, the facility did not ensure food was stored and served under sanitary conditions. This practice had the potential to affect 32 residents. Foods opened without a date. Dry storage items found on the floor. Temperature documentation missing for temping foods. Temperature/Chlorine documentation for dishwasher missing. Findings: The FDA Food Code 2022 documents at 3-501.17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking: (A) Except when packaging food using a reduced oxygen packaging method as specified under S 3-502.12, and except as specified in (E) and (F) of this section, refrigerated, ready-to-eat, time/temperature control for safety food prepared and held in a food establishment for more than 24 hours shall be clearly marked… […]

• No harm, potential for more than minimal, widespreadF812May 24, 2023

  Based on observation, interviews and record review, the facility did not ensure sanitary conditions while dishwashing. This has the potential to affect 37 of 37 residents in the facility. Kitchen staff moved from dirty to clean areas while washing dishes, without a change of gloves or handwashing done in between the tasks. This is evidenced by: On 5/23/23 at approximately 1:20PM, Surveyor observed Dietary Aide (DA) E walk into the dishwashing area wearing gloves with a dirty tray. DA E set the dirty tray down in the dirty side of the kitchen, opened the dishwasher door and moved the clean tray of dishes down the line, then went back and put the dirty tray in the dishwasher and closed the door. DA E did this all without changing gloves or washing hands. […]